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ORIGINAL ARTICLE Impact of Race on Outcomes of Patients with Non-small Cell Lung Cancer Ayesha S. Bryant, MSPH, MD,* and Robert James Cerfolio, MD, FACS, FCCP† lthough smoking rates have declined in the United States, Objective: Examination of factors that may contribute to racial Alung cancer continues to be a pandemic. It is the number disparity among those with lung cancer has been thwarted by one cause of cancer related deaths world-wide. In 2006 there heterogeneous treatment and staging strategies, limited national were an estimated 174,000 patients diagnosed with lung registry and socioeconomic and follow-up data. This study examines cancer and 162,000 deaths due to lung cancer in the United a decades worth of data to better elucidate these factors in a cohort States alone. Bronchogenic malignancy has been shown in staged or treated using homogeneous algorithms. large registry databases to have racial disparity in clinico- Methods: A nested case-control study of patients with non-small pathologic characteristics and in survival. However, these cell lung cancer (NSCLC). White patients were matched 4:1 to databases feature inconsistent staging, many different treating African American patients on age, gender, comorbidities, perfor- physicians, and multiple treatment strategies and a whole host mance status, and
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jul 1, 2008
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