A narrative review of socioeconomic disparities in the treatment of esophageal cancer

Journal of Thoracic Disease

article

Aaron M. Delman¹  Allison M. Ammann¹  Kevin M. Turner¹  Dennis M. Vaysburg¹  Robert M. Van Haren² 

[1] Cincinnati Research in Outcomes and Safety in Surgery (CROSS), Department of Surgery, University of Cincinnati College of Medicine;Division of Thoracic Surgery, Department of Surgery, University of Cincinnati College of Medicine

关键词: Esophageal cancer;    surgery;    disparities;   

DOI  :  10.21037/jtd-20-3095

学科分类：呼吸医学

来源: Pioneer Bioscience Publishing Company

【 摘 要 】

The persistent challenges of disparities in healthcare have led to significantly distinct outcomes among patients from different racial, ethnic, and underserved populations. Esophageal Cancer, not unlike other surgical diseases, has seen significant disparities in care. Esophageal cancer is currently the 6th leading cause of death from cancer and the 8th most common cancer in the world. Surgical disparities in the care of patients with Esophageal Cancer have been described in the literature, with a prevailing theme associating minority status with worse outcomes. The goal of this review is to provide an updated account of the literature on disparities in Esophageal Cancer presentation and treatment. We will approach this task through a conceptual framework that highlights the five main themes of surgical disparities: patient-level factors, provider-level factors, system and access issues, clinical care and quality, and postoperative outcomes, care and rehabilitation. All five categories play a complex role in the delivery of high-quality, equitable care for patients with Esophageal Cancer. While describing disparities in care is the first step to correcting them, moving forward, we should focus on developing effective interventions to mitigate disparities, policies linking disparities to quality-of-care metrics, and delivery system change to enable minority patients to more easily access high volume centers.

【 授权许可】

Unknown