ArticleCHEST pulmonary2025
Racialized economic segregation and disparities in non-small cell lung cancer care and outcomes.
Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Medicaid Expansion and Place-Based Disparities in Non-Small Cell Lung Cancer Diagnosis and Survival.JAMA network open · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundLittle is known about the impact of residential segregation on early detection, treatment, and prognosis of non-small cell lung cancer (NSCLC), a predominant type of lung cancers. RESEARCH QUESTION: Does racialized economic segregation play a role in NSCLC treatment and outcomes and contribute to racial disparities? STUDY DESIGN AND
methodsThis study included non-Hispanic White (NHW) and non-Hispanic Black (NHB) patients with NSCLC diagnosed between 2007 and 2015 and identified from the Surveillance, Epidemiology, and End Results dataset. County-level racialized economic segregation was estimated using the Index of Concentration at the Extremes (ICE). Multilevel logistic regression and multilevel Cox regression accounting for county-level clustering were used to estimate odds ratios (ORs) for late-stage diagnosis and treatment underutilization, and hazard ratio (HR) for mortality.
resultsOf 203,441 patients, 85.8% were NHW and 14.2% were NHB. Compared with patients living in the counties with the highest concentration of high-income NHW households (lowest ICE quintile), patients living in the counties with the highest concentration of low-income NHB households (highest ICE quintile) had higher risks of late-stage diagnosis (OR=1.09, 95% CI: 1.02-1.16;
interpretationLiving in segregated, low-income NHB counties had adverse impacts on early detection, treatment, and outcomes of NSCLC. However, residential segregation did not explain the excess risks of NSCLC care underutilization and mortality in NHB patients compared with NHW patients.
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