Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center

In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a...
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Autor*in:	Marius Kemper [verfasserIn] Jana Zagorski [verfasserIn] Jonas Wagner [verfasserIn] Julia-Kristin Graß [verfasserIn] Jakob R. Izbicki [verfasserIn] Nathaniel Melling [verfasserIn] Stefan Wolter [verfasserIn] Matthias Reeh [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	esophageal cancer esophagectomy socioeconomic deprivation outcome

Übergeordnetes Werk:	In: Cancers - MDPI AG, 2010, 15(2023), 10, p 2827
Übergeordnetes Werk:	volume:15 ; year:2023 ; number:10, p 2827

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/cancers15102827

Katalog-ID:	DOAJ094405018

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520			\|a In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients’ postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.
650		4	\|a esophageal cancer
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650		4	\|a socioeconomic deprivation
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allfieldsSound	10.3390/cancers15102827 doi (DE-627)DOAJ094405018 (DE-599)DOAJ697bfcde76734f3abcbfbd66e1c17fa4 DE-627 ger DE-627 rakwb eng RC254-282 Marius Kemper verfasserin aut Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients’ postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes. esophageal cancer esophagectomy socioeconomic deprivation outcome Neoplasms. Tumors. Oncology. Including cancer and carcinogens Jana Zagorski verfasserin aut Jonas Wagner verfasserin aut Julia-Kristin Graß verfasserin aut Jakob R. Izbicki verfasserin aut Nathaniel Melling verfasserin aut Stefan Wolter verfasserin aut Matthias Reeh verfasserin aut In Cancers MDPI AG, 2010 15(2023), 10, p 2827 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:10, p 2827 https://doi.org/10.3390/cancers15102827 kostenfrei https://doaj.org/article/697bfcde76734f3abcbfbd66e1c17fa4 kostenfrei https://www.mdpi.com/2072-6694/15/10/2827 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10, p 2827
language	English
source	In Cancers 15(2023), 10, p 2827 volume:15 year:2023 number:10, p 2827
sourceStr	In Cancers 15(2023), 10, p 2827 volume:15 year:2023 number:10, p 2827
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	esophageal cancer esophagectomy socioeconomic deprivation outcome Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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container_title	Cancers
authorswithroles_txt_mv	Marius Kemper @@aut@@ Jana Zagorski @@aut@@ Jonas Wagner @@aut@@ Julia-Kristin Graß @@aut@@ Jakob R. Izbicki @@aut@@ Nathaniel Melling @@aut@@ Stefan Wolter @@aut@@ Matthias Reeh @@aut@@
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callnumber-first	R - Medicine
author	Marius Kemper
spellingShingle	Marius Kemper misc RC254-282 misc esophageal cancer misc esophagectomy misc socioeconomic deprivation misc outcome misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center
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topic_title	RC254-282 Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center esophageal cancer esophagectomy socioeconomic deprivation outcome
topic	misc RC254-282 misc esophageal cancer misc esophagectomy misc socioeconomic deprivation misc outcome misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_unstemmed	misc RC254-282 misc esophageal cancer misc esophagectomy misc socioeconomic deprivation misc outcome misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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title	Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center
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title_sort	socioeconomic deprivation is not associated with outcomes after esophagectomy at a german high-volume center
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title_auth	Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center
abstract	In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients’ postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.
abstractGer	In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients’ postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.
abstract_unstemmed	In Germany, socioeconomically deprived citizens more often develop esophageal carcinoma, since typical risk factors follow the social gradient. Therefore, we hypothesized that socioeconomic deprivation might also be associated with advanced tumor stages and comorbidities at the time of surgery. As a consequence, socioeconomic deprivation may be related to postoperative complications and reduced overall survival. Therefore, 310 patients who had undergone esophagectomy for cancer in curative intent between 2012 and 2020 at the University Medical Center Hamburg-Eppendorf (UKE) were included in this study. Socioeconomic status (SES) was estimated using the purchasing power of patients’ postal codes as a surrogate parameter. No association was found between SES and tumor stage or comorbidities at the time of surgery. Moreover, SES was neither associated with postoperative complications nor overall survival. In conclusion, socioeconomic inequalities of patients treated at a high-volume center do not affect treatment outcomes.
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title_short	Socioeconomic Deprivation Is Not Associated with Outcomes after Esophagectomy at a German High-Volume Center
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