Neighborhood social vulnerability and disparities in time to kidney cancer surgical treatment and survival in Arizona.

ABSTRACT:

Background

Hispanics and American Indians (AI) have high kidney cancer incidence and mortality rates in Arizona. This study assessed: (1) whether racial and ethnic minority patients and patients from neighborhoods with high social vulnerability index (SVI) experience a longer time to surgery after clinical diagnosis, and (2) whether time to surgery, race and ethnicity, and SVI are associated with upstaging to pT3/pT4, disease-free survival (DFS), and overall survival (OS).

Methods

Arizona Cancer Registry (2009-2018) kidney and renal pelvis cases (n = 4592) were analyzed using logistic regression models to assess longer time to surgery and upstaging. Cox-regression hazard models were used to test DFS and OS.

Results

Hispanic and AI patients with T1 tumors had a longer

SUBMITTER: Valencia CI 

PROVIDER: S-EPMC10891465 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature