Assessment of social vulnerability impact in care and prognosis of sinonasal cancers in the United States

Kanaris, Achilles A.; Fei‐Zhang, David J.; Fletcher, Lily B.; Smith, Stephanie S.; Patel, Urjeet A.; D'Souza, Jill N.; Chelius, Daniel C.; Sheyn, Anthony M.; Rastatter, Jeffrey C.

doi:10.1002/alr.23334

Int Forum Allergy Rhinol

2024

DOI: 10.1002/alr.23334

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Assessment of social vulnerability impact in care and prognosis of sinonasal cancers in the United States

Achilles A. Kanaris,

David J. Fei‐Zhang,

Lily B. Fletcher

et al.

Abstract: Key Points Social determinants of health interactively influence sinonasal cancer care and prognosis. Housing‐transportation and socioeconomic status showed the largest associations with disparities. The social vulnerability index can reveal the social determinants of sinonasal cancers.

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2024

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Individual- and Community-Level Social Determinant Associations With Acoustic Neuroma Disparities in the United States

Fei-Zhang,

Sethia,

Abrahamson

et al. 2024

Otol Neurotol

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Objective This investigation aims to determine whether community-level social determinants of health (SDoH) influenced acoustic neuroma outcomes more profoundly than individual-level SDoH through the use of multivariate models and census-level socioeconomic status (SES) measures. Study Design Observational, retrospective cohort study. Setting: Specially Authorized Head–Neck SEER 2020 Dataset. Patients 23,330 adult (20+ yr) patients diagnosed with acoustic neuroma from 2010 to 2018. Main outcome measures Age-adjusted multivariate regressions and hazard models were performed for individual level (sex, race–ethnicity) and community-level factors (Yost Index–SES, rurality–urbanicity) to assess for differences in acoustic neuroma treatment, including delay of intervention, treatment receipt, and overall survival. Results Lower Yost–SES/community-level SES had a markedly positive association with an increase in all-cause mortality (HR, 1.55; 95% CI, 1.41–1.71) and negative association with stereotactic radiotherapy treatment (OR, 0.93; 95% CI, 0.86–0.99; p = 0.040). Patients with poor Yost–SES had a significantly positive association with receipt of surgical resection (OR, 1.13; 95% CI, 1.07–1.20; p < 0.001). Conclusions Data generated from this investigation suggest that community-level SDoH, particularly Yost–SES, have more detrimental care and prognostic disparities in acoustic neuroma treatment compared with individual-level factors.

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Individual- and Community-Level Social Determinant Associations With Acoustic Neuroma Disparities in the United States

Fei-Zhang,

Sethia,

Abrahamson

et al. 2024

Otol Neurotol

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show abstract

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Assessment of social vulnerability impact in care and prognosis of sinonasal cancers in the United States

Abstract: Key Points Social determinants of health interactively influence sinonasal cancer care and prognosis. Housing‐transportation and socioeconomic status showed the largest associations with disparities. The social vulnerability index can reveal the social determinants of sinonasal cancers.

Cited by 1 publication

References 10 publications

Individual- and Community-Level Social Determinant Associations With Acoustic Neuroma Disparities in the United States

Individual- and Community-Level Social Determinant Associations With Acoustic Neuroma Disparities in the United States

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