Perla Chebli, Lan N Đoàn, Rachel L Thompson, Matthew Chin, Nasim Sabounchi, Victoria Foster, Terry T K Huang, Chau Trinh-Shevrin, Simona C Kwon, Stella S Yi
{"title":"Correction: Identifying opportunities for collective action around community nutrition programming through participatory systems science.","authors":"Perla Chebli, Lan N Đoàn, Rachel L Thompson, Matthew Chin, Nasim Sabounchi, Victoria Foster, Terry T K Huang, Chau Trinh-Shevrin, Simona C Kwon, Stella S Yi","doi":"10.1007/s10552-024-01850-y","DOIUrl":"10.1007/s10552-024-01850-y","url":null,"abstract":"","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"873-874"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Building capacity for community outreach and engagement activities across the translational research continuum at NCI Cancer Centers.","authors":"Robin C Vanderpool, Abigail Muro","doi":"10.1007/s10552-023-01831-7","DOIUrl":"10.1007/s10552-023-01831-7","url":null,"abstract":"","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"739-740"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139097369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2024-01-11DOI: 10.1007/s10552-023-01836-2
Valerie McGuire, Daphne Y Lichtensztajn, Li Tao, Juan Yang, Christina A Clarke, Anna H Wu, Lynne Wilkens, Sally L Glaser, Sungshim Lani Park, Iona Cheng
{"title":"Variation in patterns of second primary malignancies across U.S. race and ethnicity groups: a Surveillance, Epidemiology, and End Results (SEER) analysis.","authors":"Valerie McGuire, Daphne Y Lichtensztajn, Li Tao, Juan Yang, Christina A Clarke, Anna H Wu, Lynne Wilkens, Sally L Glaser, Sungshim Lani Park, Iona Cheng","doi":"10.1007/s10552-023-01836-2","DOIUrl":"10.1007/s10552-023-01836-2","url":null,"abstract":"<p><strong>Purpose: </strong>One in six incident cancers in the U.S. is a second primary cancer (SPC). Although primary cancers vary considerably by race and ethnicity, little is known about the population-based occurrence of SPC across these groups.</p><p><strong>Methods: </strong>Using Surveillance, Epidemiology, and End Results (SEER) 12 data and relative to the general population, we calculated standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) for SPC among 2,457,756 Hispanics, non-Hispanic Asian American/Pacific Islanders (NHAAPI), non-Hispanic black (NHB), and non-Hispanic whites (NHW) cancer survivors aged 45 years or older when diagnosed with a first primary cancer (FPC) from 1992 to 2015.</p><p><strong>Results: </strong>The risk of second primary bladder cancer after first primary prostate cancer was higher than expected in Hispanic (SIR = 1.18, 95% CI: 1.01-1.38) and NHAAPI (SIR = 1.41, 95% CI: 1.20-1.65) men than NHB and NHW men. Among women with a primary breast cancer, Hispanic, NHAAPI, and NHB women had a nearly 1.5-fold higher risk of a second primary breast cancer, while NHW women had a 6% lower risk. Among men with prostate cancer whose SPC was diagnosed 2 to <12 months, NHB men were at higher risk for colorectal cancer and Hispanic and NHW men for non-Hodgkin's lymphoma. In the same time frame for breast cancer survivors, Hispanic and NHAAPI women were significantly more likely than NHB and NHW women to be diagnosed with a second primary lung cancer.</p><p><strong>Conclusion: </strong>Future studies of SPC should investigate the role of shared etiologies, stage of diagnosis, treatment, and lifestyle factors after cancer survival across different racial and ethnic populations.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"799-815"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139416437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2024-01-03DOI: 10.1007/s10552-023-01839-z
Guven Turan, Merve Turan, Hatice Ikiisik, Mahmut Emre Yildirim, Mustafa Cakir, Isil Maral
{"title":"Evaluation of the effectiveness of colorectal cancer screening intervention.","authors":"Guven Turan, Merve Turan, Hatice Ikiisik, Mahmut Emre Yildirim, Mustafa Cakir, Isil Maral","doi":"10.1007/s10552-023-01839-z","DOIUrl":"10.1007/s10552-023-01839-z","url":null,"abstract":"<p><strong>Purpose: </strong>The effectiveness of the Colorectal Cancer (CRC) screening program is assessed based on the reduction in CRC mortality and incidence rates over time. To accurately estimate the long-term impact, it is advisable to monitor additional indicators such as age and stage-specific incidence rates. Our objective is to evaluate the effectiveness of the National CRC Screening Program in Turkey and analyze its influence on disease stage at diagnosis and survival rates.</p><p><strong>Methods: </strong>The National CRC Screening Program was considered an intervention and the distribution of local, regional, and distant diseases, and survival estimates were assessed before and after the intervention to evaluate the effectiveness of the intervention.