The impact of social determinants of health on management of stage I non-small cell lung cancer

Association of Allostatic Load With Overall Mortality Among Patients With Metastatic Non–Small Cell Lung Cancer

“…3 Drivers of lung cancer mortality are a combination of clinical characteristics 4 and social determinants of health (SDHs). 5 Social determinants of health are multilevel factors such as socioeconomic and political policy contexts, socioeconomic position, psychosocial factors, behaviors, biological factors, and living and working conditions that predispose to disease and drive inequities in clinical outcomes. 6 For patients with lung cancer, adverse SDHs such as delay in surgical care, 7 being unmarried, 8 lower socioeconomic status, 9 and continuing depressive symptoms 10 have been associated with higher mortality.…”

“…Approximately 55% of patients presenting with non−small cell lung cancer (NSCLC), the most common type of lung cancer, will have distant metastasis at the time of diagnosis . Drivers of lung cancer mortality are a combination of clinical characteristics and social determinants of health (SDHs) . Social determinants of health are multilevel factors such as socioeconomic and political policy contexts, socioeconomic position, psychosocial factors, behaviors, biological factors, and living and working conditions that predispose to disease and drive inequities in clinical outcomes .…”

Association of surgeon−patient sex concordance with postoperative outcomes following complex cancer surgery

“…In 2005, Donabedian proposed three components to evaluate quality of care: structure, process, and outcomes. 40 Traditionally, assessment of healthcare outcomes has been assessed relative to patient factors (e.g., medical comorbidities, age, social determinants of health), [41][42][43][44] as well as provider characteristics (e.g., experience, case volume etc.). [45][46][47][48][49] In surgery, outcomes can also be related to teamwork in the perioperative setting.…”

Treatment quality and outcomes vary with hospital burden of uninsured and Medicaid patients with cancer in early non–small cell lung cancer

“…Our findings suggest an association among Black race, higher burden hospital care, and reduced treatment quality, which is in line with robust literature evidencing racial healthcare disparities in lung cancer treatment. For instance, Namburi and colleagues 2 observed Black patients to be significantly more likely than White patients to be subject to lower treatment quality in the form of lower surgery use for stage I NSCLC. The data clearly suggest that racial differences in care leave much to be desired.…”

“…Social determinants of health impact treatment quality and survival in patients with non–small cell lung cancer (NSCLC). 1 , 2 Safety-net hospitals have previously been grouped with other proposed patient- and facility-specific contributors of these healthcare disparities. 3 The Institute of Medicine defines safety-net hospitals as “those providers that organize and deliver a significant level of health care and other related services to uninsured, Medicaid, and other vulnerable patients.” 4 Safety-net hospitals have been associated with reduced adherence to quality-of-care measures and a lower use of curative-intent surgery in patients with NSCLC.…”