Racial disparities in the treatment of pancreatic cancer:results from the analysis of a National Database

作     者：Chibueze Onyemkpa Danielle Dougherty Sajjaad Samat Tolutope Oyasiji Michael McLeod 

作者机构：Department of surgeryMichigan State UniversityLansingMIUSA Department of Surgical OncologyMcLaren HospitalFlintMIUSA 

出 版 物：《Journal of Pancreatology》 (胰腺病学杂志（英文）)

年 卷 期：2023年第6卷第4期

页      面：151-157页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Funding information is not available 

主　　题：Disparities Pancreas Statistics 

摘      要：Background:Pancreatic cancer is the third leading cause of cancer death in the *** have been postulates of racial *** on this,we primarily examined the presence of race,for the diagnosis and treatment of pancreatic ***:A retrospective review was conducted on patients with pancreatic cancers using the Surveillance Epidemiology,and End Results-Medicare *** and multivariate analyses were *** Survival analysis was done using the Kaplan-Meier *** of survival curves was done using the log-rank *** proportional hazards regression model was used to determine independent predictors of *** areas focused on were time interval from diagnosis to treatment,“Predictors of surgery of the primary site,“Predictors for recommending surgery of the primary site,“Predictors for oncologic resection,“Predictors of performance and refusal of surgery of primary site if recommended,and“Predictors for any other therapy(all therapies excluding surgery).Results:A total of 52,951 patients were identified from the database.A total of 24,523 were males and 26,715 were females.A total of 81.9%were Caucasian,10.9%were Black,and 7.2%were other *** was approximately equal distribution of the different stages between both genders.A total of 10.2%of the females were diagnosed at stage I,28.9%,9.3%,and 51.6%at stages I,III,and IV,respectively,compared to males with 8.4%,28.3%,9.2%,and 54.1%for stages I,II,III,and IV,respectively.A total of 9.5%of the Black patients were diagnosed at stage I,24.2%at stage II,10.1%at stage III,and 56.2%at stage IV.A similar distribution was noted in the other *** patients had worse overall survival when compared to Caucasians(P=.004)and other races(P=.001).Conclusion:Compared to Caucasian patients,Black patients with pancreatic cancer had worse overall survival.