ArticleDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus2020
Disparities in esophageal cancer: less treatment, less surgical resection, and poorer survival in disadvantaged patients.
Article in Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Socioeconomic disparities in treatment and survival of oesophageal and gastric cancer in the Netherlands: a nationwide population-based study.The Lancet regional health. Europe · 2026Article
- Adherence to CheckMate 577 Within a Community Health Care System in the First 2 Years After Approval.Annals of thoracic surgery short reports · 2025Article
- Oesophageal cancer-specific mortality risk and public health insurance: Prospective cohort study from China.World journal of gastrointestinal oncology · 2025Article
- Induction Radiochemotherapy for Esophageal Cancer: Long-Term Outcomes from a Single-Center Study.Journal of clinical medicine · 2025Article
- Global, regional, and national burden of esophageal cancer: a systematic analysis of the Global Burden of Disease Study 2021.Biomarker research · 2025Article
- Survival and Treatment Patterns in Stage II to III Esophageal Cancer.JAMA network open · 2024Article
- Providers' and survivors' perspectives on the availability and accessibility of surgery in gastrointestinal cancer care.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024Article
- Neighborhood-level social determinants of health burden among adolescent and young adult cancer patients and impact on overall survival.JNCI cancer spectrum · 2024Article
- Differences in outcomes by race/ethnicity after thoracic surgery in a large integrated health system.Surgery open science · 2024Article
- Patient- and system-level factors associated with racial/ethnic disparities in the delivery of guideline-concordant therapy among US patients with gastric cancer.Journal of surgical oncology · 2024Article
- Trends in the management and outcomes of esophageal perforations among racial-ethnic groups.Journal of thoracic disease · 2023Article
- Development and validation of a prognostic model for esophageal cancer patients with liver metastasis: a cohort study based on surveillance, epidemiology, and end results database.Journal of cancer research and clinical oncology · 2023Article
- Current status and temporal trend in incidence, death, and burden of esophageal cancer from 1990-2019.Thoracic cancer · 2023Article
- Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center.Cancers · 2023Article
- Rural-Urban Disparities in Receipt of Surgery for Potentially Resectable Non-Small Cell Lung Cancer.The Journal of surgical research · 2023Article
- Disparities in thoracic surgical oncology.Journal of surgical oncology · 2023Review
- Article
- Acceptance and disparities of PET/CT use in patients with esophageal or gastro-esophageal junction cancer: Evaluation of mature registry data.Frontiers in nuclear medicine · 2022Article
- Demographic Predictors of Treatment and Complications for Spinal Disorders: Part 2, Lumbar Spine Trauma.Neurospine · 2021Article
- Socioeconomic factors in timing of esophagectomy and association with outcomes.Journal of surgical oncology · 2021Article
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Authors and funding
6 authors.
Funding
Abstract
The incidence of esophageal cancer has increased steadily in the last decades in the United States. The aim of this paper was to characterize disparities in esophageal cancer treatment in different racial and socioeconomic population groups and compare long-term survival among different treatment modalities. A retrospective analysis of the National Cancer Database was performed including adult patients (≥18 years old) with a diagnosis of resectable (stages I-III) esophageal cancer between 2004 and 2015. Multivariable logistic regression models were used to determine the odds of being offered no treatment at all and surgical treatment across race, primary insurance, travel distance, income, and education levels. Multivariable Cox proportional hazards models were used to compare 5-year survival rates across different treatment modalities. A total of 60,621 esophageal cancer patients were included. Black patients, uninsured patients, and patients living in areas with lower levels of education were more likely to be offered no treatment. Similarly, black race, female patients, nonprivately insured patients, and those living in areas with lower median residential income and lower education levels were associated with lower rates of surgery. Patients receiving surgical treatment, compared to both no treatment and definitive chemoradiation, had significant better long-term survival in stage I, II, and III esophageal cancer. In conclusion, underserved patients with esophageal cancer appear to have limited access to surgical care, and are, in fact, more likely to not be offered any treatment at all. Considering the survival benefits associated with surgical resection, greater public health efforts to reduce disparities in esophageal cancer are needed.
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