Annals of Thoracic Surgery |

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The Impact of Social Determinants of Health on the Prognosis of Patients with Malignant Pleural Mesothelioma.

Correspondence to Author: Ahmed Alnajar

Ahmed Alnajar. University of Miami Miller School of Medicine.

Abstract: Even with the best care and after taking into consideration individual comorbidities, patients with malignant pleural mesothelioma (MPM) still have a significant mortality risk. Our objective was to evaluate, using social determinants of health (SDH), the overall survival of patients with manageable MPM. We postulated that a patient’s SDH score could with worse overall survival even under ideal conditions.
From 2004 to 2017, the National Cancer Database was retrospectively analyzed for this investigation. Included were adult patients with MPM in clinical stages I–IIIA. We created an SDH score index that categorizes patients of socioeconomic disadvantage by the following variables: income, education, geography, and hospital types within 250 miles, based on the personal and geographic features of the patients. Our survival analysis was conducted with the Kaplan-Meier approach in addition to the multivariable and univariate Cox regression models.

Citation:

Ahmed Alnajar. The Impact of Social Determinants of Health on the Prognosis of Patients with Malignant Pleural Mesothelioma . Annals of Thoracic Surgery 2024.