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Implications of Omitting Sentinel Lymph Node Biopsy in Patients Older Than 70 Years

Implications of Omitting Sentinel Lymph Node Biopsy in Patients Older Than 70 Years Letters 67.8%], and 2079 [77.5%; 95% CI, 77.4%-77.6%], respectively) Rosevine A. Azap, BS vs low-SVI (898 [33.8%; 95% CI, 33.7%-33.9%], 1627 [61.3%; 95% J. Madison Hyer, MS CI, 61.2%-61.4%], and 1866 [70.3%; 95% CI, 70.2%-70.4%], Adrian Diaz, MD, MPH respectively) counties (P < .001). Anghela Z. Paredes, MD, MPH, MS Living in a vulnerable community had a particularly poor Timothy M. Pawlik, MD, MPH, PhD association with outcomes among Black and Hispanic patients. Author Affiliations: Department of Surgery, Division of Surgical Oncology, Onmultivariableanalysis,SVIwasmodestlyassociatedwithodds The Ohio State University Wexner Medical Center and James Comprehensive of resection/transplant in the overall cohort (odds ratio, 1.18; 95% Cancer Center, Columbus (Hyer, Paredes, Pawlik); National Clinician Scholars CI, 1.01-1.38) (Table 2). Of note, Black and Hispanic patients from Program at the Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor (Diaz); Deputy Editor, JAMA Surgery (Pawlik). highly vulnerable counties were at markedly higher odds of not Corresponding Author: Timothy M. Pawlik, MD, MPH, PhD, Department of receivingsurgicalinterventionforHCCvstheircounterpartsfrom Surgery, Ohio State University, Wexner Medical Center, 395 W 12th Ave, low-SVI counties (odds ratio, 1.41; 95% CI, 1.10-1.81). Ste 670, Columbus, OH 43210 (tim.pawlik@osumc.edu). Accepted for Publication: September 1, 2020. Discussion | Social determinants http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Implications of Omitting Sentinel Lymph Node Biopsy in Patients Older Than 70 Years

JAMA Surgery , Volume 156 (2) – Feb 4, 2021

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2020.5008
Publisher site
See Article on Publisher Site

Abstract

Letters 67.8%], and 2079 [77.5%; 95% CI, 77.4%-77.6%], respectively) Rosevine A. Azap, BS vs low-SVI (898 [33.8%; 95% CI, 33.7%-33.9%], 1627 [61.3%; 95% J. Madison Hyer, MS CI, 61.2%-61.4%], and 1866 [70.3%; 95% CI, 70.2%-70.4%], Adrian Diaz, MD, MPH respectively) counties (P < .001). Anghela Z. Paredes, MD, MPH, MS Living in a vulnerable community had a particularly poor Timothy M. Pawlik, MD, MPH, PhD association with outcomes among Black and Hispanic patients. Author Affiliations: Department of Surgery, Division of Surgical Oncology, Onmultivariableanalysis,SVIwasmodestlyassociatedwithodds The Ohio State University Wexner Medical Center and James Comprehensive of resection/transplant in the overall cohort (odds ratio, 1.18; 95% Cancer Center, Columbus (Hyer, Paredes, Pawlik); National Clinician Scholars CI, 1.01-1.38) (Table 2). Of note, Black and Hispanic patients from Program at the Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor (Diaz); Deputy Editor, JAMA Surgery (Pawlik). highly vulnerable counties were at markedly higher odds of not Corresponding Author: Timothy M. Pawlik, MD, MPH, PhD, Department of receivingsurgicalinterventionforHCCvstheircounterpartsfrom Surgery, Ohio State University, Wexner Medical Center, 395 W 12th Ave, low-SVI counties (odds ratio, 1.41; 95% CI, 1.10-1.81). Ste 670, Columbus, OH 43210 (tim.pawlik@osumc.edu). Accepted for Publication: September 1, 2020. Discussion | Social determinants

Journal

JAMA SurgeryAmerican Medical Association

Published: Feb 4, 2021

References