Racial disparities in being recommended to surgery for oral and oropharyngeal cancer in the United States.

摘要: Weng Y, Korte JE. Racial disparities in being recommended to surgery for oral and oropharyngeal cancer the United States. Community Dent Oral Epidemiol 2012; 40: 80–88. © 2011 John Wiley & Sons A/S Abstract –  Objectives:  To investigate impact of race on likelihood patients after a diagnosis cancer. Methods:  A total 68 445 cases were extracted from 1988 2005 Surveillance, Epidemiology, End Results (SEER) database. County-level rurality data income merged using US Department Agriculture Rural-Urban Continuum Codes dataset Census Bureau Small Area Income Poverty Estimates dataset. We used logistic regression analyses cancer, adjusting demographic, socioeconomic, clinical factors. Stratified further conducted by tumor site rural/urban status. Results:  Recommendation varied significantly race, with black less likely than white be their cancer. The racial difference recommendation age, geography, subsite. are most evident lip buccal rural areas (OR, 4.4; 95% CI, 2.6–7.5); least urban 1.2; 1.1–1.3). magnitude disparity is attenuated increasing age. Conclusions:  observed substantial Our results suggest need improve accessibility better health care minority groups, particularly areas, call individual institutional efforts avoid physician bias related patient’s sociodemographic characteristics healthcare service.