Florida State University College of Medicine, Tallahassee, FL, U.S.A.;
College of Medicine, University of Florida, Gainesville, FL, U.S.A.
Anticancer Res. 2024 Feb;44(2):631-637. doi: 10.21873/anticanres.16852.
BACKGROUND/AIM: This study aimed to investigate the demographic and socioeconomic factors associated with disparities in the time-to-treatment for melanoma.
We conducted an analysis of patients with melanoma from 2004 to 2019 using the National Cancer Database. Time intervals from diagnosis to surgery, radiation, and chemotherapy were compared based on age, sex, race, and socioeconomic status.
A total of 647,273 patients with melanoma were included. Overall, Hispanic patients had the longest times to surgery, radiation, and chemotherapy compared to non-Hispanic patients (surgery 38.52 vs. 31.90 days, radiation 130.12 vs. 99.67 days, chemotherapy 93.66 vs. 83.72 days, all p<0.01). Similarly, black patients and those who were uninsured had the longest times-to-treatment.
We identified significant disparities in time-to-treatment, related to both race and socioeconomic factors. It is increasingly imperative to conduct further investigations into the root causes of these disparities to effectively address and rectify the inequities present in breast cancer care.
背景/目的：本研究旨在探讨与黑色素瘤治疗时间差异相关的人口统计学和社会经济因素。
我们使用国家癌症数据库对 2004 年至 2019 年期间的黑色素瘤患者进行了分析。根据年龄、性别、种族和社会经济地位，比较了从诊断到手术、放疗和化疗的时间间隔。
共纳入 647273 例黑色素瘤患者。总体而言，与非西班牙裔患者相比，西班牙裔患者的手术、放疗和化疗时间最长（手术 38.52 天 vs. 31.90 天，放疗 130.12 天 vs. 99.67 天，化疗 93.66 天 vs. 83.72 天，均 p<0.01）。同样，黑人患者和没有保险的患者的治疗时间最长。
我们发现治疗时间存在显著差异，与种族和社会经济因素有关。越来越有必要进一步调查这些差异的根本原因，以有效解决和纠正乳腺癌护理中存在的不平等现象。
