AI Article Synopsis
- The study aimed to assess whether the time it takes for patients to undergo surgery based on their race can serve as an indicator of health equity in access to surgical care.
- Using data from the National Cancer Database involving nearly 887,000 women with stage I-III breast cancer, the research found that Black patients were significantly more likely to experience surgery delays compared to White patients.
- The findings underscore the need to address systemic factors contributing to this inequity in cancer treatment, suggesting that timely surgery access for Black patients should be a priority for intervention efforts.
Article Abstract
Background: We evaluated whether time to surgery by race can be a health equity metric of surgical access.
Methods: An observational analysis was performed using the National Cancer Database from 2010 to 2019. Inclusion criteria were women with stage I-III breast cancer. We excluded women with multiple cancers and whose diagnosis was made at a different hospital. The primary outcome variable was surgery within 90 days of diagnosis.
Results: A total of 886,840 patients were analyzed, with 76.8% White and 11.7% Black patients. 11.9% of patients experienced delayed surgery, which was significantly more common in Black patients than White patients. On adjusted analysis, Black patients were still significantly less likely to receive surgery within 90 days when compared to White patients (OR 0.61, 95% CI 0.58-0.63).
Conclusion: The delay in surgery experienced by Black patients highlights the contribution of system factors in cancer inequity and should be a focus for targeted interventions.
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| http://dx.doi.org/10.1016/j.amjsurg.2023.05.024 | DOI Listing |
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