Disparities in thoracic surgical oncology

Brittney M Williams1, Miles McAllister2, Cherie Erkmen3

  • 1Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Insights

Thoracic surgical oncology faces persistent access and outcome disparities. This review explores patient, population, and system factors driving these inequities, highlighting the need for research and policy interventions.

Area of Science:

  • Thoracic Surgical Oncology
  • Health Disparities Research
  • Health Equity

Background:

  • Long-standing disparities in access and outcomes exist within thoracic surgical oncology.
  • These inequities affect patient care and population health outcomes.
  • Addressing these gaps is crucial for advancing the field.

Purpose of the Study:

  • To examine patient, population, and systems-level factors contributing to disparities in thoracic surgical oncology.
  • To identify key areas for research and policy intervention.
  • To underscore the role of thoracic surgeons in mitigating these inequities.

Main Methods:

  • Review of existing literature on disparities in thoracic surgical oncology.
  • Analysis of patient-level factors (e.g., demographics, socioeconomic status).
  • Examination of population-level factors (e.g., geographic access, social determinants of health).
  • Assessment of systems-level factors (e.g., healthcare infrastructure, policy).

Main Results:

  • Multiple patient, population, and system factors contribute to inequities in thoracic surgical oncology.
  • These factors create significant barriers to timely and effective care.
  • Evidence suggests a need for targeted interventions to address these complex issues.

Conclusions:

  • Thoracic surgical oncology disparities are multifactorial, requiring comprehensive solutions.
  • Urgent need for dedicated research and policy development to address identified inequities.
  • Thoracic surgeons must lead efforts to narrow access and outcome gaps, promoting health equity.