Jordana Jampel

Urban Health Today

A study aimed to evaluate the effect of health insurance on racial disparities in colorectal liver metastases using data from the National Cancer Database (2004-2020). The results were published in the Journal of Surgical Oncology. The primary outcome was liver resection. Multivariable logistic regression was performed to evaluate the association of race and insurance with the odds of resection.
Among the 44,616 patients included, resection rates were lower among Black patients compared to White patients (12.9% vs 17.3%). According to multivariable logistic regression, Black patients (odds ratio [OR], 0.76 vs White patients), uninsured and Medicaid-insured patients (OR, 0.49 and OR 0.71 vs private insurance) were less likely to undergo resection. In addition, according to multivariable logistic regression of race stratified by insurance, Black patients with private insurance and Medicare had decreased odds of resection compared to White patients (OR, 0.71 vs. 0.64).
“Although Black patients with CRLM have lower odds of hepatic resection compared to White, when stratified by insurance, this was only present among private- and Medicare-insured. Further investigation is warranted to understand other factors associated with racial disparities in this population,” the researchers concluded.
Source: <a href="https://onlinelibrary.wiley.com/doi/10.1002/jso.28022" target="_blank" rel="noopener">Journal of Surgical Oncology</a>

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Health Insurance Status, Racial Disparities Influence Resection Rates for Colorectal Liver Metastases

Colorectal Cancer

Black patients were less likely to receive resection compared with White patients. 

Health Insurance Status, Racial Disparities Influence Resection Rates for Colorectal Liver Metastase

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