Socioeconomic factors in timing of esophagectomy and association with outcomes.

ABSTRACT:

Background and objectives

Disparities in esophageal cancer are well-established. The standard treatment for locally advanced esophageal cancer is chemoradiation followed by surgery. We sought to evaluate the association between socioeconomic factors, time to surgery, and patient outcomes.

Methods

All patients ≥18 years old diagnosed with T2/3/4 or node-positive esophageal cancer between 2004 and 2016 and who underwent chemoradiation and esophagectomy in the National Cancer Database were included. Multivariable regression was used to assess the association between socioeconomic variables and time to surgery (grouped into <56, 56-84, and 85-112 days).

Results

A total of 12 157 patients were included. Five-year overall survival was 39%, 35%, and 35% for the three groups

SUBMITTER: Chen KA 

PROVIDER: S-EPMC10151060 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature