TY - JOUR
T1 - Sociodemographic Disparities in the Nonoperative Management of Small Renal Masses
AU - Trudeau, Vincent
AU - Larcher, Alessandro
AU - Sun, Maxine
AU - Boehm, Katharina
AU - Dell'Oglio, Paolo
AU - Meskawi, Malek
AU - Sosa, José
AU - Tian, Zhe
AU - Fossati, Nicola
AU - Briganti, Alberto
AU - Karakiewicz, Pierre I.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Background Local tumor ablation (LTA) and expectant management (EM) represent competing treatment modalities for patients with small renal masses (SRMs) who are unfit for surgery. We examined the potential social discrepancies in the access of LTA and EM. Materials and Methods A total of 1860 patients with cT1a kidney cancer who had undergone either LTA (n = 553) or EM (n = 1307) from 2000 to 2009 were selected from the Surveillance, Epidemiology, and End Results-Medicare database. The baseline patient data (age, comorbidity status, defined as Charlson comorbidity index [CCI], and several sociodemographic variables) and tumor characteristics were examined. A multivariable analysis predicting access to LTA compared with EM was fitted. The subgroup analyses focused on patients aged ≥ 75 years with a CCI of ≥ 2. Results Compared with LTA patients, the EM patients were significantly older (median age, 78 vs. 77 years; P
AB - Background Local tumor ablation (LTA) and expectant management (EM) represent competing treatment modalities for patients with small renal masses (SRMs) who are unfit for surgery. We examined the potential social discrepancies in the access of LTA and EM. Materials and Methods A total of 1860 patients with cT1a kidney cancer who had undergone either LTA (n = 553) or EM (n = 1307) from 2000 to 2009 were selected from the Surveillance, Epidemiology, and End Results-Medicare database. The baseline patient data (age, comorbidity status, defined as Charlson comorbidity index [CCI], and several sociodemographic variables) and tumor characteristics were examined. A multivariable analysis predicting access to LTA compared with EM was fitted. The subgroup analyses focused on patients aged ≥ 75 years with a CCI of ≥ 2. Results Compared with LTA patients, the EM patients were significantly older (median age, 78 vs. 77 years; P
KW - Elderly patients
KW - Kidney cancer
KW - Local tumor ablation
KW - Nonactive treatment
KW - Sociodemographic disparities
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U2 - 10.1016/j.clgc.2015.10.011
DO - 10.1016/j.clgc.2015.10.011
M3 - Article
AN - SCOPUS:84960455281
VL - 14
SP - e177-e182
JO - Clinical Genitourinary Cancer
JF - Clinical Genitourinary Cancer
SN - 1558-7673
IS - 2
ER -