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Sociodemographic disparities in the treatment of small renal masses.

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Sociodemographic disparities in the treatment of small renal masses. / Becker, Andreas; Roghmann, Florian; Trinh, Quoc-Dien; Hansen, Jens; Tian, Zhe; Shariat, Shahrokh F; Noldus, Joachim; Perrotte, Paul; Graefen, Markus; Karakiewicz, Pierre I; Sun, Maxine.

In: BJU INT, Vol. 111, No. 8, 8, 2013, p. 274-282.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Becker, A, Roghmann, F, Trinh, Q-D, Hansen, J, Tian, Z, Shariat, SF, Noldus, J, Perrotte, P, Graefen, M, Karakiewicz, PI & Sun, M 2013, 'Sociodemographic disparities in the treatment of small renal masses.', BJU INT, vol. 111, no. 8, 8, pp. 274-282. https://doi.org/10.1111/bju.12111

APA

Becker, A., Roghmann, F., Trinh, Q-D., Hansen, J., Tian, Z., Shariat, S. F., Noldus, J., Perrotte, P., Graefen, M., Karakiewicz, P. I., & Sun, M. (2013). Sociodemographic disparities in the treatment of small renal masses. BJU INT, 111(8), 274-282. [8]. https://doi.org/10.1111/bju.12111

Vancouver

Becker A, Roghmann F, Trinh Q-D, Hansen J, Tian Z, Shariat SF et al. Sociodemographic disparities in the treatment of small renal masses. BJU INT. 2013;111(8):274-282. 8. https://doi.org/10.1111/bju.12111

Bibtex

@article{a3b30bacf54747e2ae4def9d7488269d,
title = "Sociodemographic disparities in the treatment of small renal masses.",
abstract = "OBJECTIVE: To examine the presence of specific sociodemographic disparities in the treatment of individuals with small renal masses.PATIENTS AND METHODS: Patients diagnosed with pT1aN0M0 renal cell carcinoma (RCC) were identified from the Surveillance, Epidemiology, and End Results database (years 1988-2008). Treatment type was stratified into non-surgical and surgical management and the group of patients who underwent surgical intervention was further stratified into those who underwent partial nephrectomy (PN) and those who underwent radical nephrectomy (RN). The main variables of interest were race and gender, as well as family income and poverty and education levels. Temporal trend analyses and logistic regression models were performed.RESULTS: Of 26,468 patients with T1aN0M0 RCC, 2797 (10.6%) were non-surgically managed and 23,671 (89.4%) underwent surgery. Of the latter, 14,705 (62.1%) underwent RN and 8966 (37.9%) PN. In multivariable analyses, black patients were 23% more likely to be non-surgically managed than other ethnic groups, and if surgically managed, were 20% less likely to undergo PN (both P ≤ 0.007). Men were 19% more likely than women to be non-surgically managed, but remained 14% more likely to receive a PN (both P < 0.001). Treatment disparities according to income, education and poverty level were recorded. Poverty (odds ratio [OR]: 1.002) and education (OR: 0.998) proxies emerged as important determinants of non-surgical management, whereas income (OR: 1.08, all P ≤ 0.02) was a determinant of PN.CONCLUSIONS: Social inequalities regarding access to treatment remain prevalent among patients diagnosed with small renal masses. The persistence of such a phenomenon is a concerning trend which merits further investigation.",
keywords = "Adult, Age Distribution, Aged, Aged, 80 and over, Carcinoma, Renal Cell, Combined Modality Therapy, Continental Population Groups, Disease Management, Female, Humans, Kidney Neoplasms, Male, Middle Aged, Morbidity, Neoplasm Staging, Prognosis, Retrospective Studies, SEER Program, Sex Distribution, Socioeconomic Factors, Survival Rate, United States",
author = "Andreas Becker and Florian Roghmann and Quoc-Dien Trinh and Jens Hansen and Zhe Tian and Shariat, {Shahrokh F} and Joachim Noldus and Paul Perrotte and Markus Graefen and Karakiewicz, {Pierre I} and Maxine Sun",
note = "{\textcopyright} 2013 BJU International.",
year = "2013",
doi = "10.1111/bju.12111",
language = "English",
volume = "111",
pages = "274--282",
journal = "BJU INT",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "8",

}

RIS

TY - JOUR

T1 - Sociodemographic disparities in the treatment of small renal masses.

