Details:

• Alternative Title:
  J Surg Oncol
• Personal Author:
  Gholami, Sepideh ; Kleber, Kara T. ; Perry, Lauren M. ; Abidalhassan, Mustafa ; McFadden, Nikia R. ; ... More +

  Gholami, Sepideh ; Kleber, Kara T. ; Perry, Lauren M. ; Abidalhassan, Mustafa ; McFadden, Nikia R. ; Bateni, Sarah B. ; Maguire, Frances B. ; Stewart, Susan L. ; Morris, Cyllene ; Chen, Moon ; Gaskill, Cameron E. ; Merkow, Ryan P. ; Keegan, Theresa H. Less -
• Description:
  Background and Objectives
  
  Curative intent therapy is the standard of care for early-stage hepatocellular carcinoma (HCC). However, these therapies are under-utilized, with several treatment and survival disparities. We sought to demonstrate whether type of facility and distance from treatment center (with transplant capabilities) contributed to disparities in curative-intent treatment and survival for early-stage HCC in California.
  
  Methods
  
  We performed a retrospective analysis of the California Cancer Registry (CCR) for patients diagnosed with stage I or II primary HCC between 2005 and 2017. Primary and secondary outcomes were receipt of treatment and overall survival, respectively. Multivariable logistic regression and Multivariable Cox proportional hazards regression were used to evaluate associations.
  
  Results
  
  Of 19,059 patients with early-stage HCC, only 36% (6,778) received curative-intent treatment. Compared to non-Hispanic White patients, Hispanic patients were less likely, and Asian/Pacific Islander patients were more likely to receive curative-intent treatment. Our results showed that rural residence, public insurance, lower neighborhood SES, and care at non-NCI designated cancer center were associated with not receiving treatment and decreased survival.
  
  Conclusions:
  
  Although multiple factors influence receipt of treatment for early-HCC, our findings suggest that early intervention programs should target travel barriers and access to specialist care to help improve oncologic outcomes.
  
  
• Keywords:
  [+]

  Asian California Carcinoma, Hepatocellular Disparities Healthcare Disparities Hepatocellular Carcinoma Hispanic Or Latino Humans Liver Neoplasms NCI Designated Center Pacific Island People Retrospective Studies Trans-plant Center Treatment
• Source:
  J Surg Oncol. 128(8):1302-1311
• Pubmed ID:
  37610042
• Pubmed Central ID:
  PMC10841249
• Document Type:
  Journal Article
• Funding:
  HHSN261201800009C/CA/NCI NIH HHSUnited States/ ; NU58DP006344/DP/NCCDPHP CDC HHSUnited States/ ; HHSN261201800015I/CA/NCI NIH HHSUnited States/ ; T32 CA251007/CA/NCI NIH HHSUnited States/ ; HHSN261201800032I/CA/NCI NIH HHSUnited States/ ; ... More +

  HHSN261201800009C/CA/NCI NIH HHSUnited States/ ; NU58DP006344/DP/NCCDPHP CDC HHSUnited States/ ; HHSN261201800015I/CA/NCI NIH HHSUnited States/ ; T32 CA251007/CA/NCI NIH HHSUnited States/ ; HHSN261201800032I/CA/NCI NIH HHSUnited States/ ; HHSN261201800015C/CA/NCI NIH HHSUnited States/ ; NIH #T32 CA251007/TR/NCATS NIH HHSUnited States/ ; HHSN261201800009I/CA/NCI NIH HHSUnited States/ ; HHSN261201800032C/CA/NCI NIH HHSUnited States/ ; P30 CA093373/CA/NCI NIH HHSUnited States/ Less -
• Volume:
  128
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:a1447ecfc919a964f8f4a593384174efe2be81e96d873044b7b63e0a358330877b25c108daddf2192cf4f89c005a279b50bebacde16476b6455c1a7f1ef569ae
• File Type:

• Supporting Files:
  No Additional Files