Julie Wolfson|Can?Lan Sun|Laura Wyatt|Arti Hurria|Smita Bhatia
Impact of care at comprehensive cancer centers on outcome: Results from a population?based study
City of Hope|City of Hope|City of Hope|City of Hope|City of Hope|University of Alabama at Birmingham
rigorous processes ensure quality research clinical care national cancer institutedesignated comprehensive cancer centers ncicccs unmeasurable elements structure process cancer care delivery warrant evaluation authors knowledge impact nciccc care survival access ncicccs vulnerable subpopulations remain unstudiedthe current studys populationbased cohort 69579 patients newly diagnosed adultonset aged 2265 years cancers reported los angeles county cancer registry 1998 2008 geographic information systems used geospatial analysiswith regard overall survival across multiple diagnoses patients receiving first planned treatment ncicccs experienced poorer outcomes compared treated ncicccs differences persisted multivariable analyses adjusting clinical sociodemographic factors hepatobiliary hazard ratio hr 15 95 confidence interval 95 ci 1417 p001 lung hr 14 95 ci 1316 p001 pancreatic hr 15 95 ci 1317 p001 gastric hr 13 95 ci 1117 p 01 breast hr 13 95 ci 1115 p001 colorectal hr 12 95 ci 1014 p 05 regard barriers care multivariable analyses revealed lower likelihood treatment ncicccs associated raceethnicity africanamerican range across diagnoses 0407 p03 hispanic range 0507 p04 lack private insurance public range 0608 p004 uninsured range 0105 p04 less high socioeconomic status highmiddle range 0407 p02 middle range 0305 p001 low range 0206 p01 residing 9 miles nearest nciccc range 0507 p02among individuals aged 22 65 years residing los angeles county newly diagnosed adultonset cancer treated ncicccs experienced superior survival compared treated nonnciccc facilities barriers care ncicccs included raceethnicity insurance socioeconomic status distance nciccc