</p><p><strong>Results: </strong>518 patients were included in the study. At the time of diagnosis, localized, regional, and distant disease in pre-intervention were 31.3%, 42.9%, 25.8%, while post-intervention were 42.8%, 33.3%, 23.9%, respectively (p = 0.020). The relative effectiveness of the intervention in males, females, and 50-70 ages were calculated as 1.2[95% CI 0.95-1.73], 1.5[95% CI 1.04-2.18], and 1.6[95% CI 1.21-2.28] in localized disease, 0.8[95% CI 0.67-1.18], 0.6[95% CI 0.43-0.90], and 0.6[95% CI 0.46-0.81] in regional diseases, 0.8[95% CI 0.57-1.20], 1.1[95% CI 0.66-1.84], and 1.0[95% CI 0.70-1.57] in distant disease, respectively.</p><p><strong>Conclusion: </strong>A noticeable shift in the disease stage at the time of diagnosis was observed; however, this shift varied among gender and age groups. To effectively evaluate the impact of a cancer screening program on reducing the incidence and mortality rates of the disease, it is essential to monitor and analyze these indicators alongside 5-10-year survival estimates and stage changes at the time of diagnosis.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"761-769"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139085974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2024-01-16DOI: 10.1007/s10552-023-01843-3
Fan Yang, Bo Zhang, Paul Lodder, Jing Guo
{"title":"The burden of acute lymphoid leukemia among adolescents and young adults in the Western Pacific Region: evidence from Global Burden Disease 2019.","authors":"Fan Yang, Bo Zhang, Paul Lodder, Jing Guo","doi":"10.1007/s10552-023-01843-3","DOIUrl":"10.1007/s10552-023-01843-3","url":null,"abstract":"<p><strong>Purpose: </strong>Acute lymphoblastic leukemia (ALL) is a type of blood cancer that affects white blood cells. Here, we use data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, to estimate the burden and incidence rate changes in adolescents and young adults (AYA) ALL in the Western Pacific Region and to reveal potential risk factors of incidence- and mortality rates.</p><p><strong>Methods: </strong>The GBD 2019 study data was stratified by sex, age, country, and territory. We calculated the Estimated annual percentage changes (estimated APC) in mortality and incidence rates for each of the 25 countries and territories of the western Pacific region from 1990 to 2019.</p><p><strong>Results: </strong>This study found global AYA ALL incidence rates had increased while the mortality rates had decreased between 1990 and 2019. Moreover, healthcare access and quality (HAQ), and government per capita health spending were identified as country-level risk factors of AYA ALL incidence rates, while HAQ, male education, and sex were identified as mortality rate predictors in 25 Western Pacific Region countries.</p><p><strong>Conclusion: </strong>To address and reduce the burden of incidence and mortality among AYA, various regions around the world, particularly developing countries, could revise their AYA prevention and treatment strategies.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"839-848"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2024-01-18DOI: 10.1007/s10552-023-01842-4
Ellen T Chang, Christina A Clarke, Graham A Colditz, Allison W Kurian, Earl Hubbell
{"title":"Avoiding lead-time bias by estimating stage-specific proportions of cancer and non-cancer deaths.","authors":"Ellen T Chang, Christina A Clarke, Graham A Colditz, Allison W Kurian, Earl Hubbell","doi":"10.1007/s10552-023-01842-4","DOIUrl":"10.1007/s10552-023-01842-4","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding how stage at cancer diagnosis influences cause of death, an endpoint that is not susceptible to lead-time bias, can inform population-level outcomes of cancer screening.</p><p><strong>Methods: </strong>Using data from 17 US Surveillance, Epidemiology, and End Results registries for 1,154,515 persons aged 50-84 years at cancer diagnosis in 2006-2010, we evaluated proportional causes of death by cancer type and uniformly classified stage, following or extrapolating all patients until death through 2020.</p><p><strong>Results: </strong>Most cancer patients diagnosed at stages I-II did not go on to die from their index cancer, whereas most patients diagnosed at stage IV did. For patients diagnosed with any cancer at stages I-II, an estimated 26% of deaths were due to the index cancer, 63% due to non-cancer causes, and 12% due to a subsequent primary (non-index) cancer. In contrast, for patients diagnosed with any stage IV cancer, 85% of deaths were attributed to the index cancer, with 13% non-cancer and 2% non-index-cancer deaths. Index cancer mortality from stages I-II cancer was proportionally lowest for thyroid, melanoma, uterus, prostate, and breast, and highest for pancreas, liver, esophagus, lung, and stomach.</p><p><strong>Conclusion: </strong>Across all cancer types, the percentage of patients who went on to die from their cancer was over three times greater when the cancer was diagnosed at stage IV than stages I-II. As mortality patterns are not influenced by lead-time bias, these data suggest that earlier detection is likely to improve outcomes across cancer types, including those currently unscreened.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"849-864"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11045653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139490870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2024-01-27DOI: 10.1007/s10552-023-01847-z
