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

摘要: HYPOTHESIS: Health care system and provider biases differences in patient characteristics are thought to be prevailing factors underlying racial disparities. The influence of these on the receipt would likely mitigated among patients who recommended optimal therapy. We hypothesized that there no significant evidence disparities with early-stage lung cancer surgical DESIGN, SETTING, AND PATIENTS: Retrospective cohort study Surveillance, Epidemiology, End Results-Medicare database were diagnosed stage I or II between January 1, 1992, December 31, 2002 (follow-up through 2005). MAIN OUTCOME MEASURES: Receipt resection overall survival. RESULTS: Among 17,739 therapy (mean [SD] age, 75 [5] years; 89% white, 6% black), black less frequently underwent compared white (69% vs 83%, respectively; P < .001). After adjustment, race was associated lower odds receiving (odds ratio = 0.43; 99% confidence interval, 0.36-0.52). Unadjusted 5-year survival rates for (36% 42%, association death (hazard 1.03; 0.92-1.14) despite a 14% difference CONCLUSIONS: Even therapy, often than patients. Unexpectedly, did not appear affect outcomes. These findings suggest distrust, beliefs perceptions about its treatment, limited access (despite insurance) might have more dominant role perpetuating previously recognized.