2017
DOI: 10.1016/j.jaad.2016.07.059
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A population-based cohort study of the influence of socioeconomic factors and race on survival in Merkel cell carcinoma

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Cited by 15 publications
(18 citation statements)
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“…This study demonstrated that patients from a less deprived socioeconomic group were at increased risk of dying from MCC. Other studies have noted patients from lower socioeconomic groups tend to have higher rates of MCC in the head and neck region and advanced disease 26 and may have poorer survival rates than patients with MCC in other sites 27 . This may be in part have been related to more conservative surgical approaches and a higher propensity for metastatic spread.…”
Section: Discussionmentioning
confidence: 96%
“…This study demonstrated that patients from a less deprived socioeconomic group were at increased risk of dying from MCC. Other studies have noted patients from lower socioeconomic groups tend to have higher rates of MCC in the head and neck region and advanced disease 26 and may have poorer survival rates than patients with MCC in other sites 27 . This may be in part have been related to more conservative surgical approaches and a higher propensity for metastatic spread.…”
Section: Discussionmentioning
confidence: 96%
“…They also found Black patients to present with poorly differentiated, and anaplastic tumors [ 5 ]. A Surveillance, Epidemiology, and End Results (SEER) database analysis of MCC patients by Madankumar et al found MCC patients living below the median household income ($62,872) were likely to be Black, present with tumors of the head and neck, and at a higher stage [ 3 ]. In another SEER analysis by Sridharan et al, Black more than White MCC patients presented with larger tumors and were more likely to have distant metastases [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…In another SEER analysis by Sridharan et al, Black more than White MCC patients presented with larger tumors and were more likely to have distant metastases [ 4 ]. As observed by Madankumar et al, Black patients were more likely to present with truncal tumors whereas White MCC patients typically presented with head and neck tumors; no differences were noted in stage by race [ 3 ]. Our similar observation of head and neck primaries being significantly smaller than truncal tumors may be due to earlier patient recognition and subsequent diagnosis of such tumors compared to other subsites.…”
Section: Discussionmentioning
confidence: 99%
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“… 66 Publications that assess the impact of socioeconomic factors on the management, progression, and survival of MCC have demonstrated lower survival in low-income cities with a low density of dermatology specialists. 67 , 68 A better understanding of the disease by all health care providers, especially clinicians, would likely increase the number of cases diagnosed. Thus, more and better continuing medical education about skin cancer is needed.…”
Section: Raising Awareness In Latin Americamentioning
confidence: 99%