Academic Journal
Low neighborhood socioeconomic status is associated with higher mortality and increased surgery utilization among metastatic breast cancer patients
العنوان: | Low neighborhood socioeconomic status is associated with higher mortality and increased surgery utilization among metastatic breast cancer patients |
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المؤلفون: | Oindrila Bhattacharyya, Yaming Li, James L. Fisher, Allan Tsung, Mariam F. Eskander, Ahmad Hamad, Samilia Obeng-Gyasi |
المصدر: | Breast, Vol 59, Iss , Pp 314-320 (2021) |
بيانات النشر: | Elsevier, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | Metastatic breast cancer, Neighborhood socioeconomic index, Surgery, Survival, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Purpose: Low socioeconomic status (SES) is associated with advanced stage, lower-quality care, and higher mortality among breast cancer patients. The purpose of this study is to examine the association between neighborhood SES (nSES), surgical management, and disease-specific mortality in de novo metastatic breast cancer (MBC) patients in the Surveillance, Epidemiology, and End Results (SEER) Program. Methods: MBC patients ages 18 to 85+ years diagnosed from 2010 through 2016 were identified in SEER. The cohort was divided into low, middle, and high nSES based on the NCI census tract-level index. Univariable and multivariable analyses were used to examine the relationship between nSES, surgery, and disease specific mortality in MBC patients. Results: There were 24,532 de novo MBC patients who met study criteria, with 28.7 % undergoing surgery. Over the study period, surgery utilization decreased across all nSES groups. However, lower nSES was associated with a higher odds of undergoing surgery (low OR 1.25 [1.15–1.36] p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1532-3080 |
Relation: | http://www.sciencedirect.com/science/article/pii/S096097762100432X; https://doaj.org/toc/1532-3080 |
DOI: | 10.1016/j.breast.2021.08.003 |
URL الوصول: | https://doaj.org/article/96ae931f4f6842a8905543de5a3a6a00 |
رقم الانضمام: | edsdoj.96ae931f4f6842a8905543de5a3a6a00 |
قاعدة البيانات: | Directory of Open Access Journals |
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