ArticleLung cancer (Amsterdam, Netherlands)2018
Examining the role of access to care: Racial/ethnic differences in receipt of resection for early-stage non-small cell lung cancer among integrated system members and non-members.
Article in Lung cancer (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 22 citations in OpenAlex.
- Review
- Quality of Treatment Selection for Medicare Beneficiaries With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Article
- Article
- What health inequalities exist in access to, outcomes from and experience of treatment for lung cancer? A scoping review.BMJ open · 2023Article
- Rural-Urban Disparities in Receipt of Surgery for Potentially Resectable Non-Small Cell Lung Cancer.The Journal of surgical research · 2023Article
- Addressing Lung Cancer Screening Disparities: What Does It Mean to Be Centralized?Annals of the American Thoracic Society · 2022Article
- Disparities in Lung Cancer Treatment.Current oncology reports · 2022Review
- Survival of Black and White Patients With Stage IV Small Cell Lung Cancer.Frontiers in oncology · 2021Article
- Racial and Other Healthcare Disparities in Patients With Extensive-Stage SCLC.JTO clinical and research reports · 2021Article
- Use of Positron Emission Tomography Imaging: Another Nonbiological Source of Racial Disparities in US Cancer Care.Journal of the National Cancer Institute · 2020Article
- Population-Based Registry Linkages to Improve Validity of Electronic Health Record-Based Cancer Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Insurance Networks and Access to Affordable Cancer Care.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Review
- Disparities in Receiving Guideline-Concordant Treatment for Lung Cancer in the United States.Annals of the American Thoracic Society · 2020Article
- Cancer statistics for African American and Black people, 2025.CA: a cancer journal for cliniciansArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo examine the role of uniform access to care in reducing racial/ethnic disparities in receipt of resection for early stage non-small cell lung cancer (NSCLC) by comparing integrated health system member patients to demographically similar non-member patients. MATERIALS AND
methodsUsing data from the California Cancer Registry, we conducted a retrospective cohort study of patients from four racial/ethnic groups (White, Black, Hispanic, Asian/Pacific Islander), aged 21-80, with a first primary diagnosis of stage I or II NSCLC between 2004 and 2011, in counties served by Kaiser Permanente Northern California (KPNC) at diagnosis. Our cohort included 1565 KPNC member and 4221 non-member patients. To examine the relationship between race/ethnicity and receipt of surgery stratified by KPNC membership, we used modified Poisson regression to calculate risk ratios (RR) adjusted for patient demographic and tumor characteristics.
resultsBlack patients were least likely to receive surgery regardless of access to integrated care (64-65% in both groups). The magnitude of the black-white difference in the likelihood of surgery receipt was similar for members (RR: 0.82, 95% CI: 0.73-0.93) and non-members (RR: 0.86, 95% CI: 0.80-0.94). Among members, roughly equal proportions of Hispanic and White patients received surgery; however, among non-members, Hispanic patients were less likely to receive surgery (non-members, RR: 0.93, 95% CI: 0.86-1.00; members, RR: 0.98, 95% CI: 0.89-1.08).
conclusionDisparities in surgical treatment for NSCLC were not reduced through integrated health system membership, suggesting that factors other than access to care (e.g., patient-provider communication) may underlie disparities. Future research should focus on identifying such modifiable factors.
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