A Comprehensive Analysis of Socio-economic and Clinical Factors in Head and Neck Cancer Patients Receiving Robotic Surgery.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-24 DOI:10.1017/S0022215125102843

Darby Keirns, Beau Hsia, Paula Valeria Guerra-Navarro, Xinxin Wu, Peter Silberstein, James Reed Gardner, Vijay Patel

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引用次数: 0

Abstract

Objectives: To investigate socio-economic and clinical disparities in the utilisation of robotic surgery for head and neck cancer.

Methods: Using the National Cancer Database (2010-2020), 212 449 surgically treated patients were analysed. Multivariate logistic regression identified predictors of robotic versus non-robotic surgery (p < 0.05).

Results: Robotic surgery utilisation increased over time during the study period. The following characteristics positively correlated with the use of robotic surgery: male, aged 41-80 years, White race, insured (with private insurance, Medicaid and Medicare) and treatment at an Academic/Research centre. Metropolitan residency, higher income/education levels, lower comorbidity (Charlson-Deyo score of 0) and Stage I disease were also associated with increased robotic surgery utilisation.

Conclusion: Significant socio-economic disparities exist in robotic surgery access, potentially exacerbating outcome inequities. Targeted interventions are needed to improve equity in treatment access and standardise care protocols. Further research should validate trends and address systemic barriers.

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头颈部肿瘤患者接受机器人手术的社会经济及临床因素综合分析

目的：调查头颈癌机器人手术应用的社会经济和临床差异。方法：使用国家癌症数据库（2010-2020），对212449例手术患者进行分析。多因素logistic回归确定了机器人手术与非机器人手术的预测因素（p < 0.05）。结果：在研究期间，机器人手术的使用率随着时间的推移而增加。以下特征与机器人手术的使用呈正相关：男性，年龄41-80岁，白人，有保险（私人保险，医疗补助和医疗保险），并在学术/研究中心接受治疗。居住在大都市、较高的收入/教育水平、较低的合并症（Charlson-Deyo评分为0）和I期疾病也与机器人手术使用率的增加有关。结论：在机器人手术准入方面存在显著的社会经济差异，可能会加剧结果的不平等。需要采取有针对性的干预措施，以改善获得治疗的公平性并使护理方案标准化。进一步的研究应验证趋势并解决系统性障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.