Factors associated with time to surgery in melanoma: An analysis of the National Cancer Database.
J Am Acad Dermatol
; 81(4): 908-916, 2019 Oct.
Article
en En
| MEDLINE
| ID: mdl-31163238
ABSTRACT
BACKGROUND:
Timely treatment for melanoma may affect survival, and characterizing the predictors of delay may inform intervention strategies.OBJECTIVE:
To determine characteristics associated with the interval between diagnosis and surgery in melanoma.METHODS:
The National Cancer Database was used to examine factors associated with the interval between diagnosis and surgery among 213 146 patients with stage I, II, or III cutaneous melanoma.RESULTS:
Among privately insured patients, time to surgery was longer for patients aged 50 to 70 years (hazard ratio [HR], 0.96) and older than 70 years (HR, 0.83) compared with those younger than 50 years. In contrast, patients without private insurance experienced a shorter surgical wait time if older (HR for age 50-70 years, 1.07; HR for age >70 years, 1.05). Other factors associated with longer surgical interval included nonwhite race, less education, higher comorbidity burden, advanced stage, and head or neck melanoma location.LIMITATIONS:
Use of zip code-level data for income and education level.CONCLUSION:
Patients with melanoma experience disparities in timely receipt of surgery.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Tiempo de Tratamiento
/
Neoplasias de Cabeza y Cuello
/
Seguro de Salud
/
Melanoma
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Am Acad Dermatol
Año:
2019
Tipo del documento:
Article
País de afiliación:
Georgia