Disparities in surgical resection of early-stage XXXX .

@entity1 @entity1149
OBJECTIVES: The aim of our study was to identify the factors that determined whether a @entity1 underwent surgery and its impact on @entity1 outcome. METHODS: A retrospective evaluation of the records of all @entity1 diagnosed with resectable stages I and II @entity1149 between 1990 and 1998 at the University of Arkansas and Veterans Administration Hospitals were included in the study. Demographic, clinical, pathologic, and outcome data were captured. Analysis was conducted to identify prognostic factors as well as factors leading to surgical treatment disparities. RESULTS: A total of 551 @entity1 were included; 490 (89%) were @entity1 , 480 (87%) were white, and 315 (57%) were aged >65 years. Median follow-up of these @entity1 was 24 months (1-109 months). Surgery was performed on 455 @entity1 (82.6%); 26 @entity1 received nonsurgical treatment including chemotherapy, radiation therapy, or both, and 70 @entity1 did not receive any type of treatment. A univariate analysis revealed that age, race, sex, and forced expiratory volume in the first second were significantly different between the surgery and no surgery groups. However, a multivariate analysis showed that age, forced expiratory volume in 1 second, and hemoglobin were significantly different between both groups. The median overall survival was 45.5 months (1-109 months) for the surgically treated @entity1 compared with 12.0 months (1-86 months) for those who did not undergo surgery (P <.0001). CONCLUSION: Elderly @entity1 with early-stage @entity1149 are less likely to undergo a potentially curative surgical resection. Racial and sex disparities may be due to other comorbidities.
