Factors associated with time to surgery in melanoma: An analysis of the National Cancer Database - 12/09/19
Abstract |
Background |
Timely treatment for melanoma may affect survival, and characterizing the predictors of delay may inform intervention strategies.
Objective |
To determine characteristics associated with the interval between diagnosis and surgery in melanoma.
Methods |
The National Cancer Database was used to examine factors associated with the interval between diagnosis and surgery among 213 146 patients with stage I, II, or III cutaneous melanoma.
Results |
Among privately insured patients, time to surgery was longer for patients aged 50 to 70 years (hazard ratio [HR], 0.96) and older than 70 years (HR, 0.83) compared with those younger than 50 years. In contrast, patients without private insurance experienced a shorter surgical wait time if older (HR for age 50-70 years, 1.07; HR for age >70 years, 1.05). Other factors associated with longer surgical interval included nonwhite race, less education, higher comorbidity burden, advanced stage, and head or neck melanoma location.
Limitations |
Use of zip code–level data for income and education level.
Conclusion |
Patients with melanoma experience disparities in timely receipt of surgery.
Le texte complet de cet article est disponible en PDF.Key words : epidemiology, melanoma, National Cancer Data Base, patient disparities, surgical interval
Abbreviations used : CI, HR, metro, NCDB
Plan
| Funding sources: Supported in part by the Biostatistics and Bioinformatics Shared Resource of Winship Cancer Institute of Emory University and National Institutes of Health/National Cancer Institute under award number P30CA138292 and in part by the National Institutes of Health/National Center for Advancing Translational Sciences under award numbers UL1TR002378 and KL2TR002381 (to Dr Yeung). |
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| Conflicts of interest: None disclosed. |
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| The abstract was presented in part at the American Association for Cancer Research Conference on “The Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved” in New Orleans, LA, November 2-5, 2018. |
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| Reprints not available from the authors. |
Vol 81 - N° 4
P. 908-916 - octobre 2019 Retour au numéro
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