Rural‐urban survival disparities for patients with surgically treated lung cancer
Background Nonsmall‐cell lung cancer (NSCLC) is a common diagnosis among patients living in rural areas and small towns who face unique challenges accessing care. We examined differences in survival for surgically treated rural and small‐town patients compared to those from urban and metropolitan ar...
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| Veröffentlicht in: | Journal of surgical oncology 2022-12, Vol.126 (7), p.1341-1349 |
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| container_title | Journal of surgical oncology |
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| creator | Logan, Charles D. Feinglass, Joe Halverson, Amy L. Lung, Kalvin Kim, Samuel Bharat, Ankit Odell, David D. |
| description | Background
Nonsmall‐cell lung cancer (NSCLC) is a common diagnosis among patients living in rural areas and small towns who face unique challenges accessing care. We examined differences in survival for surgically treated rural and small‐town patients compared to those from urban and metropolitan areas.
Methods
The National Cancer Database was used to identify surgically treated NSCLC patients from 2004 to 2016. Patients from rural/small‐town counties were compared to urban/metro counties. Differences in patient clinical, sociodemographic, hospital, and travel characteristics were described. Survival differences were examined with Kaplan–Meier curves and Cox proportional hazards models.
Results
The study included 366 373 surgically treated NSCLC patients with 12.4% (n = 45 304) categorized as rural/small‐town. Rural/small‐town patients traveled farther for treatment and were from areas characterized by lower income and education(all p |
| doi_str_mv | 10.1002/jso.27045 |
| format | Article |
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Nonsmall‐cell lung cancer (NSCLC) is a common diagnosis among patients living in rural areas and small towns who face unique challenges accessing care. We examined differences in survival for surgically treated rural and small‐town patients compared to those from urban and metropolitan areas.
Methods
The National Cancer Database was used to identify surgically treated NSCLC patients from 2004 to 2016. Patients from rural/small‐town counties were compared to urban/metro counties. Differences in patient clinical, sociodemographic, hospital, and travel characteristics were described. Survival differences were examined with Kaplan–Meier curves and Cox proportional hazards models.
Results
The study included 366 373 surgically treated NSCLC patients with 12.4% (n = 45 304) categorized as rural/small‐town. Rural/small‐town patients traveled farther for treatment and were from areas characterized by lower income and education(all p < 0.001). Survival probabilities for rural/small‐town patients were worse at 1 year (85% vs. 87%), 5 years (48% vs. 54%), and 10 years (26% vs. 31%) (p < 0.001). Travel distance >100 miles (hazard ratio [HR] = 1.11, 95% confidence interval [CI]: 1.07–1.16, vs. <25 miles) and living in a rural/small‐town county (HR = 1.04, 95% CI: 1.01–1.07) were associated with increased risk for death.
Conclusions
Rural and small‐town patients with surgically treated NSCLC had worse survival outcomes compared to urban and metropolitan patients.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.27045</identifier><identifier>PMID: 36115023</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Carcinoma, Non-Small-Cell Lung - surgery ; health disparity ; Humans ; Income ; Lung cancer ; Lung Neoplasms - surgery ; nonsmall‐cell lung cancer ; Rural areas ; rural health ; Rural Population ; Thoracic ; Travel</subject><ispartof>Journal of surgical oncology, 2022-12, Vol.126 (7), p.1341-1349</ispartof><rights>2022 The Authors. published by Wiley Periodicals LLC.</rights><rights>2022 The Authors. Journal of Surgical Oncology published by Wiley Periodicals LLC.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-267262ce55d3c4ae9f5deffe35ceea63a57a33c57eb73dc096a0877330fdab563</citedby><cites>FETCH-LOGICAL-c4435-267262ce55d3c4ae9f5deffe35ceea63a57a33c57eb73dc096a0877330fdab563</cites><orcidid>0000-0002-2184-8954</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.27045$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.27045$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,782,786,887,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36115023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Logan, Charles D.</creatorcontrib><creatorcontrib>Feinglass, Joe</creatorcontrib><creatorcontrib>Halverson, Amy L.</creatorcontrib><creatorcontrib>Lung, Kalvin</creatorcontrib><creatorcontrib>Kim, Samuel</creatorcontrib><creatorcontrib>Bharat, Ankit</creatorcontrib><creatorcontrib>Odell, David D.</creatorcontrib><title>Rural‐urban survival disparities for patients with surgically treated lung cancer</title><title>Journal of surgical oncology</title><addtitle>J Surg Oncol</addtitle><description>Background
Nonsmall‐cell lung cancer (NSCLC) is a common diagnosis among patients living in rural areas and small towns who face unique challenges accessing care. We examined differences in survival for surgically treated rural and small‐town patients compared to those from urban and metropolitan areas.
Methods
The National Cancer Database was used to identify surgically treated NSCLC patients from 2004 to 2016. Patients from rural/small‐town counties were compared to urban/metro counties. Differences in patient clinical, sociodemographic, hospital, and travel characteristics were described. Survival differences were examined with Kaplan–Meier curves and Cox proportional hazards models.
Results
The study included 366 373 surgically treated NSCLC patients with 12.4% (n = 45 304) categorized as rural/small‐town. Rural/small‐town patients traveled farther for treatment and were from areas characterized by lower income and education(all p < 0.001). Survival probabilities for rural/small‐town patients were worse at 1 year (85% vs. 87%), 5 years (48% vs. 54%), and 10 years (26% vs. 31%) (p < 0.001). Travel distance >100 miles (hazard ratio [HR] = 1.11, 95% confidence interval [CI]: 1.07–1.16, vs. <25 miles) and living in a rural/small‐town county (HR = 1.04, 95% CI: 1.01–1.07) were associated with increased risk for death.
