- African Americans (AAs) and American Indians (AIs) were significantly less likely to undergo surgery for early-stage NSCLC than Caucasians (Cs) and Asian Pacific Islanders (APIs), and had significantly lower 2-year OS and cancer-specific survival (CSS).
Why this matters
- Despite efforts to reduce healthcare disparities among patients with NSCLC, racial disparities persist.
- 62,213 patients diagnosed with stage I NSCLC from the Surveillance, Epidemiology, and End Results database.
- Funding: None disclosed.
- AA and AI patients were significantly less likely to receive surgery than C and API patients (56% and 58% vs 67% and 72%, respectively; P<.0001>
- AA patients were more likely to forgo local treatment than C patients (18% vs 11%; P<.0001>
- Compared with C and API patients, AA and AI patients had significantly lower 2-year OS (70% for C, 65% for AA, 60% for AI, and 76% for API; P<.0001 and css for c aa ai api p>
- After multivariable analysis, AI patients had the worst OS (aHR, 1.33; P=.0194), and API patients had the best (aHR, 0.80; P<.0001 but os between aa and c patients was not significantly different.>
- Retrospective study.