Asset Details
Do you wish to reserve the book?
Survival disparities in rural versus urban patients with pancreatic neuroendocrine tumor: A multi-institutional study from the US neuroendocrine tumor study group
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Survival disparities in rural versus urban patients with pancreatic neuroendocrine tumor: A multi-institutional study from the US neuroendocrine tumor study group
Do you wish to request the book?
Survival disparities in rural versus urban patients with pancreatic neuroendocrine tumor: A multi-institutional study from the US neuroendocrine tumor study group
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Survival disparities in rural versus urban patients with pancreatic neuroendocrine tumor: A multi-institutional study from the US neuroendocrine tumor study group
2024
Overview
Pancreatic Neuroendocrine Tumors (PNETs) are indolent malignancies that often have a prolonged clinical course. This study assesses disparities in outcomes between PNET patients who live in urban (UA) and rural areas (RA).
A retrospective cohort study was performed using the US Neuroendocrine Tumor Study Group database. PNET patients with a home zip code recorded were included and categorized as RA or UA according to the Federal Office of Rural Health Policy. Overall survival (OS) was analyzed by Kaplan-Meier method, log-rank test, and logistical regression.
Of the 1176 PNET patients in the database, 1126 (96%) had zip code recorded. While 837 (74%) lived in UA, 289 (26%) lived in RA. RA patients had significantly shorter median OS following primary PNET resection (122 vs 149 months, p = 0.01). After controlling for income, local healthcare access, distance from treatment center, ASA class, BMI, and T/N/M stage, living in a RA remained significantly associated with worse OS (HR 1.60, 95%CI 1.08–2.39, p = 0.02).
Rural patients have significantly shorter OS following PNET resection compared to their urban counterparts.
•PNETs are rare, needing complex care.•Rural patients have shorter PNET survival.•Better access may aid rural patients.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Aged
/ Cancer
/ Chronic obstructive pulmonary disease
/ Female
/ Healthcare Disparities - statistics & numerical data
/ Humans
/ Male
/ Neuroendocrine Tumors - mortality
/ Neuroendocrine Tumors - surgery
/ Pancreas
/ Pancreatic Neoplasms - mortality
/ Pancreatic Neoplasms - pathology
/ Pancreatic Neoplasms - surgery
/ Patients
/ Rural Population - statistics & numerical data
/ Survival
/ Tumors
