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Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy

Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy ORIGINAL ARTICLE Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy Farhood Farjah, MD, MPH; Douglas E. Wood, MD; N. David Yanez III, PhD; Thomas L. Vaughan, MD, MPH; Rebecca Gaston Symons, MPH; Bahirathan Krishnadasan, MD; David R. Flum, MD, MPH Hypothesis: Health care system and provider biases and derwent resection compared with white patients (69% differences in patient characteristics are thought to be pre- vs 83%, respectively; P.001). After adjustment, black vailing factors underlying racial disparities. The influ- race was associated with lower odds of receiving surgi- ence of these factors on the receipt of care would likely cal therapy (odds ratio=0.43; 99% confidence interval, be mitigated among patients who are recommended op- 0.36-0.52). Unadjusted 5-year survival rates were lower timal therapy. We hypothesized that there would be no for black patients compared with white patients (36% vs significant evidence of racial disparities among patients 42%, respectively; P.001). After adjustment, there was with early-stage lung cancer who are recommended sur- no significant association between race and death (haz- gical therapy. ard ratio=1.03; 99% confidence interval, 0.92-1.14) de- spite a 14% difference in receipt of optimal therapy. Design, Setting, and Patients: Retrospective co- hort study of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy

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References (32)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2008.519
pmid
19153319
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Racial Disparities Among Patients With Lung Cancer Who Were Recommended Operative Therapy Farhood Farjah, MD, MPH; Douglas E. Wood, MD; N. David Yanez III, PhD; Thomas L. Vaughan, MD, MPH; Rebecca Gaston Symons, MPH; Bahirathan Krishnadasan, MD; David R. Flum, MD, MPH Hypothesis: Health care system and provider biases and derwent resection compared with white patients (69% differences in patient characteristics are thought to be pre- vs 83%, respectively; P.001). After adjustment, black vailing factors underlying racial disparities. The influ- race was associated with lower odds of receiving surgi- ence of these factors on the receipt of care would likely cal therapy (odds ratio=0.43; 99% confidence interval, be mitigated among patients who are recommended op- 0.36-0.52). Unadjusted 5-year survival rates were lower timal therapy. We hypothesized that there would be no for black patients compared with white patients (36% vs significant evidence of racial disparities among patients 42%, respectively; P.001). After adjustment, there was with early-stage lung cancer who are recommended sur- no significant association between race and death (haz- gical therapy. ard ratio=1.03; 99% confidence interval, 0.92-1.14) de- spite a 14% difference in receipt of optimal therapy. Design, Setting, and Patients: Retrospective co- hort study of

Journal

JAMA SurgeryAmerican Medical Association

Published: Jan 1, 2009

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