Variations in gastric cancer care

摘要: BACKGROUND: Race is associated with patterns of presentation and survival outcomes gastric cancer in the United States. However, impact race on receipt guideline-recommended care not well characterized. By using current recommendations, authors examined association between treatments identified factors that are predictive variations care. METHODS: By National Cancer Database for 1998 through 2005, 106,002 patients adenocarcinoma were identified. Multivariate analysis techniques used to examine race, care, after adjusting covariates. RESULTS: Although African-American Hispanic more likely undergo adequate lymphadenectomy (≥15 lymph nodes) receive at comprehensive centers high-volume facilities (for all, P ≤ .001), they less adjuvant multimodality therapy American Joint Committee stage IB IV, node-negative (M0) disease. Up 60% all who underwent gastrectomy failed therapy. The delivery varied significantly by node evaluation (P .001). These findings persisted our multivariate analyses, indicating received whereas receiving no .025). CONCLUSIONS: There significant treatment among ethnic groups It was noteworthy that, although nonwhite improved surgical remained suboptimal overall. programs need identify procedures maximize patients. 2010. © 2010 Society.