Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy
Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy
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DOI：
10.1001/archsurg.2008.519
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发表时间：
2009-01-01
影响因子：
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通讯作者：
Flum, David R.
中科院分区：
文献类型：
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作者：
Farjah, Farhood;Wood, Douglas E.;Flum, David R.
假设：卫生保健系统和提供者的偏见和患者特征的差异被认为是种族差异的主要因素。这些因素对接受治疗的影响可能会在推荐最佳治疗的患者中得到缓解。我们假设在建议手术治疗的早期肺癌患者中没有明显的种族差异证据。设计、设置和患者：对监测、流行病学和最终结果-医疗保险数据库中1992年1月1日至12月31日期间诊断为I期或II期肺癌的患者进行的回顾性队列研究，2002结果：17739例推荐手术治疗的患者中，有17739例接受了手术治疗，其中17739例接受了手术治疗，17739例接受了手术治疗，17739例接受了手术治疗（平均[SD]年龄，75 [5]岁; 89%白色，6%黑人），黑人患者比白色患者更少接受切除术（分别为69%和83%; P
Hypothesis: Health care system and provider biases and differences in patient characteristics are thought to be prevailing factors underlying racial disparities. The influence of these factors on the receipt of care would likely be mitigated among patients who are recommended optimal therapy. We hypothesized that there would be no significant evidence of racial disparities among patients with early-stage lung cancer who are recommended surgical therapy.Design, Setting, and Patients: Retrospective cohort study of patients in the Surveillance, Epidemiology, and End Results-Medicare database who were diagnosed with stage I or II lung cancer between January 1, 1992, and December 31, 2002 (follow-up through December 31, 2005).Main Outcome Measures: Receipt of lung resection and overall survival.Results: Among 17 739 patients who were recommended surgical therapy (mean [SD] age, 75 [5] years; 89% white, 6% black), black patients less frequently underwent resection compared with white patients (69% vs 83%, respectively; P