Abstract
OBJECTIVE: To quantify the effects of race, measures of socioeconomic status and geographic residency status on pancreatic cancer survival time.
DESIGN: Retrospective review.
SETTING: A southeastern safety-net academic medical centre in the United States.
PARTICIPANTS: The study population consisted of all patients who were diagnosed, referred to or treated at the medical centre between 2009 and 2012 (n = 245). To ensure completeness and accuracy of the data, follow-up treatment and survival information about the cases were collected from the Georgia Comprehensive Cancer Registry in 2013.
MAIN OUTCOME MEASURES: The odds of receiving first-course treatment (surgery, radiation or chemotherapy) and overall survival following a pancreatic cancer diagnosis.
RESULTS: There were no observed differences in receipt of initial treatment; however, patients from low socioeconomic and rural areas had significant increase in risk of death compared to patients from affluent and urban areas.
CONCLUSIONS: Results from this single site study suggests the significance of factors other than treatment differences that contribute to geographic disparities in mortality.
| Original language | English |
|---|---|
| Pages (from-to) | 73-8 |
| Number of pages | 6 |
| Journal | The Australian journal of rural health |
| Volume | 24 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 2016 |
| Externally published | Yes |
Keywords
- Academic Medical Centers
- Aged
- Female
- Health Services Accessibility
- Healthcare Disparities
- Humans
- Male
- Middle Aged
- Pancreatic Neoplasms
- Poverty Areas
- Retrospective Studies
- Southeastern United States
- Survival