Premium
Geographic disparities in pancreatic cancer survival in a southeastern safety‐net academic medical center
Author(s) -
Markossian Talar W.,
O'Neal CindyMarie,
Senkowski Christopher
Publication year - 2016
Publication title -
australian journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.48
H-Index - 49
eISSN - 1440-1584
pISSN - 1038-5282
DOI - 10.1111/ajr.12200
Subject(s) - socioeconomic status , medicine , receipt , odds , demography , retrospective cohort study , cancer registry , population , pancreatic cancer , cancer , health equity , odds ratio , logistic regression , gerontology , family medicine , environmental health , public health , nursing , sociology , world wide web , computer science
Objective To quantify the effects of race, measures of socioeconomic status and geographic residency status on pancreatic cancer survival time. Design Retrospective review. Setting A southeastern safety‐net academic medical centre in the United States. Participants The study population consisted of all patients who were diagnosed, referred to or treated at the medical centre between 2009 and 2012 ( n = 245). To ensure completeness and accuracy of the data, follow‐up treatment and survival information about the cases were collected from the G eorgia C omprehensive C ancer R egistry in 2013. Main outcome measures The odds of receiving first‐course treatment (surgery, radiation or chemotherapy) and overall survival following a pancreatic cancer diagnosis. Results There were no observed differences in receipt of initial treatment; however, patients from low socioeconomic and rural areas had significant increase in risk of death compared to patients from affluent and urban areas. Conclusions Results from this single site study suggests the significance of factors other than treatment differences that contribute to geographic disparities in mortality.