ArticleArchives of public health = Archives belges de sante publique2023
Racial disparity and regional variance in healthcare utilization among patients with lung cancer in US hospitals during 2016-2019.
Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racial and ethnic disparities in COVID-19 vaccination: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Racial and Ethnic Differences in 60-Day Hospital Readmissions for Patients with Breast, Colorectal, Lung, and Prostate Cancer.Journal of racial and ethnic health disparities · 2026Article
- Article
- Trends in pulmonary embolism mortality among older adults with lung cancer in the united States, 1999-2020.Journal of thrombosis and thrombolysis · 2026Article
- Trends in cardiovascular mortality among lung cancer patients in the United States: a retrospective study from 1999 to 2023.Cardio-oncology (London, England) · 2026Article
- Palliative care impact on hospital utilization and trends among lung cancer admissions with a high risk of mortality in U.S. hospitals.Frontiers in health services · 2026Article
- Digital Patient-Reported Cancer Symptom Management: Comparison of Black and White Participants.Cancer medicine · 2025Article
- National Trends in Racial and Ethnic Disparities in Mortality from Mechanical Complications of Cardiac Valves and Grafts (1999-2020).Journal of clinical medicine · 2025Article
- Disparities in end-of-life care for minoritized racial and ethnic patients during terminal hospitalizations in New York State.Journal of the American Geriatrics Society · 2024Article
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Abstract
backgroundLung cancer health disparities are related to various patient factors. This study describes regional differences in healthcare utilization and racial characteristics to identify high-risk areas. This study aimed to identify regions and races at greater risk for lung cancer health disparities based on differences in healthcare utilization, measured here by hospital charges and length of stay.
methodsThe National Inpatient Sample of the United States was used to identify patients with lung cancer (n = 92,159, weighted n = 460,795) from 2016 to 2019. We examined the characteristics of the patient sample and the association between the racial and regional variables and healthcare utilization, measured by hospital charges and length of stay. The multivariate sample weighted linear regression model estimated how racial and regional variables are associated with healthcare utilization.
resultsOut of 460,795 patients, 76.4% were white, and 40.2% were from the South. The number of lung cancer patients during the study periods was stable. However, hospital charges were somewhat increased, and the length of stay was decreased during the study period. Sample weighted linear regression results showed that Hispanic & Asian patients were associated with 21.1% and 12.3% higher hospital charges than White patients. Compared with the Northeast, Midwest and South were associated with lower hospital charges, however, the West was associated with higher hospital charges.
conclusionMinority groups and regions are at an increased risk for health inequalities because of differences in healthcare utilization. Further differences in utilization by insurance type may exacerbate the situation for some patients with lung cancer. Hospital managers and policymakers working with these patient populations in identified areas should strive to address these disparities through special prevention programs and targeted financial assistance.
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