Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center

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Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center. / Kemper, Marius; Zagorski, Jana; Wagner, Jonas; Graß, Julia-Kristin; Izbicki, Jakob R; Melling, Nathaniel; Wolter, Stefan; Reeh, Matthias.

In: CANCERS, Vol. 15, No. 10, 2827, 18.05.2023.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

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@article{4837a46846fc46a58f1c13f57580c78b,
title = "Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center",
abstract = "In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients' postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.",
author = "Marius Kemper and Jana Zagorski and Jonas Wagner and Julia-Kristin Gra{\ss} and Izbicki, {Jakob R} and Nathaniel Melling and Stefan Wolter and Matthias Reeh",
year = "2023",
month = may,
day = "18",
doi = "10.3390/cancers15102827",
language = "English",
volume = "15",
journal = "CANCERS",
issn = "2072-6694",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "10",

}

RIS

TY - JOUR

T1 - Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center

AU - Kemper, Marius

AU - Zagorski, Jana

AU - Wagner, Jonas

AU - Graß, Julia-Kristin

AU - Izbicki, Jakob R

AU - Melling, Nathaniel

AU - Wolter, Stefan

AU - Reeh, Matthias

PY - 2023/5/18

Y1 - 2023/5/18

N2 - In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients' postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.

AB - In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients' postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.

U2 - 10.3390/cancers15102827

DO - 10.3390/cancers15102827

M3 - SCORING: Journal article

C2 - 37345164

VL - 15

JO - CANCERS

JF - CANCERS

SN - 2072-6694

IS - 10

M1 - 2827

ER -