Isa Berzansky, Colleen A Reynolds, Brittany M Charlton
{"title":"Breast and cervical cancer screenings across gender identity: results from the Behavioral Risk Factor Surveillance System before and during the COVID-19 pandemic.","authors":"Isa Berzansky, Colleen A Reynolds, Brittany M Charlton","doi":"10.1007/s10552-023-01847-z","DOIUrl":"10.1007/s10552-023-01847-z","url":null,"abstract":"<p><strong>Purpose: </strong>Although national medical organizations often neglect to include trans and gender diverse (TGD) people in their breast and cervical cancer screening recommendations, the World Profession Association of Transgender Health recommends that TGD people who are at risk for these cancers follow existing guidelines for cisgender women. Despite WPATH's recommendations, TGD people are less likely to get screened in large part due to discrimination. The COVID-19 pandemic has limited access to cancer screenings among cisgender people, but it is unknown how this has impacted TGD people.</p><p><strong>Methods: </strong>Using national survey data from the Behavioral Risk Factors Surveillance System (BRFSS), we examined differences in cervical and breast cancer screening noncompliance across gender identity at two time points: before and during the COVID-19 pandemic.</p><p><strong>Results: </strong>Screening noncompliance increased during the COVID-19 pandemic among cisgender and TGD people (e.g., transgender men, gender non-conforming people). Compared to cisgender women, transgender men and gender non-conforming respondents had higher odds of breast cancer screening noncompliance before and during COVID-19. Transgender men had lower odds of cervical cancer screening noncompliance than cisgender women before COVID-19, but higher odds during the pandemic. Gender non-conforming respondents also had lower odds of cervical cancer screening noncompliance during COVID-19 compared to cisgender women.</p><p><strong>Conclusions: </strong>Screening noncompliance for breast and cervical cancer was more common among TGD people than cisgender women; while these disparities existed before the COVID-19 pandemic, they were exacerbated during the pandemic. Future work should move beyond descriptive statistics and elucidate underlying causes to inform interventions.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"865-872"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer Causes & ControlPub Date : 2024-05-01Epub Date: 2023-12-25DOI: 10.1007/s10552-023-01823-7
Andrew Craver, Jiajun Luo, Muhammad G Kibriya, Nina Randorf, Kendall Bahl, Elizabeth Connellan, Johnny Powell, Paul Zakin, Rena R Jones, Maria Argos, Joyce Ho, Karen Kim, Martha L Daviglus, Philip Greenland, Habibul Ahsan, Briseis Aschebrook-Kilfoy
{"title":"Air quality and cancer risk in the All of Us Research Program.","authors":"Andrew Craver, Jiajun Luo, Muhammad G Kibriya, Nina Randorf, Kendall Bahl, Elizabeth Connellan, Johnny Powell, Paul Zakin, Rena R Jones, Maria Argos, Joyce Ho, Karen Kim, Martha L Daviglus, Philip Greenland, Habibul Ahsan, Briseis Aschebrook-Kilfoy","doi":"10.1007/s10552-023-01823-7","DOIUrl":"10.1007/s10552-023-01823-7","url":null,"abstract":"<p><strong>Introduction: </strong>The NIH All of Us Research Program has enrolled over 544,000 participants across the US with unprecedented racial/ethnic diversity, offering opportunities to investigate myriad exposures and diseases. This paper aims to investigate the association between PM<sub>2.5</sub> exposure and cancer risks.</p><p><strong>Materials and methods: </strong>This work was performed on data from 409,876 All of Us Research Program participants using the All of Us Researcher Workbench. Cancer case ascertainment was performed using data from electronic health records and the self-reported Personal Medical History questionnaire. PM<sub>2.5</sub> exposure was retrieved from NASA's Earth Observing System Data and Information Center and assigned using participants' 3-digit zip code prefixes. Multivariate logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI). Generalized additive models (GAMs) were used to investigate non-linear relationships.</p><p><strong>Results: </strong>A total of 33,387 participants and 46,176 prevalent cancer cases were ascertained from participant EHR data, while 20,297 cases were ascertained from self-reported survey data from 18,133 participants; 9,502 cancer cases were captured in both the EHR and survey data. Average PM<sub>2.5</sub> level from 2007 to 2016 was 8.90 μg/m<sup>3</sup> (min 2.56, max 15.05). In analysis of cancer cases from EHR, an increased odds for breast cancer (OR 1.17, 95% CI 1.09-1.25), endometrial cancer (OR 1.33, 95% CI 1.09-1.62) and ovarian cancer (OR 1.20, 95% CI 1.01-1.42) in the 4th quartile of exposure compared to the 1st. In GAM, higher PM<sub>2.5</sub> concentration was associated with increased odds for blood cancer, bone cancer, brain cancer, breast cancer, colon and rectum cancer, endocrine system cancer, lung cancer, pancreatic cancer, prostate cancer, and thyroid cancer.</p><p><strong>Conclusions: </strong>We found evidence of an association of PM<sub>2.5</sub> with breast, ovarian, and endometrial cancers. There is little to no prior evidence in the literature on the impact of PM<sub>2.5</sub> on risk of these cancers, warranting further investigation.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"749-760"},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11045436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yumeng Ren, Joanna Maselko, Xianming Tan, Andrew F. Olshan, Angela M. Stover, Antonia V. Bennett, Katherine E. Reeder-Hayes, Jessie K. Edwards, Bryce B. Reeve, Melissa A. Troester, Marc A. Emerson
