The effect of neighborhood deprivation on access to surgical care for pediatric renal tumors.

ABSTRACT:

Objectives

Early identification of pediatric renal tumors improves outcomes. Neighborhood deprivation, a composite measure of social determinants of health, is associated with poor oncological outcomes. We studied whether neighborhood deprivation influenced metastatic presentation or treatment approach.

Study design

Using State Inpatient Databases (SID), we studied children admitted for nephrectomy for a renal tumor in 15 states (2013-2021). Neighborhood deprivation was measured using the Child Opportunity Index 3.0 (COI). Using univariate and multivariate analyses, we examined whether patients presented with metastatic disease and whether they underwent upfront nephrectomy versus nephrectomy after neoadjuvant chemotherapy (delayed nephrectomy).

Results

Out of 1,574 c

SUBMITTER: Hsu PJ 

PROVIDER: S-EPMC12623410 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature