Nearly 1 in 20 Cancer Patients Die Within Month of Surgery
(HealthDay News) — In a study of more than 1.1 million cancer patients who had surgery, Harvard researchers found that almost 5% died within one month of their operation. These findings are scheduled to be presented at the American Society of Clinical Oncology's 2014 Quality Care Symposium, held from October 17–18 in Boston.
The researchers found that, of the 1.1 million patients diagnosed from 2004–2011, 53,498 died within the month after surgery. Specifically, married patients had a 20% lower risk of dying within the month after surgery; insured patients had a 12% lower risk; wealthier patients had a 5% lower risk; and more-educated patients had a 2% lower risk. Conversely, minority patients had a 13% higher risk of dying; men had an 11% greater risk; older patients had a 2% greater risk; and patients with advanced cancer had an 89% higher risk.
Patients in the study had some of the most common and deadly cancers, including lung, breast, colorectal, prostate, thyroid, esophageal, pancreatic, endometrial, ovarian, head and neck, liver, bladder and kidney cancer, melanoma, and non-Hodgkin's lymphoma. This study is also the first to show that these disparities aren't limited to older patients. Nearly 40% of the patients in the study were >65 years of age and not eligible for Medicare, the researchers reported.
"Although there is little consensus as to why disparities in surgical outcomes exist, most of the existing literature cites one particularly alarming finding: minority, poor, uninsured patients disproportionately receive care at lower quality, underperforming hospitals," lead author Brandon Mahal, a research fellow at the Dana-Farber Cancer Institute in Boston, told HealthDay.