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Open Access 09-06-2024 | ASO Author Reflections

ASO Author Reflections: Area Socioeconomic Status is Associated with Refusal of Recommended Surgery in Patients with Metastatic Bone and Joint Disease

Authors: Mitchell S. Fourman, MD, Kyle Mani, BS

Published in: Annals of Surgical Oncology | Issue 8/2024

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Excerpt

Cancer care quality and outcomes have been well-associated with patient socioeconomic status.1 Factors such as family responsibilities, job security, food availability, and transportation can significantly impact the ability for a patient to comply with cancer treatment and surveillance recommendations. Given the multifactorial and community-dependent nature of socioeconomic deprivation, multivariate rating scales such as the Yost Index or Area Deprivation Index (ADI) have been used to ‘rank’ community vulnerability. These scales provide a pooled objective value, attempting to avoid the inevitable confounding effects that including only a select number of sociodemographic factors in an analysis can result in. These pooled indices are a powerful representation of the patient’s home and community support over the course of their care, and higher degrees of community socioeconomic deprivation have been independently associated with worse treatment outcomes2 and limited postoperative functional recovery.3
Literature
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Metadata
Title
ASO Author Reflections: Area Socioeconomic Status is Associated with Refusal of Recommended Surgery in Patients with Metastatic Bone and Joint Disease
Authors
Mitchell S. Fourman, MD
Kyle Mani, BS
Publication date
09-06-2024
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 8/2024
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-024-15517-0

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