Socioeconomic status influences the likelihood but not the outcome of liver resection for colorectal liver metastasis

Abstract

Liver resection for CLM is performed more commonly among the least socioeconomically deprived population than among the most deprived. However, degree of deprivation was not associated with tumour recurrence after resection.

The impact of socioeconomic status on stage at presentation, receipt of diagnostic imaging, receipt of treatment and overall survival in colorectal cancer patients

“…In agreement with previous studies, lower SES was associated with advanced stage at presentation 28,38 . It was also found that lower SES correlated with decreased receipt of MRI abdomen in colon patients, contrasting previous studies 39,40 . For example, Wiggans et al observed no significant difference in receipt of preoperative MRI abdomen in the most and least deprived groups of patients with colorectal liver metastases undergoing resection 40 .…”

“…This was similarly found by Wiggans et al who identified that people in the least deprived SES categories accounted for a higher proportion of patients undergoing metastatic liver resection compared to the local population. 40 Similarly, those in the most deprived groups were less likely to receive the same intervention. 40 However, these disparities were not found to impact mortality.…”

“…28,38 It was also found that lower SES correlated with decreased receipt of MRI abdomen in colon patients, contrasting previous studies. 39,40 For example, Wiggans et al observed no significant difference in receipt of preoperative MRI abdomen in the most and least deprived groups of patients with colorectal liver metastases undergoing resection. 40 However, this may be attributed in part to differences in the type of patients defined in the cohort and the period for which receipt of MRI was studied.…”

“…39,40 For example, Wiggans et al observed no significant difference in receipt of preoperative MRI abdomen in the most and least deprived groups of patients with colorectal liver metastases undergoing resection. 40 However, this may be attributed in part to differences in the type of patients defined in the cohort and the period for which receipt of MRI was studied. Wiggans identifies receipt of MRI preoperatively in colorectal patients with already identified liver metastases where MRI liver is considered standard of care prior to resection.…”

Stereotactic CT-Guided Percutaneous Microwave Ablation of Liver Tumors With the Use of High-Frequency Jet Ventilation: An Accuracy and Procedural Safety Study

“…Patients with CRC and a high socioeconomic status have more favourable surgical treatment characteristics than patients with a low socioeconomic status (99). Socioeconomic status also influences the likelihood of liver resection, where the socioeconomically favoured population are resected to a greater extent (100). In a large population-based series on surgical management and outcomes of patients with CRCLM, women, older patients and those who resided in the most socioeconomically deprived areas were significantly less likely to undergo surgical resection (101).…”