Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

Shraddha M. Dalwadi; Jun Zhang; Eric H. Bernicker; Edward Brian Butler; Bin S. Teh; Andrew M. Farach

doi:10.1080/07357907.2019.1666136

Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

Shraddha M. Dalwadi, Jun Zhang, Eric H. Bernicker, Edward Brian Butler, Bin S. Teh, Andrew M. Farach

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004–2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p <.0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p <.0001) and OS (10% vs 50% at 5Y, p <.0001).

Original language	English (US)
Pages (from-to)	506-511
Number of pages	6
Journal	Cancer Investigation
Volume	37
Issue number	9
DOIs	https://doi.org/10.1080/07357907.2019.1666136
State	Published - Oct 21 2019

Keywords

Lung cancer
access to care
radiation
socioeconomic
surgery

ASJC Scopus subject areas

Oncology
Cancer Research

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10.1080/07357907.2019.1666136

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@article{ecf4ee3bbd0644d0a3769521f0f8fb26,

title = "Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer",

abstract = "With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004–2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p <.0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p <.0001) and OS (10% vs 50% at 5Y, p <.0001).",

keywords = "Lung cancer, access to care, radiation, socioeconomic, surgery",

author = "Dalwadi, {Shraddha M.} and Jun Zhang and Bernicker, {Eric H.} and Butler, {Edward Brian} and Teh, {Bin S.} and Farach, {Andrew M.}",

note = "Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 Taylor & Francis Group, LLC.",

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doi = "10.1080/07357907.2019.1666136",

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T1 - Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

AU - Dalwadi, Shraddha M.

AU - Zhang, Jun

AU - Bernicker, Eric H.

AU - Butler, Edward Brian

AU - Teh, Bin S.

AU - Farach, Andrew M.

PY - 2019/10/21

Y1 - 2019/10/21

N2 - With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004–2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p <.0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p <.0001) and OS (10% vs 50% at 5Y, p <.0001).

AB - With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004–2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p <.0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p <.0001) and OS (10% vs 50% at 5Y, p <.0001).

KW - Lung cancer

KW - access to care

KW - radiation

KW - socioeconomic

KW - surgery

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Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

Abstract

Keywords

ASJC Scopus subject areas

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