Are patients of low socioeconomic status receiving suboptimal management for pancreatic adenocarcinoma?

Michael C. Cheung, Relin Yang, Margaret M. Byrne, Carmen C. Solorzano, Attila Nakeeb, Leonidas Koniaris

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

BACKGROUND: The objective of this study was to define the effects of socioeconomic status (SES) and other demographic variables on outcomes for patients with pancreatic adenocarcinoma. METHODS: Florida cancer registry and inpatient hospital data were queried for pancreatic adenocarcinoma diagnosed from 1998 to 2002. RESULTS: In total, 16,104 patients were identified. Low SES (LSES) patients were younger at diagnosis (P <.001) but presented with similar disease stage and tumor grade. LSES patients were less likely to receive surgical extirpation (16.5% vs 19.8%; P <.001), chemotherapy (30.7% vs 36.4%; P <.001), or radiotherapy (14.3% vs 16.9%; P=.003). Among surgical patients, 30-day mortality was significantly higher (5.1% vs 3.7%; P <.001) and overall median survival was significantly worse (5.0 months vs 6.2 months; P <.001) in the LSES cohorts. Although surgical patients who were treated at teaching facilities (TF) did significantly better; an increased 30-day surgical mortality (2.2% vs 1.3%; P <.001) and decreased median survival (5 months for poverty level >15% vs 6.2 months for poverty level

Original languageEnglish (US)
Pages (from-to)723-733
Number of pages11
JournalCancer
Volume116
Issue number3
DOIs
StatePublished - Feb 1 2010
Externally publishedYes

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Social Class
Adenocarcinoma
Poverty
Registries
Inpatients
Demography
Neoplasms

Keywords

  • Outcomes
  • Pancreatic cancer
  • Racial disparities
  • Socioeconomic status

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Are patients of low socioeconomic status receiving suboptimal management for pancreatic adenocarcinoma? / Cheung, Michael C.; Yang, Relin; Byrne, Margaret M.; Solorzano, Carmen C.; Nakeeb, Attila; Koniaris, Leonidas.

In: Cancer, Vol. 116, No. 3, 01.02.2010, p. 723-733.

Research output: Contribution to journalArticle

Cheung, Michael C. ; Yang, Relin ; Byrne, Margaret M. ; Solorzano, Carmen C. ; Nakeeb, Attila ; Koniaris, Leonidas. / Are patients of low socioeconomic status receiving suboptimal management for pancreatic adenocarcinoma?. In: Cancer. 2010 ; Vol. 116, No. 3. pp. 723-733.
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