Sex, racial/ethnic and socioeconomic disparities in patients with metastatic bone disease.
J Surg Oncol
; 125(4): 766-774, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-34889456
ABSTRACT
BACKGROUND:
We have analyzed sex, race/ethnicity or socioeconomic disparities in the incidence of metastatic bone disease (MBD).METHODS:
Patients with the diagnosis of MBD at presentation for five most common primary anatomical sites was extracted from Surveillance, Epidemiology, and End Results Census tract-level dataset. Mean incidence of MBD for different sex, racial/ethnic and socioeconomic groups were compared.RESULTS:
The five most common anatomical sites with MBD at presentation include "lung (n = 59 739), "prostate" (n = 19 732), "breast" (n = 16 244), "renal" (n = 7718) and "colon" (n = 3068). There was an increase in incidence of MBD among cancers originating from prostate (annual percentage change [APC] 4.94), renal (APC 2.55), and colon (APC 3.21) (p < 0.05 for all). Non-Hispanic Blacks had higher incidence of MBD for prostate and breast primary sites (p < 0.001). Non-Hispanic American Indian Alaskan Native had higher incidence of MBD for cancers originating from renal (p < 0.001) and colon (p = 0.049). A higher incidence of MBD was seen in lower socioeconomic status (SES) groups for the selected sites (p < 0.001).CONCLUSIONS:
These findings suggest that there are multiple sex-related, racial/ethnic and SES disparities in the incidence of MBD from the 5 most common primary sites. Higher incidence seen among lower SES suggests delay in diagnosis and limited access to screening modalities.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Classe Social
/
Fatores Socioeconômicos
/
Neoplasias Ósseas
/
Etnicidade
/
Grupos Raciais
/
Disparidades nos Níveis de Saúde
/
Disparidades em Assistência à Saúde
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article