Evidence map›Paper›PMID 42213285›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2026

Hospital-based gastric cancer outcomes in the United States (2003-2022): racial and regional disparities.

Yasutoshi Shiratori, Neha Sharma, Syed Matthew Kodilinye, Carla Barberan Parraga, Fatima Khan, Ahmed E Salem, Sarah Meribout, Diana Cheung, Aaron Tokayer, Anthony Kalloo and 1 more

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Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Yasutoshi ShiratoriDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA. shiratoriyasu55@gmail.com.ORCID http://orcid.org/0000-0002-7784-6210
Neha SharmaDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Syed Matthew KodilinyeDepartment of Neurology and Neurological Sciences, Stanford University, Palo Alto, CA, USA.
Carla Barberan ParragaDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Fatima KhanDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Ahmed E SalemDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Sarah MeriboutDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Diana CheungDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Aaron TokayerDepartment of Gastroenterology, Maimonides Medical Center, State University New York Downstate, 4802 10Th Av, Brooklyn, NY, 11219, USA.
Anthony KallooJohns Hopkins University School of Medicine, Maryland, USA.
Linda A LeeDepartment of Gastroenterology, NorthShore University Hospital, Manhasset, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRacial disparities in gastric cancer (GC) outcomes have gained increasing attention in the United States, particularly given the large immigrant population from high-incidence regions.

methodsWe analyzed a nationally representative hospital database (2003-2022) to identify patients with a primary diagnosis of gastric cancer. Outcomes included in-hospital mortality, surgical receipt, perioperative complications, length of stay, and home discharge. Multivariate logistic regression adjusting for sociodemographic and hospital factors estimated odds ratios (ORs) with 95% confidence intervals. Temporal trends and race-period interactions were analyzed to assess in-hospital mortality changes, with regional subgroup analyses evaluating geographic variation.

resultsA total of 137,951 patients were included. GC admissions and in-hospital mortality declined by 82% and 60% over two decades; however, racial disparities persisted. Compared with White patients, Black (OR 1.17, 95% CI 1.11-1.25) and Native American patients (OR 1.14, 95% CI 1.04-1.26) had higher odds of in-hospital mortality. The Black-White mortality gap narrowed during 2013-2018 but widened after 2019, indicating temporal heterogeneity (P for interaction = 0.026). Black patients underwent surgery less frequently (OR 0.85), experienced more perioperative complications (OR 1.11), and were less often discharged home (OR 0.86). Regionally, mortality was higher among Black patients in the Northeast (OR 1.36) and South (OR 1.14), and among Asian (OR 1.35) and Native American patients (OR 1.47) in the West.

conclusionsDespite improvements in GC admissions and in-hospital mortality, clinically relevant racial and regional disparities in hospital-based outcomes persist, highlighting the need for targeted public health and health system strategies to achieve equitable care.

Indexed as

Healthcare DisparitiesHospital MortalityStomach NeoplasmsAgedBlack or African AmericanFemaleHumansLength of StayMaleMiddle AgedUnited StatesWhiteCancerDisparityEndoscopyEsophagogastroduodenoscopyGastric neoplasmsRace

Identifiers

PMID42213285

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