Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

Research output: Contribution to journalArticle

Abstract

With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004–2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p <.0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p <.0001) and OS (10% vs 50% at 5Y, p <.0001).

Original languageEnglish (US)
Pages (from-to)506-511
Number of pages6
JournalCancer Investigation
Volume37
Issue number9
DOIs
StatePublished - Oct 21 2019

Keywords

  • Lung cancer
  • access to care
  • radiation
  • socioeconomic
  • surgery

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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