AU - Becker, Andreas

AU - Roghmann, Florian

AU - Trinh, Quoc-Dien

AU - Hansen, Jens

AU - Tian, Zhe

AU - Shariat, Shahrokh F

AU - Noldus, Joachim

AU - Perrotte, Paul

AU - Graefen, Markus

AU - Karakiewicz, Pierre I

AU - Sun, Maxine

N1 - © 2013 BJU International.

PY - 2013

Y1 - 2013

N2 - OBJECTIVE: To examine the presence of specific sociodemographic disparities in the treatment of individuals with small renal masses.PATIENTS AND METHODS: Patients diagnosed with pT1aN0M0 renal cell carcinoma (RCC) were identified from the Surveillance, Epidemiology, and End Results database (years 1988-2008). Treatment type was stratified into non-surgical and surgical management and the group of patients who underwent surgical intervention was further stratified into those who underwent partial nephrectomy (PN) and those who underwent radical nephrectomy (RN). The main variables of interest were race and gender, as well as family income and poverty and education levels. Temporal trend analyses and logistic regression models were performed.RESULTS: Of 26,468 patients with T1aN0M0 RCC, 2797 (10.6%) were non-surgically managed and 23,671 (89.4%) underwent surgery. Of the latter, 14,705 (62.1%) underwent RN and 8966 (37.9%) PN. In multivariable analyses, black patients were 23% more likely to be non-surgically managed than other ethnic groups, and if surgically managed, were 20% less likely to undergo PN (both P ≤ 0.007). Men were 19% more likely than women to be non-surgically managed, but remained 14% more likely to receive a PN (both P < 0.001). Treatment disparities according to income, education and poverty level were recorded. Poverty (odds ratio [OR]: 1.002) and education (OR: 0.998) proxies emerged as important determinants of non-surgical management, whereas income (OR: 1.08, all P ≤ 0.02) was a determinant of PN.CONCLUSIONS: Social inequalities regarding access to treatment remain prevalent among patients diagnosed with small renal masses. The persistence of such a phenomenon is a concerning trend which merits further investigation.

AB - OBJECTIVE: To examine the presence of specific sociodemographic disparities in the treatment of individuals with small renal masses.PATIENTS AND METHODS: Patients diagnosed with pT1aN0M0 renal cell carcinoma (RCC) were identified from the Surveillance, Epidemiology, and End Results database (years 1988-2008). Treatment type was stratified into non-surgical and surgical management and the group of patients who underwent surgical intervention was further stratified into those who underwent partial nephrectomy (PN) and those who underwent radical nephrectomy (RN). The main variables of interest were race and gender, as well as family income and poverty and education levels. Temporal trend analyses and logistic regression models were performed.RESULTS: Of 26,468 patients with T1aN0M0 RCC, 2797 (10.6%) were non-surgically managed and 23,671 (89.4%) underwent surgery. Of the latter, 14,705 (62.1%) underwent RN and 8966 (37.9%) PN. In multivariable analyses, black patients were 23% more likely to be non-surgically managed than other ethnic groups, and if surgically managed, were 20% less likely to undergo PN (both P ≤ 0.007). Men were 19% more likely than women to be non-surgically managed, but remained 14% more likely to receive a PN (both P < 0.001). Treatment disparities according to income, education and poverty level were recorded. Poverty (odds ratio [OR]: 1.002) and education (OR: 0.998) proxies emerged as important determinants of non-surgical management, whereas income (OR: 1.08, all P ≤ 0.02) was a determinant of PN.CONCLUSIONS: Social inequalities regarding access to treatment remain prevalent among patients diagnosed with small renal masses. The persistence of such a phenomenon is a concerning trend which merits further investigation.

KW - Adult

KW - Age Distribution

KW - Aged

KW - Aged, 80 and over

KW - Carcinoma, Renal Cell

KW - Combined Modality Therapy

KW - Continental Population Groups

KW - Disease Management

KW - Female

KW - Humans

KW - Kidney Neoplasms

KW - Male

KW - Middle Aged

KW - Morbidity

KW - Neoplasm Staging

KW - Prognosis

KW - Retrospective Studies

KW - SEER Program

KW - Sex Distribution

KW - Socioeconomic Factors

KW - Survival Rate

KW - United States

U2 - 10.1111/bju.12111

DO - 10.1111/bju.12111

M3 - SCORING: Journal article

C2 - 23714645

VL - 111

SP - 274

EP - 282

JO - BJU INT

JF - BJU INT

SN - 1464-4096

IS - 8

M1 - 8

ER -