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Racial differences in treatment and survival among Veterans and non-Veterans with stage I NSCLC: An evaluation of Veterans Affairs and SEER-Medicare populations

Cancer Epidemiology, Biomarkers & Prevention Dec 10, 2019

Williams CD, Alpert N, Redding TS, et al. - Because surgery is the preferred treatment for stage I non–small cell lung cancer (NSCLC), with radiation reserved for those not undergoing surgery and prior studies showed lower surgery rates among Blacks with stage I NSCLC than among Whites, researchers used logistic regression and Cox proportional hazards models to explore relationships between race, treatment, and survival. In the Surveillance, Epidemiology, and End Results (SEER)-Medicare database and Veterans Affairs (VA) cancer registry, Black and White men ages ≥ 65 years with stage I NSCLC diagnosed between 2001 and 2009 were identified. According to findings, Blacks were less likely to receive surgical treatment among VA and SEER-Medicare patients. When accounting for treatment, Blacks and Whites had comparable survival outcomes.
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