The Latinx Disparity in Surgery for Kidney Cancer: Data from The South Texas Region
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
The South Texas region, with a predominantly Latinx population, has a very high incidence of renal cell carcinoma (RCC), including those with tumor extending into the major blood vessels called venous tumor thrombus (VTT). There is currently no data on outcomes of Latinx patients with VTT as most published studies are from predominantly Caucasian population. Therefore, we performed this study to fill an urgent, unmet need. We reviewed patients who underwent radical nephrectomy with removal of VTT (called tumor thrombectomy) between 2015 and 2020. We collected data on demographics, clinical, pathological characteristics and outcomes of patients. Univariate and multivariate Cox regression analyses were used to evaluate the associations between ethnicity and disease progression or survival. We identified 112 patients, of which 67 (62%) were Latinx, and 41 (38%) were non-Latinx. Approximately 60% of patients had Level II-IV VTT; Latinx presented with a higher level of tumor thrombus (p=0.046). Latinx patients had a higher rate of no insurance (11% vs. 27%, p=0.04) and were more likely to lost to follow-up after surgery (22.4% vs. 13.3%, p=0.23) compared to non-Latinx. Fewer Latinx received systemic therapy (28% vs. 42%; p=0.13). Ninety-day mortality for the entire cohort was 3.8%. The Latinx population in the South Texas region present late, with advanced thrombus level, and do not have access to systemic therapy. Given symptomatic disease, surgical treatment, if feasible, is their only option. Our results highlight disparate treatment patterns which require further investigation and health-care policy changes.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The Latinx Disparity in Surgery for Kidney Cancer: Data from The South Texas Region
- Date Crossref
- 16/03/2022
- Éditeur
- Kidney Cancer Association (KCA)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
The University of Texas at San Antonio Health Science Center pays non établi dans la noticeUniversité ou école supérieure
-
The University of Texas MD Anderson Cancer Center pays non établi dans la noticeÉtablissement de santé
-
Mays Cancer Center at UT Health San Antonio pays non établi dans la noticeÉtablissement de santé
-
The University of Texas Rio Grande Valley . Department of Urology pays non établi dans la noticeUniversité ou école supérieure
-
The University of Texas at San Antonio pays non établi dans la noticeUniversité ou école supérieure
-
University of Texas Health San Antonio Department of Urology pays non établi dans la noticeUniversité ou école supérieure
-
UT Health San Antonio/ MD Anderson Mays Cancer Center pays non établi dans la noticeInstitution
The University of Texas at San Antonio Health Science Center, The University of Texas MD Anderson Cancer Center et Mays Cancer Center at UT Health San Antonio, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.