Social Determinants of Appropriate Treatment for Muscle-Invasive Bladder Cancer.

ABSTRACT:

Background

Racial disparities in guideline-based, appropriate treatment (ApT) may be a significant driving force for differences in survival for people with nonmetastatic muscle-invasive bladder cancer (MIBC). We hypothesize that receipt of ApT is influenced by factors such as race and socioeconomic status, irrespective of neighborhood-level differences in healthcare, variations in practice patterns, and clinical characteristics of patients with nonmetastatic MIBC.

Methods

Within the National Cancer Database, we identified individuals diagnosed with MIBC between 2004 and 2013. Multivariable logistic regression and mixed effects modelling was used to examine predictors of ApT, clustered within institutions.

Results

A total of 51,350 individuals had clinically staged no

SUBMITTER: Washington SL 

PROVIDER: S-EPMC6679737 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature