Differences in Sociodemographic Disparities Between Patients Undergoing Surgery for Advanced Colorectal or Ovarian Cancer
| Autor: | Oliver S. Eng, Josephine S. Kim, Ellen M Goldberg, Yaniv Berger, Divya Sood, Kiran K. Turaga, S. Diane Yamada, Nita K. Lee, Katherine C. Kurnit |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer MEDLINE Logistic regression Article 03 medical and health sciences 0302 clinical medicine Surgical oncology Internal medicine otorhinolaryngologic diseases Humans Medicine Peritoneal Neoplasms Retrospective Studies Ovarian Neoplasms business.industry Medical record Cancer Cytoreduction Surgical Procedures Hyperthermia Induced Odds ratio medicine.disease Cross-Sectional Studies Oncology 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Surgery Colorectal Neoplasms business Ovarian cancer |
| Zdroj: | Ann Surg Oncol |
| ISSN: | 1534-4681 1068-9265 |
| DOI: | 10.1245/s10434-021-10086-y |
| Popis: | BACKGROUND: Cytoreductive surgery (CRS) for ovarian cancer with peritoneal metastases (OPM) is an established treatment, yet access-related racial and socioeconomic disparities are well documented. CRS for colorectal cancer with peritoneal metastases (CRPM) is garnering more widespread acceptance, and it is unknown what disparities exist with regards to access. METHODS: This retrospective cross-sectional multicenter study analyzed medical records from the National Cancer Database from 2010–2015. Patients diagnosed with CRPM or ORP only and either no resection or confirmed resection were included. Patient-level and facility-level characteristics were analyzed using univariate and multivariable logistic regressions to identify associations to receipt of CRS. RESULTS: A total of 6,634 patients diagnosed with CRPM and 14,474 diagnosed with OPM were included in this study. Among patients with CRPM, 18.1% underwent CRS. In the multivariable analysis, female gender (odds ratio [95% CI]; 2.04 [1.77—2.35]; P |
| Databáze: | OpenAIRE |
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