Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma

Background: Radiotherapy (RT) is a first line treatment option for stage I follicular lymphoma. We studied disparities in receipt of radiotherapy and survival among patients with stage I follicular lymphoma. Methods: Adult patients (age ≥18 years) with stage I follicular lymphoma, as the first prima...

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Main Authors: Amir eBista, Sandhya eSharma, Binay Kumar Shah
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00101/full
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author Amir eBista
Sandhya eSharma
Binay Kumar Shah
author_facet Amir eBista
Sandhya eSharma
Binay Kumar Shah
author_sort Amir eBista
collection DOAJ
description Background: Radiotherapy (RT) is a first line treatment option for stage I follicular lymphoma. We studied disparities in receipt of radiotherapy and survival among patients with stage I follicular lymphoma. Methods: Adult patients (age ≥18 years) with stage I follicular lymphoma, as the first primary cancer, diagnosed between 1992 and 2007 were identified using Surveillance, Epidemiology and End Results (SEER) 18 database. Study population was divided into various subgroups based on age, sex, race and marital status. Factors associated with receipt of RT and survival, among patients receiving RT, was evaluated using regression analysis and Cox PH modeling respectively. SEER*Stat was used to compute 1 year and 5 year RS for various subgroups and compared using Z score. Results: Of the total 7315 patients (median age: 64 years), 2671 (36.5%) received RT. African Americans, older age group, and single and separated/divorced/widow marital status predicted omission of RT. 1- and 5- year RS were significantly better in patients receiving RT. In multivariate analysis, male sex, age <60 years, Caucasian race and married marital status were found to be independent predictor of better RS among patients receiving RT (P <0.0001). Conclusion: This study showed that 36.5% patients with stage I follicular lymphoma received RT. Survival rates were significantly better for patients who received RT.
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spelling doaj.art-ac654eb3a6fe477aae0c1ea23911a2532022-12-22T01:12:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2016-04-01610.3389/fonc.2016.00101194884Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphomaAmir eBista0Sandhya eSharma1Binay Kumar Shah2Guthrie Robert Packer HospitalGuthrie Robert Packer HospitalPeace health United General HospitalBackground: Radiotherapy (RT) is a first line treatment option for stage I follicular lymphoma. We studied disparities in receipt of radiotherapy and survival among patients with stage I follicular lymphoma. Methods: Adult patients (age ≥18 years) with stage I follicular lymphoma, as the first primary cancer, diagnosed between 1992 and 2007 were identified using Surveillance, Epidemiology and End Results (SEER) 18 database. Study population was divided into various subgroups based on age, sex, race and marital status. Factors associated with receipt of RT and survival, among patients receiving RT, was evaluated using regression analysis and Cox PH modeling respectively. SEER*Stat was used to compute 1 year and 5 year RS for various subgroups and compared using Z score. Results: Of the total 7315 patients (median age: 64 years), 2671 (36.5%) received RT. African Americans, older age group, and single and separated/divorced/widow marital status predicted omission of RT. 1- and 5- year RS were significantly better in patients receiving RT. In multivariate analysis, male sex, age <60 years, Caucasian race and married marital status were found to be independent predictor of better RS among patients receiving RT (P <0.0001). Conclusion: This study showed that 36.5% patients with stage I follicular lymphoma received RT. Survival rates were significantly better for patients who received RT.http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00101/fullRadiotherapySurvivalethnicityfollicular lymphomaSEER
spellingShingle Amir eBista
Sandhya eSharma
Binay Kumar Shah
Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
Frontiers in Oncology
Radiotherapy
Survival
ethnicity
follicular lymphoma
SEER
title Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
title_full Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
title_fullStr Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
title_full_unstemmed Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
title_short Disparities in receipt of radiotherapy and survival by age, sex and ethnicity among patients with stage I follicular lymphoma
title_sort disparities in receipt of radiotherapy and survival by age sex and ethnicity among patients with stage i follicular lymphoma
topic Radiotherapy
Survival
ethnicity
follicular lymphoma
SEER
url http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00101/full
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AT sandhyaesharma disparitiesinreceiptofradiotherapyandsurvivalbyagesexandethnicityamongpatientswithstageifollicularlymphoma
AT binaykumarshah disparitiesinreceiptofradiotherapyandsurvivalbyagesexandethnicityamongpatientswithstageifollicularlymphoma