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Racial and Ethnic Differences in Lung Cancer Surgical Stage: An STS Database Study
Journal article   Peer reviewed

Racial and Ethnic Differences in Lung Cancer Surgical Stage: An STS Database Study

Benny Weksler, Andrzej S Kosinski, William R Burfeind, Scott C Silvestry, Jennifer Sullivan and Thomas A D'Amico
The Thoracic and cardiovascular surgeon, v 63(7), pp 538-543
01 Oct 2015
DOI: https://doi.org/10.1055/s-0035-1546295
PMID: 25984780
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

African Americans - statistics & numerical data Aged Asian Continental Ancestry Group - statistics & numerical data Carcinoma, Non-Small-Cell Lung - ethnology Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - surgery European Continental Ancestry Group - statistics & numerical data Female Hispanic Americans - statistics & numerical data Humans Lung Neoplasms - ethnology Lung Neoplasms - pathology Lung Neoplasms - surgery Male Middle Aged Neoplasm Staging Retrospective Studies Risk Factors United States - epidemiology
Racial and ethnic differences in lung cancer care have been previously documented. These differences may be related to access to care, cultural differences, or fewer patients presenting with operable lung cancer. The relationship between race and pathologic stage of patients who undergo lung cancer resection has not been defined. This study estimates racial disparities in lung cancer stage among patients who undergo surgical resection. The Society of Thoracic Surgeons (STS) database was queried for patients who underwent resection of non-small cell lung cancer and had complete pathologic staging and racial identification. Univariate and multivariate analyses were performed. Study end point was the pathologic stage and we evaluated its association with the racial and ethnic origins of the patients. Of 19,173 eligible patients with non-small cell lung cancer of known pathological stage who underwent surgery between 2002 and 2008, the majority were Caucasian (17,148, 89.4%), 1,502 (7.8%) were African-American, 273 (1.4%) were Asian, and 250 (1.3%) were Hispanic. In univariate analysis, significantly more Caucasian and African-American patients underwent resection of stage I/II lung cancer (13,929, 81.2% and 1,217, 81%, respectively) as compared with the Asian (207, 75.2%) and Hispanic (188, 75.8%) patients (p = 0.007). Stage at operation did not differ between Caucasians and African-Americans. Multivariate analysis confirmed these findings (p = 0.03) after adjustment for age, gender, tobacco use, diabetes, and year of surgery. Within the STS database, patients identified as Asian or Hispanic had a significantly higher pathologic stage at the time of resection than Caucasian or African-American patients. The causes of these differences in the treatment of potentially curable lung cancer are unknown and require further investigation.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
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