What socioeconomic factors effect outcomes in Ewing sarcoma?
In the first 2 years after being diagnosed with Ewing sarcoma, patients of the Black race, those living in urban or rural areas, and patients that are uninsured or using Medicare have increased mortality, according to a study.
Using data from 3238 of the 3920 patients diagnosed with Ewing sarcoma included in the National Cancer Database (NCDB), researchers analyzed the effects of socioeconomic and geographic factors on overall survival.
In addition to race, Medicare status, and geographic factors, greater mortality was shown for patients of increasing age at the time of diagnosis, at 2, 5, and 10 years of follow-up. Those living in urban or rural areas also had greater mortality at 10 years.
“To improve patient outcomes, clinicians should recognize and address not only the unique biology of patients but also their unique challenges in access to healthcare,” the authors concluded. “Patients and providers should work to elicit changes on an individual and community level to improve their personal health and the health of those around them.”
McMahon KM, Nilles-Melchert T, Eaton V, et al. Effects of Socioeconomic and Geographic Factors on Outcomes in Ewing Sarcoma: A National Cancer Database Review. Cureus. 2022;14(5):e25525. doi: 10.7759/cureus.25525. PMID: 35800803; PMCID: PMC9246428.