Rurality, Stage-Stratified Use of Treatment Modalities, and Survival of Non-small Cell Lung Cancer.

ABSTRACT:

Background

To eliminate them, non-small cell lung cancer (NSCLC) care and outcome disparities need to be better understood.

Research question

How does rurality interact with NSCLC care and outcome disparities?

Study design and methods

We examined guideline-concordant use of active treatment for NSCLC across five institutions in one community-based health care system spanning 44% of the Delta Regional Authority catchment area from 2011 to 2017. Institution- and patient-level rurality were based on Rural-Urban Commuting Area codes. Chi-squared, F-tests, and logistic regressions were used to analyze differences across institutions and rurality; survival was examined using log-rank tests and Cox regression.

Results

Of 6,259 patients, 47% resided in rural areas; two

SUBMITTER: Ray MA 

PROVIDER: S-EPMC7417381 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature