Lung cancer staging: a case for a new T definition.

Background: The purpose of this study is to determine a more refined T definition for lung cancer staging on the basis of clinical outcomes.

Methods: The Walter Reed Army Medical Center Tumor Registry and the Thoracic Surgery Tumor Clinic files were queried for lung cancers diagnosed from 1990 to 2000. Cox regression analysis and Kaplan-Meier survival curves for tumor size were used to analyze the impact of size on survival and relative risk, and then used to redefine T.

Unlimited access to care: effect on racial disparity and prognostic factors in lung cancer.

Study Objective: Evaluate the prognostic factors influencing lung cancer survival under a universal health care system and determine if access to care eliminates clinical outcome disparity.

Design: Retrospective case series review.

Background: Lung cancer survival is worse in men and in African Americans, thought to be related to poor general health in men and limited access to heath care in African Americans.