Disparities in ovarian cancer survival at the only NCI-designated cancer center in Kansas
Autor: | Sue Min Lai, Shariska Petersen, Sharon Fitzgerald-Wolff, Andrea Jewell, Dineo Khabele, Julia Chapman, Parmida Shahiri, Lori Spoozak |
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Rok vydání: | 2020 |
Předmět: |
Oncology
medicine.medical_specialty Poor prognosis Geographic disparities Ovarian cancer disparities Suboptimal Debulking Health Services Accessibility Article Suboptimal debulking 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Overall survival Humans Survival analysis Aged Ovarian Neoplasms Travel 030219 obstetrics & reproductive medicine business.industry Outcome measures Cancer General Medicine Cytoreduction Surgical Procedures Kansas Middle Aged medicine.disease Prognosis Survival Rate Increased risk 030220 oncology & carcinogenesis Income Surgery Female business Ovarian cancer |
Zdroj: | American journal of surgery |
ISSN: | 1879-1883 |
Popis: | Background This study examined the impact of geographic distance on survival outcomes for patients receiving treatment for ovarian cancer at the only NCI-designated cancer center (NCI-CC) in Kansas. Methods We identified ovarian cancer patients treated at the University of Kansas Cancer Center between 2010 and 2015. Demographic factors and clinical characteristics were abstracted. The main outcome measure was overall survival according to geographic distance from the institution. Kaplan Meier survival curves and Cox proportional hazard models were generated using SAS v9.4. Results 220 patients were identified. Survival analysis based on distance from the institution demonstrated that patients who lived ≤10 miles from the institution had worse overall survival (p = 0.0207) and were more likely to have suboptimal cytoreductive surgery (p = 0.0276). Lower estimated median income was also associated with a 1.54 increased risk of death, 95% CI (1.031–2.292), p = 0.0347. Conclusions We determined that ovarian cancer survival disparities exist in our patient population. Lower rates of optimal cytoreductive surgery has been identified as a possible driver of poor prognosis for patients who lived in proximity to our institution. |
Databáze: | OpenAIRE |
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