دورية أكاديمية

The Associations between Racial Disparities, Health Insurance, and the Use of Amputation as Treatment for Malignant Primary Bone Neoplasms in the US: A Retrospective Analysis from 1998 to 2016

التفاصيل البيبلوغرافية
العنوان: The Associations between Racial Disparities, Health Insurance, and the Use of Amputation as Treatment for Malignant Primary Bone Neoplasms in the US: A Retrospective Analysis from 1998 to 2016
المؤلفون: Hans Lapica, Matan Ozery, Harsha Raju, Grettel Castro, Pura Rodriguez de la Vega, Noël C. Barengo
المصدر: International Journal of Environmental Research and Public Health; Volume 19; Issue 10; Pages: 6289
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: primary bone neoplasm, osteosarcoma, amputation, limb salvage, race, racial disparity
جغرافية الموضوع: agris
الوصف: Primary bone neoplasms (PBNs) represent less than 1% of diagnosed cancers each year. Significant treatment disparities exist between racial and ethnic groups. We investigated patients with PBNs to determine an association between race/ethnicity and procedure-type selection. A non-concurrent cohort study was conducted using the SEER database. Patients diagnosed with PBNs between 1998 and 2016 were included (n = 5091). Patients were classified into three racial groups (Black, White and Asian Pacific Islanders) and were assessed by procedure-type received. The outcome was amputation. Race was not associated with increased amputation incidence. Hispanic patients had a 40% increased likelihood of amputation (OR 1.4; 95% CI 1.2–1.6). Insurance status was an independent predictor of procedure selection. Uninsured patients were 70% more likely to receive amputation than insured patients (OR 1.7; 95% CI 1.1–2.8). We recommend provider awareness of patients less likely to seek regular healthcare in the context of PBNs.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: https://dx.doi.org/10.3390/ijerph19106289Test
DOI: 10.3390/ijerph19106289
الإتاحة: https://doi.org/10.3390/ijerph19106289Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.CA3C79F2
قاعدة البيانات: BASE