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 |