2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.09B.01 Closing the Gap: Moving Toward Equitable Care in Surgical Management of Stage IV Lung Disease

EP.09B.01 Closing the Gap: Moving Toward Equitable Care in Surgical Management of Stage IV Lung Disease

Pdf Summary

The study led by Shanique Ries and her colleagues at UT MD Anderson Cancer Center investigates disparities in the surgical management of stage IV non-small cell lung cancer (NSCLC). The research highlights that despite advancements in treatment, significant inequalities persist, particularly affecting non-White and uninsured patients. <br /><br />Using data from the National Cancer Database from 2004 to 2019, the retrospective study assesses the likelihood of patients undergoing surgery based on demographic factors such as race, age, insurance status, and socioeconomic background. The analysis involved logistic regression to determine predictors of surgical treatment and comparison of overall survival (OS) using the log-rank test.<br /><br />Key findings show surgical treatment resulted in substantially longer median survival (30.5 months) compared to non-surgical treatment (6.0 months). However, surgery was disproportionately less performed on non-White, uninsured, and low-income patients. <br /><br />Comparative subgroup analysis from 2004-2009 and 2014-2019 indicated that disparities by race and insurance type decreased in recent years, suggesting positive outcomes from efforts to address healthcare inequities. <br /><br />The conclusion stresses the importance of addressing these disparities, as providing equitable surgical care can lead to improved cancer outcomes. The study underscores the need for continued innovation alongside tackling inequities to ensure all patients benefit from advances in cancer treatment. <br /><br />Overall, the research calls for ongoing efforts to close the gap in healthcare access to provide fair opportunities for life-extending treatments across all demographic groups.

Asset Subtitle

Shanique Ries

Meta Tag

Speaker Shanique Ries

Topic Metastatic Non-small Cell Lung Cancer – Local Therapies

Keywords

disparities

surgical management

non-small cell lung cancer

NSCLC

inequalities

demographic factors

survival analysis

healthcare inequities

equitable care

cancer treatment