Vulnerability in Colorectal Cancer: Adjusted Gross Income and Geography as Factors in Determining Overall Survival in Colorectal Cancer: A Single-Center Study Across a Broad Income Inequality in an American Context
2024

Income and Geography Affect Survival in Colorectal Cancer

Sample size: 1269 publication Evidence: moderate

Author Information

Author(s): Doria Cataldo, De Deyne Patrick G., Charalampos Papachristou

Primary Institution: Capital Health Cancer Center

Hypothesis

Healthcare disparities can be addressed at a local and regional level by using geolocation (geocoding), which will have an impact on healthcare inequities.

Conclusion

The study found that socioeconomic status is a critical factor affecting overall survival in colorectal cancer patients.

Supporting Evidence

  • Patients from high-SES areas had a median overall survival of 47 months.
  • Low-SES patients had a median overall survival of 30 months.
  • Stage at diagnosis was a significant predictor of overall survival.

Takeaway

People's income and where they live can change how long they live after being diagnosed with colorectal cancer.

Methodology

This was a single-center, retrospective analysis of 1269 colorectal cancer cases diagnosed and treated between 2000 and 2019.

Potential Biases

The study may have biases related to the socioeconomic status and race of the participants.

Limitations

The study's retrospective nature and potential confounding factors may affect the results.

Participant Demographics

The sample included 610 males and 659 females, with a diverse racial composition including 61.9% white and 30.6% African American.

Statistical Information

P-Value

p = 0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/curroncol31120570

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