Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study

doi:10.1007/s40615-022-01358-8

. 2023 Aug;10(4):1745-1755.

doi: 10.1007/s40615-022-01358-8. Epub 2022 Jun 29.

Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study

Albert J Farias^{1

2}, Emily Chan³, Stephanie Navarro³, Elizabeth A David⁴, Megan Eguchi⁵, Myles Cockburn³

Affiliations

¹ Department of Population Public Health Sciences, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA. albertfa@usc.edu.
² Gehr Family Center for Health System Science, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA. albertfa@usc.edu.
³ Department of Population Public Health Sciences, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA.
⁴ Department of Surgery, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA.
⁵ University of Colorado Anschutz Medical Campus, Aurora, USA.

PMID: 35767217
DOI: 10.1007/s40615-022-01358-8

Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study

Albert J Farias et al. J Racial Ethn Health Disparities. 2023 Aug.

. 2023 Aug;10(4):1745-1755.

doi: 10.1007/s40615-022-01358-8. Epub 2022 Jun 29.

Authors

Albert J Farias^{1

2}, Emily Chan³, Stephanie Navarro³, Elizabeth A David⁴, Megan Eguchi⁵, Myles Cockburn³

Affiliations

¹ Department of Population Public Health Sciences, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA. albertfa@usc.edu.
² Gehr Family Center for Health System Science, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA. albertfa@usc.edu.
³ Department of Population Public Health Sciences, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA.
⁴ Department of Surgery, Keck School of Medicine of the University of Southern California, 2001 N. Soto St., Suite 318B, Los Angeles, CA, 90032, USA.
⁵ University of Colorado Anschutz Medical Campus, Aurora, USA.

PMID: 35767217
DOI: 10.1007/s40615-022-01358-8

Abstract

Background: To determine whether there are racial/ethnic disparities in patient experiences with care among lung cancer survivors, whether they are associated with mortality.

Methods: A retrospective cohort study of lung cancer survivors > 65 years old who completed a CAHPS survey > 6 months after the date of diagnosis. We used data from the SEER-Consumer Assessment of Healthcare Providers Systems (SEER-CAHPS®) database from 2000 to 2013 to assess racial/ethnic differences in patient experiences with care multivariable Cox proportional hazards models to assess the association between patient experience with care scores mortality in each racial/ethnic group.

Results: Within our cohort of 2603 lung cancer patients, Hispanic patients reported lower adjusted mean score with their ability to get needed care compared to white patients (B: - 5.21, 95% CI: - 9.03, - 1.39). Asian patients reported lower adjusted mean scores with their ability to get care quickly (- 4.25 (- 8.19, - 0.31)), get needed care (- 7.06 (- 10.51, - 3.61)), get needed drugs (- 9.06 (- 13.04, - 5.08)). For Hispanic patients, a 1-unit score increase in their ability to get all needed care (HR: 1.02, 1.00-1.03) care coordination (1.06, 1.02-1.09) was associated with higher risk of mortality. Among black patients, a 1-unit score increase in their ability to get needed care (HR: 0.99, 95% CI 0.98-0.99) care coordination (0.97, 0.94-0.99) was associated with lower risk mortality.

Conclusions: There are racial/ethnic disparities in lung cancer patient experiences with care that may impact mortality. Patient experiences with care are important risk factors of mortality for certain racial/ethnic groups.

Keywords: Cancer health services; Lung cancer mortality; Patient experiences with care; Racial ethnic disparities.

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References

1. Singh GKA. Jemal, Socioeconomic racial/ethnic disparities in cancer mortality, incidence, survival in the United States, 1950–2014: over six decades of changing patterns widening inequalities. J Environ Public Health. 2017;2017:2819372. - DOI - PubMed - PMC
1. Klugman M, Xue X, Hosgood HD. Race/ethnicity lung cancer survival in the United States: a meta-analysis. Cancer Causes Control. 2019;30(11):1231–41. - DOI - PubMed
1. Navarro S, et al. Will improvements in patient experience with care impact clinical quality of care outcomes?: a systematic review. Med Care. 2021;59(9):843–56. - DOI - PubMed
1. What is patient experience? March 2017; Available from: https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html .
1. Brousseau DC, et al. Quality of primary care subsequent pediatric emergency department utilization. Pediatrics. 2007;119(6):1131–8. - DOI - PubMed

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[1] Singh GKA. Jemal, Socioeconomic racial/ethnic disparities in cancer mortality, incidence, survival in the United States, 1950–2014: over six decades of changing patterns widening inequalities. J Environ Public Health. 2017;2017:2819372. - DOI - PubMed - PMC

[2] Singh GKA. Jemal, Socioeconomic racial/ethnic disparities in cancer mortality, incidence, survival in the United States, 1950–2014: over six decades of changing patterns widening inequalities. J Environ Public Health. 2017;2017:2819372. - DOI - PubMed - PMC

[3] Klugman M, Xue X, Hosgood HD. Race/ethnicity lung cancer survival in the United States: a meta-analysis. Cancer Causes Control. 2019;30(11):1231–41. - DOI - PubMed

[4] Klugman M, Xue X, Hosgood HD. Race/ethnicity lung cancer survival in the United States: a meta-analysis. Cancer Causes Control. 2019;30(11):1231–41. - DOI - PubMed

[5] Navarro S, et al. Will improvements in patient experience with care impact clinical quality of care outcomes?: a systematic review. Med Care. 2021;59(9):843–56. - DOI - PubMed

[6] Navarro S, et al. Will improvements in patient experience with care impact clinical quality of care outcomes?: a systematic review. Med Care. 2021;59(9):843–56. - DOI - PubMed

[7] What is patient experience? March 2017; Available from: https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html .

[8] What is patient experience? March 2017; Available from: https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html .

[9] Brousseau DC, et al. Quality of primary care subsequent pediatric emergency department utilization. Pediatrics. 2007;119(6):1131–8. - DOI - PubMed

[10] Brousseau DC, et al. Quality of primary care subsequent pediatric emergency department utilization. Pediatrics. 2007;119(6):1131–8. - DOI - PubMed

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Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study

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Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study

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