Sociodemographic Disparities in the Nonoperative Management of Small Renal Masses

Vincent Trudeau, Alessandro Larcher, Maxine Sun, Katharina Boehm, Paolo Dell'Oglio, Malek Meskawi, José Sosa, Zhe Tian, Nicola Fossati, Alberto Briganti, Pierre I. Karakiewicz

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)e177-e182
JournalClinical Genitourinary Cancer
Volume14
Issue number2
DOIs
Publication statusPublished - Apr 1 2016

Keywords

  • Elderly patients
  • Kidney cancer
  • Local tumor ablation
  • Nonactive treatment
  • Sociodemographic disparities

ASJC Scopus subject areas

  • Oncology
  • Urology

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