Social determinants of appropriate treatment for muscle-invasive bladder cancer

Cancer Epidemiology, Biomarkers & Prevention Jul 18, 2019

Washington SL, et al. - Researchers examined if factors like race and socioeconomic status impact receipt of appropriate treatment (ApT), regardless of neighborhood-level variances in healthcare, differences in practice patterns, and clinical traits of patients with nonmetastatic muscle-invasive bladder cancer (MIBC). They identified 51,350 individuals who had clinically staged nonmetastatic, lymph node–negative MIBC from the National Cancer Database. Receipt of ApT was reported in less than half of the patients (42.6%). Compared to white individuals, fewer black individuals received ApT (43% vs 37%). Observations revealed the persistence of racial disparities in treatment after considering various clinical factors and social determinants of health.

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