Outcomes Among Homeless Patients With Non-Small-Cell Lung Cancer: A County Hospital Experience.

JCO Oncology Practice
Kyle F ConcannonHannah M Linden

Abstract

Lung cancer remains the leading cause of cancer death in the United States, with outcomes likely worsened by the presence of poorer outcomes among vulnerable populations such as the homeless. We hypothesized that homeless patients experience delays in biopsy, decreased appointment adherence, and increased overall mortality rates. We conducted a retrospective electronic medical record-based review of all patients with non-small-cell lung cancer (NSCLC; N = 133) between September 2012 and September 2018 at an academic county hospital in Seattle, Washington. Of the 133 patients treated for NSCLC, 22 (17%) were homeless at the time of their treatment. Among homeless patients with localized lung cancer, the mean time from radiographic finding to biopsy was 248 days, compared with 116 days among housed patients (P = .37). Homeless patients with advanced disease missed a mean of 26% of appointments in the year after diagnosis, compared with 16% among housed patients (P = .03). Homeless patients with advanced NSCLC had a median survival of 0.58 years, versus 1.30 years in housed patients (P = .48). To our knowledge, this is the first US study comparing outcomes among homeless and housed patients with NSCLC within the same institution; ...Continue Reading

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Citations

Apr 27, 2021·Internal Medicine·Tomoyo OguriMorio Nakamura

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Methods Mentioned

BETA
biopsy
biopsies

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