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Before you scoff at another NCDB analysis, practice patterns is where the NCDB really shines. And they didn’t have to scrounge together a p-value here. This one reveals the median time to initiation of definitive radiation across 10 cancers that standardly require intensity-modulated radiation therapy (IMRT) was a jaw-dropping 20 days slower from time of diagnosis for Black patients than White counterparts–a disparity accentuated even further among those with private insurance. It was also 10 days slower for Hispanic and 7 days slower for Asian patients. While it didn’t measure outcomes, the authors note such are “well within the boundaries of clinically significant delays and detriments to overall survival.” | Hutten, JCO Oncol Pract 2022
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