Neighborhood social vulnerability and disparities in time to kidney cancer surgical treatment and survival in Arizona

Cancer Medicine, Journal Year: 2024, Volume and Issue: 13(3)

Published: Feb. 1, 2024

Abstract Background Hispanics and American Indians (AI) have high kidney cancer incidence mortality rates in Arizona. This study assessed: (1) whether racial ethnic minority patients from neighborhoods with social vulnerability index (SVI) experience a longer time to surgery after clinical diagnosis, (2) surgery, race ethnicity, SVI are associated upstaging pT3/pT4, disease‐free survival (DFS), overall (OS). Methods Arizona Cancer Registry (2009–2018) renal pelvis cases ( n = 4592) were analyzed using logistic regression models assess upstaging. Cox‐regression hazard used test DFS OS. Results Hispanic AI T1 tumors had than non‐Hispanic White (median of 56, 55, 45 days, respectively). Living (≥75) increased odds for cT1a (OR 1.54, 95% CI: 1.02–2.31) cT2 2.32, 1.13–4.73). Race ethnicity not surgery. Among patients, pT3/pT4 1.95, 0.99–3.84). A was PFS (HR 1.52, 1.17–1.99) OS 1.63, 1.26–2.11). tumor, living worse 1.66, 1.07–2.57). Conclusions High poor

Language: Английский

Social Vulnerability is Associated with Worse Urinary Incontinence and Quality of Life in Women

Urology, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Language: Английский