Socioeconomic status and survival for patients with melanoma in the United States: an NCDB analysis

Background The importance of socioeconomic factors and healthcare treatment and outcomes for lower income patients is tremendous, affecting not only those afflicted by poverty and decreased quality of care but also physicians, healthcare professionals, and society at large. Methods The National Canc...

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Bibliographic Details
Published in:International journal of dermatology 2018-10, Vol.57 (10), p.1149-1156
Main Authors: Sitenga, Jenna L., Aird, Gregory, Ahmed, Aabra, Walters, Ryan, Silberstein, Peter T.
Format: Article
Language:English
Subjects:
Databases, Factual
Educational Status
Female
Health care
Healthcare Disparities - statistics & numerical data
Humans
Identification methods
Income
Insurance, Health - statistics & numerical data
Kaplan-Meier Estimate
Male
Medicaid - statistics & numerical data
Medical personnel
Melanoma
Melanoma - mortality
Melanoma - secondary
Middle Aged
Neoplasm Staging
Patients
Physicians
Poverty
Quality of Health Care
Retrospective Studies
Skin Neoplasms - mortality
Skin Neoplasms - pathology
Social factors
Socioeconomic data
Socioeconomic factors
Socioeconomics
Survival
Survival Rate
United States - epidemiology
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Summary:Background The importance of socioeconomic factors and healthcare treatment and outcomes for lower income patients is tremendous, affecting not only those afflicted by poverty and decreased quality of care but also physicians, healthcare professionals, and society at large. Methods The National Cancer Database was used to identify 80,907 patients with stage 0–4 melanoma and analyze variables to track patterns in survival and outcome. Results This study demonstrates that disparities in income, insurance status, and education affects treatment and survival rates across all stages of melanoma and seeks to establish further understanding surrounding socioeconomic factors and quality of healthcare in America. Conclusion Through investigation and analysis, the goal of this study is to highlight how the existing socioeconomic gap in America impacts the quality of treatment and survival in patients diagnosed with melanoma.
ISSN:0011-9059
1365-4632
DOI:10.1111/ijd.14026