Mediators of Racial Inequities in Non-Small Cell Lung Cancer Care.

ABSTRACT:

Background

Black patients with non-small cell lung cancer (NSCLC) are more often diagnosed at a later stage and receive inadequate evaluation and treatment compared to White patients. We aimed to identify factors representing exposure to structural racism that mediate the association between race and NSCLC care.

Methods

We queried Surveillance, Epidemiology, and End Results-Medicare for non-Hispanic Black and White patients ≥ 67 years diagnosed with NSCLC from 2013 to 2019. Our outcomes were localized diagnosis stage, receipt of stage-appropriate evaluation, receipt of stage-appropriate treatment, two-year survival, and receipt of "optimal" care, an aggregate metric comprising the first three listed outcomes. We estimated indirect effects of mediators on the association betw

SUBMITTER: Hamid SA 

PROVIDER: S-EPMC11886416 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature