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Research ArticleClinical Studies

Sociodemographic Barriers to the Timely Treatment of Pancreatic Cancer

PAOLA BERRIOS JIMENEZ, REED POPP, SEEMA SHARAN, HARSHEEN K. MANAISE, SYEDA HOORULAIN AHMED, SHIVAM BANSAL, GABRIELLE KOWKABANY, SWATHI RAIKOT, KULKAEW BELLE SUKNIAM DO, ANTHONY GEORGE and EMMANUEL GABRIEL
Anticancer Research November 2023, 43 (11) 4969-4974; DOI: https://doi.org/10.21873/anticanres.16695
PAOLA BERRIOS JIMENEZ
1University of Puerto Rico School of Medicine, San Juan, Puerto Rico;
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  • For correspondence: paola.berrios2@upr.edu
REED POPP
2University of Florida College of Medicine, Gainesville, FL, U.S.A.;
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SEEMA SHARAN
3Government Medical College and Hospital, Chandigarh, India;
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HARSHEEN K. MANAISE
3Government Medical College and Hospital, Chandigarh, India;
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SYEDA HOORULAIN AHMED
4Dow University of Health Sciences, Karachi, Pakistan;
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SHIVAM BANSAL
3Government Medical College and Hospital, Chandigarh, India;
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GABRIELLE KOWKABANY
5The University of Alabama, Tuscaloosa, AL, U.S.A.;
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SWATHI RAIKOT
6Mayo Clinic, Rochester, MN, U.S.A.;
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KULKAEW BELLE SUKNIAM DO
7Duke University Medical Center, Durham, NC, U.S.A.;
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ANTHONY GEORGE
8Department of Biostatistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, U.S.A.;
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EMMANUEL GABRIEL
9Department of General Surgery, Division of Surgical Oncology, Mayo Clinic Florida, Jacksonville, FL, U.S.A.
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Abstract

Background/Aim: Pancreatic cancer has a high mortality rate and timely treatment is imperative for favorable patient outcomes. This retrospective study aimed to identify disparities in time to treatment for pancreatic cancer based on sociodemographic factors. Patients and Methods: The study used the National Cancer Database from 2004 to 2019. A total of 423,482 patients with pancreatic cancer were included in the study. Time to first treatment, surgery, radiation, and chemotherapy were analyzed in the context of age, sex, race, Hispanic origin, insurance status, income, facility type, geographic setting, grade, stage, and Charlson-Deyo Comorbidity score (CDC). Results: All sociodemographic factors included were found to be significantly associated with disparities for time to treatment in at least one of the categories studied. Minorities, treatment at academic facilities, and patients with a high CDC score had consistently longer times to all treatment classifications. Conclusion: The analyzed sociodemographic factors affected time to pancreatic cancer treatment. Disparities in time to treatment for pancreatic cancer must be studied and understood to ameliorate the impact this cancer has on society and assure the best possible care for all communities.

Key Words:
  • Pancreatic cancer
  • disparities
  • Hispanic
  • treatment
  • comorbidity
  • delayed treatment
  • Received July 26, 2023.
  • Revision received September 6, 2023.
  • Accepted September 11, 2023.
  • Copyright © 2023, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved
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Anticancer Research: 43 (11)
Anticancer Research
Vol. 43, Issue 11
November 2023
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Sociodemographic Barriers to the Timely Treatment of Pancreatic Cancer
PAOLA BERRIOS JIMENEZ, REED POPP, SEEMA SHARAN, HARSHEEN K. MANAISE, SYEDA HOORULAIN AHMED, SHIVAM BANSAL, GABRIELLE KOWKABANY, SWATHI RAIKOT, KULKAEW BELLE SUKNIAM DO, ANTHONY GEORGE, EMMANUEL GABRIEL
Anticancer Research Nov 2023, 43 (11) 4969-4974; DOI: 10.21873/anticanres.16695

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Sociodemographic Barriers to the Timely Treatment of Pancreatic Cancer
PAOLA BERRIOS JIMENEZ, REED POPP, SEEMA SHARAN, HARSHEEN K. MANAISE, SYEDA HOORULAIN AHMED, SHIVAM BANSAL, GABRIELLE KOWKABANY, SWATHI RAIKOT, KULKAEW BELLE SUKNIAM DO, ANTHONY GEORGE, EMMANUEL GABRIEL
Anticancer Research Nov 2023, 43 (11) 4969-4974; DOI: 10.21873/anticanres.16695
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Keywords

  • pancreatic cancer
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  • delayed treatment
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