{"title":"Emotional and functional well-being in long-term breast cancer survivorship","authors":"Yumeng Ren, Joanna Maselko, Xianming Tan, Andrew F. Olshan, Angela M. Stover, Antonia V. Bennett, Katherine E. Reeder-Hayes, Jessie K. Edwards, Bryce B. Reeve, Melissa A. Troester, Marc A. Emerson","doi":"10.1007/s10552-024-01877-1","DOIUrl":"https://doi.org/10.1007/s10552-024-01877-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Emotional and functional well-being (EWB and FWB) are important components of mental health and quality of life. This study aims to evaluate long-term EWB and FWB in breast cancer (BC) survivors.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The Carolina Breast Cancer Study Phase 3 oversampled Black and younger (< 50 years in age) women so that they each represent approximately 50% of the study population and assessed participants’ EWB and FWB with the Functional Assessment of Cancer Therapy—Breast (FACT-B) at 5- (baseline), 25-, and 84-months post diagnosis. Multinomial logit models were used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for associations between demographic and clinical characteristics and well-being change relative to baseline.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Among 2,781 participants with BC, average EWB and FWB improved with time since diagnosis. Persistent FWB decrements were associated with Black race [OR 1.4 (95% CI 1.2–1.7) and 1.3 (95% CI 1.1–1.6), at 25-months and 84-months respectively], older age [OR 1.4 (95% CI 1.1–1.7) and 1.5 (95% CI 1.2–1.8), respectively], no chemotherapy, and recurrence [OR 2.9 (95% CI 1.8–4.8) and 3.1 (95% CI 2.1–4.6), respectively]. EWB decrements were associated with advanced stage and recurrence. Decrements in combined (FWB+EWB) well-being were associated with recurrence at both follow-up survey timepoints [ORs 4.7 (95% CI 2.7–8.0) and 4.3 (95% CI 2.8–6.6), respectively].</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Long-term well-being varies by demographics and clinical features, with Black women and women with aggressive disease at greatest risk of long-term decrements.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":"44 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140629577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam C. Powell, Jeremy T. Pickerell, James W. Long, Bryan A. Loy, Amin J. Mirhadi
{"title":"An assessment of the association between patient characteristics and timely lung cancer treatment","authors":"Adam C. Powell, Jeremy T. Pickerell, James W. Long, Bryan A. Loy, Amin J. Mirhadi","doi":"10.1007/s10552-024-01869-1","DOIUrl":"https://doi.org/10.1007/s10552-024-01869-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Prior data have demonstrated relationships between patient characteristics, the use of surgery to treat lung cancer, and the timeliness of treatment. Our study examines whether these relationships were observable in 2019 in patients with Medicare Advantage health plans being treated for lung cancer.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Claims data pertaining to patients with Medicare Advantage health plans who had received radiation therapy (RT) or surgery to treat lung cancer within 90 days of diagnostic imaging were extracted. Other databases were used to determine patients’ demographics, comorbidities, the urbanicity of their ZIP code, the median income of their ZIP code, and whether their treatment was ordered by a physician at a hospital. Multivariable logistic and Cox Proportional Hazards models were used to assess the association between patient characteristics, receipt of surgery, and time to non-systemic treatment (surgery or RT), respectively.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 2,682 patients were included in the analysis. In an adjusted analysis, patients were significantly less likely to receive surgery if their first ordering physician was based in a hospital, if they were older, if they had a history of congestive heart failure (CHF), if they had a history of chronic obstructive pulmonary disease, or if they had stage III lung cancer. Likewise, having stage III cancer was associated with significantly shorter time to treatment.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Within a Medicare Advantage population, patient demographics were found to be significantly associated with the decision to pursue surgery, but factors other than stage were not significantly associated with time to non-systemic treatment.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":"100 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}