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    A system‐based intervention to reduce Black‐White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers

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    Author
    Cykert, Samuel; Eng, Eugenia; Walker, Paul; Manning, Matthew A.; Robertson, Linda B.; Arya, Rohan; Jones, Nora S.; Heron, Dwight E.
    Abstract
    Background: Advances in early diagnosis and curative treatment have reduced high mortality rates associated with non‐small cell lung cancer. However, racial disparity in survival persists partly because Black patients receive less curative treatment than White patients. Methods: We performed a 5‐year pragmatic, trial at five cancer centers using a system‐based intervention. Patients diagnosed with early stage lung cancer, aged 18‐85 were eligible. Intervention components included: (1) a real‐time warning system derived from electronic health records, (2) race‐specific feedback to clinical teams on treatment completion rates, and (3) a nurse navigator. Consented patients were compared to retrospective and concurrent controls. The primary outcome was receipt of curative treatment. Results: There were 2841 early stage lung cancer patients (16% Black) in the retrospective group and 360 (32% Black) in the intervention group. For the retrospective baseline, crude treatment rates were 78% for White patients vs 69% for Black patients (P < 0.001); difference by race was confirmed by a model adjusted for age, treatment site, cancer stage, gender, comorbid illness, and income‐odds ratio (OR) 0.66 for Black patients (95% CI 0.51‐0.85, P = 0.001). Within the intervention cohort, the crude rate was 96.5% for Black vs 95% for White patients (P = 0.56). Odds ratio for the adjusted analysis was 2.1 (95% CI 0.41‐10.4, P = 0.39) for Black vs White patients. Between group analyses confirmed treatment parity for the intervention. Conclusion: A system‐based intervention tested in five cancer centers reduced racial gaps and improved care for all.
    URI
    http://hdl.handle.net/10342/7839
    Subject
    cancer disparities, health equity, intervention, pragmatic trial, systems change
    Date
    2019-01-11
    Citation:
    APA:
    Cykert, Samuel, & Eng, Eugenia, & Walker, Paul, & Manning, Matthew A., & Robertson, Linda B., & Arya, Rohan, & Jones, Nora S., & Heron, Dwight E.. (January 2019). A system‐based intervention to reduce Black‐White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers. Cancer Medicine, (8:3), p.1095-1102. Retrieved from http://hdl.handle.net/10342/7839

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Cykert, Samuel, and Eng, Eugenia, and Walker, Paul, and Manning, Matthew A., and Robertson, Linda B., and Arya, Rohan, and Jones, Nora S., and Heron, Dwight E.. "A system‐based intervention to reduce Black‐White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers". Cancer Medicine. 8:3. (1095-1102.), January 2019. April 18, 2021. http://hdl.handle.net/10342/7839.
    Chicago:
    Cykert, Samuel and Eng, Eugenia and Walker, Paul and Manning, Matthew A. and Robertson, Linda B. and Arya, Rohan and Jones, Nora S. and Heron, Dwight E., "A system‐based intervention to reduce Black‐White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers," Cancer Medicine 8, no. 3 (January 2019), http://hdl.handle.net/10342/7839 (accessed April 18, 2021).
    AMA:
    Cykert, Samuel, Eng, Eugenia, Walker, Paul, Manning, Matthew A., Robertson, Linda B., Arya, Rohan, Jones, Nora S., Heron, Dwight E.. A system‐based intervention to reduce Black‐White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers. Cancer Medicine. January 2019; 8(3) 1095-1102. http://hdl.handle.net/10342/7839. Accessed April 18, 2021.
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