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. 2023 Mar;225(3):523-526.
doi: 10.1016/j.amjsurg.2022.12.012. Epub 2022 Dec 23.

The impact of race and socioeconomic status on stage IV colorectal cancer survival

Ju Yong Cheong  1 , Joceline V Vu  1 , Tara M Connelly  1 , Jenna Tabbaa  1 , Rebecca Gunter  1 , David Liska  1 , Emre Gorgun  1 , Scott R Steele  1 , Michael A Valente  2
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The impact of race and socioeconomic status on stage IV colorectal cancer survival

Ju Yong Cheong et al. Am J Surg. 2023 Mar.

Abstract

Background: The aims of this study were to determine the impact of race and socioeconomics on survival in patients with stage IV colorectal cancer.

Methods: A prospective database of stage IV colorectal cancer patients treated at a multi-hospital health system from 2015 to 2019 was retrospectively analyzed. Univariate and multivariate survival analysis using log-rank Mantel-Cox test and Cox proportional hazard model were performed to determine the impact of race, socioeconomic factors, presentation, and treatment on overall survival.

Results: 4012 patients were diagnosed with colorectal cancer, of which 803 patients were stage IV. There were 677 (84.3%) White, and 108 (13.4%) Black patients. Black patients have worse 5-year overall survival than white patients (HR 1.43 (1.09-1.87)). Patients who received chemotherapy had significantly better survival than patients who did not receive chemotherapy (HR 0.58 (0.47-0.71)). Black patients have significantly lower rates of receiving chemotherapy as compared to white patients (61.1% vs 75.37%, p = 0.0018).

Conclusion: Patients with Stage IV colorectal cancer have worse survival if they are black, older age, and did not receive chemotherapy.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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