Jack Yu|Alfred I. Neugut|Shuang Wang|Judith S. Jacobson|Lauren E. Ferrante|Vandana Khungar|Emerson A. Lim|Dawn L. Hershman|Robert S. Brown|Abby B. Siegel
Racial and insurance disparities in the receipt of transplant among patients with hepatocellular carcinoma
Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University
abstract background patients hepatocellular carcinoma hcc poor prognosis tumors diagnosed early authors investigated factors associated receipt liver transplant among patients hcc evaluated effects differences survival methods authors reviewed records consecutive patients diagnosed hcc columbia university medical center january 1 2002 september 1 2008 compared patient clinical demographic characteristics developed multivariable logistic regression model predictors transplant used cox model analyze predictors mortality results 462 hcc patients 175 38 received transplant black patients much less likely whites receive transplant odds ratio 003 95 confidence interval ci 00037 hispanics asians also less likely undergo transplantation differences statistically significant patients private insurance likely receive transplant medicaid odds ratio 2207 95 confidence interval ci 26718234 black hispanic patients medicaid recipients presented advanced disease whites privately insured patients poorer survival cox model receive transplant 3 times likely transplant recipients die race insurance independently predictive mortality conclusions race insurance status strongly associated receipt transplantation advanced disease diagnosis transplantation important determinant survival improved access care nonwhite medicaid patients may allow patients benefit transplant cancer 2010 2010 american cancer society