wow-inequalities/02-data/intermediate/wos_sample/f3e4c44c3a93140db1d9b64e732bb07a-alsoof-daniel-and-k/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Ewing Sarcoma (ES) is an aggressive tumor affecting
adolescents and young adults. Prior studies investigated the association
between rurality and outcomes, although there is a paucity of literature
focusing on ES. Objective This study aims to determine whether ES
patients in rural areas are subject to adverse outcomes. Methods This
study utilized the Surveillance, Epidemiology, and End Results (SEER)
database. A Poisson regression model was used with controls for race,
sex, median county income, and age to determine the association between
rurality and tumor size. A multivariate Cox Proportional Hazard Model
was utilized, controlling for age, race, gender, income, and tumor size.
Results There were 868 patients eligible for analysis, with a mean age
of 14.14 years. Of these patients, 97 lived in rural counties (11.18\%).
Metropolitan areas had a 9.50\% smaller tumor size (p<0.0001), compared
to non-metropolitan counties. Patients of Black race had a 14.32\%
larger tumor size (p<0.0001), and male sex was associated with a 15.34\%
larger tumor size (p<0.0001). The Cox Proportional Hazard model
estimated that metropolitan areas had a 36\% lower risk of death over
time, compared to non-metropolitan areas (HR: 0.64, p <= 0.04).
Conclusion Patients in metropolitan areas had a smaller tumor size at
time of diagnosis and had a more favorable survival rate for
cancer-specific mortality compared to patients residing in rural areas.
Further work is needed to examine interventions to reduce this
discrepancy and investigate the effect of extremely rural and urban
settings and why racial disparities occur.'
author: Alsoof, Daniel and Kasthuri, Viknesh and Homer, Alexander and Glueck, Jacob
and McDonald, Christopher L. and Kuris, Eren O. and Daniels, Alan H.
author_list:
- family: Alsoof
given: Daniel
- family: Kasthuri
given: Viknesh
- family: Homer
given: Alexander
- family: Glueck
given: Jacob
- family: McDonald
given: Christopher L.
- family: Kuris
given: Eren O.
- family: Daniels
given: Alan H.
da: '2023-09-28'
doi: 10.52965/001c.74118
eissn: 2035-8164
files: []
issn: 2035-8237
journal: ORTHOPEDIC REVIEWS
keywords-plus: RACIAL DISPARITIES; HOSPITAL VOLUME; CHEMOTHERAPY; ACCESS; CARE
language: English
number-of-cited-references: '27'
papis_id: d0a5dd860c709e4af1d35900ae091773
ref: Alsoof2023countyrurality
times-cited: '0'
title: County Rurality is Associated with Increased Tumor Size and Decreased Survival
in Patients with Ewing Sarcoma
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000998624200003
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '15'
web-of-science-categories: Orthopedics
year: '2023'