Conclusions
Rural and small‐town patients with surgically treated NSCLC had worse survival outcomes compared to urban and metropolitan patients.</description><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>health disparity</subject><subject>Humans</subject><subject>Income</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - surgery</subject><subject>nonsmall‐cell lung cancer</subject><subject>Rural areas</subject><subject>rural health</subject><subject>Rural Population</subject><subject>Thoracic</subject><subject>Travel</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1qFEEUhQtRzBhd-ALS4EYXndz665raCBKMPwQCRtfFnerbkxpquseq7gmz8xHyjD6JNU4MKriqgvvxcQ6HseccTjiAOF3l4UQYUPoBm3GwTW3Bzh-yWbmJWhkLR-xJzisAsLZRj9mRbDjXIOSMXX2eEsYf32-ntMC-ylPahi3Gqg15gymMgXLVDanaYPn2Y65uwni9x5bBY4y7akyEI7VVnPpl5bH3lJ6yRx3GTM_u3mP29fzdl7MP9cXl-49nby9qr5TUtWiMaIQnrVvpFZLtdEtdR1J7ImwkaoNSem1oYWTrSy-EuTFSQtfiQjfymL05eDfTYk2tL_lKF7dJYY1p5wYM7u9LH67dctg6azhozovg1Z0gDd8myqNbh-wpRuxpmLIThmulGqn26Mt_0NUwpb7UK5SwIOdSQaFeHyifhpwTdfdhOLj9VK5M5X5NVdgXf6a_J39vU4DTA3ATIu3-b3Kfri4Pyp-lN6C_</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Logan, Charles D.</creator><creator>Feinglass, Joe</creator><creator>Halverson, Amy L.</creator><creator>Lung, Kalvin</creator><creator>Kim, Samuel</creator><creator>Bharat, Ankit</creator><creator>Odell, David D.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2184-8954</orcidid></search><sort><creationdate>202212</creationdate><title>Rural‐urban survival disparities for patients with surgically treated lung cancer</title><author>Logan, Charles D. ; Feinglass, Joe ; Halverson, Amy L. ; Lung, Kalvin ; Kim, Samuel ; Bharat, Ankit ; Odell, David D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4435-267262ce55d3c4ae9f5deffe35ceea63a57a33c57eb73dc096a0877330fdab563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>health disparity</topic><topic>Humans</topic><topic>Income</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - surgery</topic><topic>nonsmall‐cell lung cancer</topic><topic>Rural areas</topic><topic>rural health</topic><topic>Rural Population</topic><topic>Thoracic</topic><topic>Travel</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Logan, Charles D.</creatorcontrib><creatorcontrib>Feinglass, Joe</creatorcontrib><creatorcontrib>Halverson, Amy L.</creatorcontrib><creatorcontrib>Lung, Kalvin</creatorcontrib><creatorcontrib>Kim, Samuel</creatorcontrib><creatorcontrib>Bharat, Ankit</creatorcontrib><creatorcontrib>Odell, David D.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Logan, Charles D.</au><au>Feinglass, Joe</au><au>Halverson, Amy L.</au><au>Lung, Kalvin</au><au>Kim, Samuel</au><au>Bharat, Ankit</au><au>Odell, David D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rural‐urban survival disparities for patients with surgically treated lung cancer</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J Surg Oncol</addtitle><date>2022-12</date><risdate>2022</risdate><volume>126</volume><issue>7</issue><spage>1341</spage><epage>1349</epage><pages>1341-1349</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background
Nonsmall‐cell lung cancer (NSCLC) is a common diagnosis among patients living in rural areas and small towns who face unique challenges accessing care. We examined differences in survival for surgically treated rural and small‐town patients compared to those from urban and metropolitan areas.
Methods
The National Cancer Database was used to identify surgically treated NSCLC patients from 2004 to 2016. Patients from rural/small‐town counties were compared to urban/metro counties. Differences in patient clinical, sociodemographic, hospital, and travel characteristics were described. Survival differences were examined with Kaplan–Meier curves and Cox proportional hazards models.
Results
The study included 366 373 surgically treated NSCLC patients with 12.4% (n = 45 304) categorized as rural/small‐town. Rural/small‐town patients traveled farther for treatment and were from areas characterized by lower income and education(all p < 0.001). Survival probabilities for rural/small‐town patients were worse at 1 year (85% vs. 87%), 5 years (48% vs. 54%), and 10 years (26% vs. 31%) (p < 0.001). Travel distance >100 miles (hazard ratio [HR] = 1.11, 95% confidence interval [CI]: 1.07–1.16, vs. <25 miles) and living in a rural/small‐town county (HR = 1.04, 95% CI: 1.01–1.07) were associated with increased risk for death.
Conclusions
Rural and small‐town patients with surgically treated NSCLC had worse survival outcomes compared to urban and metropolitan patients.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36115023</pmid><doi>10.1002/jso.27045</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2184-8954</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Carcinoma, Non-Small-Cell Lung - surgery health disparity Humans Income Lung cancer Lung Neoplasms - surgery nonsmall‐cell lung cancer Rural areas rural health Rural Population Thoracic Travel |
| title | Rural‐urban survival disparities for patients with surgically treated lung cancer |
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