The effect of neighborhood deprivation on access to surgical care for pediatric renal tumors
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View abstract on PubMed
Summary
This summary is machine-generated.Neighborhood deprivation did not significantly impact pediatric renal tumor presentation or nephrectomy timing. Biological factors, not social determinants of health, appear to be the primary drivers of variability in these outcomes.
Area Of Science
- Pediatric Oncology
- Social Determinants of Health
- Health Disparities
Background
- Early identification of pediatric renal tumors is crucial for improving patient outcomes.
- Neighborhood deprivation, a measure of social determinants of health, is linked to poorer oncological outcomes.
- Understanding the influence of socioeconomic factors on pediatric cancer presentation and treatment is essential.
Purpose Of The Study
- To investigate whether neighborhood deprivation affects the metastatic presentation of pediatric renal tumors.
- To determine if neighborhood deprivation influences the treatment approach, specifically upfront versus delayed nephrectomy.
- To analyze the association between socioeconomic status and clinical presentation in pediatric renal tumors.
Main Methods
- Utilized State Inpatient Databases (SID) for children undergoing nephrectomy for renal tumors (2013-2021).
- Measured neighborhood deprivation using the Child Opportunity Index 3.0 (COI).
- Employed univariate and multivariate analyses to assess associations with metastatic disease and nephrectomy timing.
Main Results
- 14.2% of 1,574 children presented with metastases; 23.3% had delayed nephrectomy.
- Metastatic presentation and delayed nephrectomy were associated with older age and increased comorbidities.
- No significant association was found between neighborhood deprivation and metastatic presentation or delayed nephrectomy.
Conclusions
- Neighborhood deprivation did not significantly impact the presentation or surgical timing for pediatric renal tumors.
- Biological factors, rather than access to care influenced by socioeconomic status, may be the primary drivers of outcome variability.
- Limitations of administrative databases restrict a comprehensive understanding of pediatric renal tumor presentation and treatment.
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