ArticleJournal of the American College of Surgeons2015
Socioeconomic risk factors for long-term mortality after pulmonary resection for lung cancer: an analysis of more than 90,000 patients from the National Cancer Data Base.
Article in Journal of the American College of Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Income Level and Survival After Resection of Liver Metastases: A Population-Based Study.World journal of surgery · 2025Article
- Money Matters: The Effect of Income on Postsurgical Outcomes in Stage IA Non-small Cell Lung Cancer.Annals of surgical oncology · 2025Article
- Long-term outcome of surgery for lung cancer in Africa: a systematic review and meta-analysis.Ecancermedicalscience · 2025Review
- Choice of wedge resection for selected T1a/bN0M0 non-small cell lung cancer.Scientific reports · 2024Article
- Three Tenets of Surgeon Quality: Medically Fit Patient, Surgically Resectable Tumor, and Oncologic Benefit from Resection.Annals of surgical oncology · 2024Article
- Surgical Treatment at an Academic Medical Center is Associated with Statistically Insignificant Lung Cancer Survival Outcome Differences Related to ZIP Code.World journal of surgery · 2023Article
- Surgeon Quality and Patient Survival After Resection for Non-Small-Cell Lung Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Article
- Can the Japanese National Clinical Database risk calculator predict long-term survival of patients who undergo palliative segmentectomy for primary lung cancer?General thoracic and cardiovascular surgery · 2021Article
- Narrative review of socioeconomic and racial disparities in the treatment of early stage lung cancer.Journal of thoracic disease · 2021Review
- Statins use and its impact in EGFR-TKIs resistance to prolong the survival of lung cancer patients: A Cancer registry cohort study in Taiwan.Cancer science · 2020Article
- The Incidence of Node-Positive Non-small-Cell Lung Cancer Undergoing Sublobar Resection and the Role of Radiation in Its Management.Frontiers in oncology · 2020Article
- Current indications and outcomes for thoracoscopic segmentectomy for early stage lung cancer.Journal of thoracic disease · 2019Review
- The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients.Cancer medicine · 2018Article
- Lymph node dissection during sublobar resection: why, when and how?Journal of thoracic disease · 2018Review
- Socioeconomic Differences and Lung Cancer Survival-Systematic Review and Meta-Analysis.Frontiers in oncology · 2018Article
- Model of lung cancer surgery risk derived from a Japanese nationwide web-based database of 78 594 patients during 2014-2015.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2017Article
- Statin improves survival in patients with EGFR-TKI lung cancer: A nationwide population-based study.PloS one · 2017Article
- Socioeconomic Factors Are Associated With Readmission After Lobectomy for Early Stage Lung Cancer.The Annals of thoracic surgery · 2016Article
- The Society of Thoracic Surgeons Lung Cancer Resection Risk Model: Higher Quality Data and Superior Outcomes.The Annals of thoracic surgery · 2016Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundSeveral clinical variables, such as tumor stage and age, are well established factors associated with long-term survival after surgical resection of lung cancer. Our aim was to examine the impact of other clinical and demographic variables, controlling for known predictors of long-term survival, in order to investigate how outcomes varied according to important nonclinical factors. STUDY
designThe National Cancer Data Base, jointly supported by the Commission on Cancer of the American College of Surgeons and the American Cancer Society, was used to identify patients undergoing pulmonary resection for lung cancer and perform a retrospective cohort study. The cohort consisted of patients diagnosed with nonsmall cell lung cancer from 2003 to 2006, who underwent resection; overall survival data are available only for patients diagnosed through 2006. A Cox proportional hazards survival model was used to examine factors associated with risk of mortality.
resultsA total of 92,929 patients were identified as diagnosed during the study period and undergoing surgical resection for lung cancer. On multivariable analysis, several socioeconomic factors such as lack of insurance, lower income, less education, and treatment at community centers vs academic or research programs predicted worse overall survival after controlling for disease characteristics known to be predictors of worse survival, such as tumor stage, histology, age, and extent of resection.
conclusionsDiminished long-term survival after pulmonary resection was associated with a number of socioeconomic factors. To date, this represents the largest database analysis of long-term mortality in patients undergoing surgical resection for lung cancer. The disparities in survival outcomes reported here require further detailed investigation.
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