ArticleEuropean journal of cancer care2022
Assessing the impact of socio-economic determinants on access to care, surgical treatment options and outcomes among patients with renal mass: Insight from the universal healthcare system.
Article in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of social determinants of health on access to partial nephrectomy, minimally invasive surgery, and robotic-assisted approaches for renal cell carcinoma.World journal of urology · 2026Pooled it
- Kidney cancer epidemiology in a French Afro-descendant population: high prevalence of papillary renal cell carcinoma.World journal of urology · 2026Article
- National adoption of robotic-assisted thoracoscopic surgery for oncologic lung resections.Journal of robotic surgery · 2025Article
- Robot-assisted partial nephrectomy for renal cell carcinoma: A narrative review of different clinical scenarios.Asian journal of urology · 2025Review
- Article
- Open versus Minimally Invasive Partial Nephrectomy: Trends and Outcomes from a Wide National Population-Based Database.Journal of clinical medicine · 2024Article
- Assessing the impact of socio-economic determinants on access to care, surgical treatment options and outcomes among patients with renal mass: Insight from the universal healthcare system.European journal of cancer care · 2022Article
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Authors and funding
10 authors.
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Abstract
objectiveTo assess whether socio-economic disparities exist on access to care, treatment options and outcomes among patients with renal mass amenable of surgical treatment within the universal healthcare system.
methodsData of consecutive patients submitted to partial nephrectomy (PN) or radical nephrectomy (RN) at our Institution between 2017 and 2020 were retrospectively evaluated. Patients were grouped according to their income level (low, intermediate, and high) based on the Indicator of Equivalent Economic Situation national criterion. Survival analysis was performed. Cox regression models were employed to analyse the impact of socio-economic variables on survival outcomes.
resultsOne thousand forty-two patients were included (841 PN and 201 RN). Patients at the lowest income level were found more likely symptomatic and with a higher pathological tumour stage in the RN cohort (p > 0.05). The guidelines adherence on surgical indication rate as well as the access to minimally invasive surgery did not differ according to patient's income level in both cohorts (p > 0.05). Survival curves were comparable among the groups. Cox regression analysis showed that none of the included socio-economic variables was associated with survival outcomes in our series.
conclusionsUniversal healthcare system may increase the possibility to ensure egalitarian treatment modalities for patients with renal cancer.
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