Demographic and other characteristics of nodal non-Hodgkin’s lymphoma managed in academic versus non-academic centers

Vijaya Raj Bhatt; Prajwal Dhakal; Sumit Dahal; Smith Giri; Ranjan Pathak; R. Gregory Bociek; Peter T. Silberstein; James O. Armitage

doi:10.1177/2040620715592568

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Demographic and other characteristics of nodal non-Hodgkin’s lymphoma managed in academic versus non-academic centers

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Demographic and other characteristics of nodal non-Hodgkin’s lymphoma managed in academic versus non-academic centers

Vijaya Raj Bhatt, Prajwal Dhakal, Sumit Dahal, Smith Giri, Ranjan Pathak, R. Gregory Bociek, Peter T. Silberstein and James O. Armitage

Therapeutic advances in hematology, Vol.6(5), pp.223-227

10/2015

DOI: 10.1177/2040620715592568

PMCID: PMC4556968

PMID: 26425335

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Abstract

Background: Cancer therapy and outcomes are known to be affected by various demographic features and hospital types. We aimed to identify the characteristics of non-Hodgkin’s lymphoma (NHL) patients associated with receipt of care at academic centers. Method: This is a retrospective study of all patients diagnosed with nodal NHL between 2000 and 2011 in the National Cancer Database (NCDB), who received the diagnosis, and all or part of their initial therapy in the reporting hospital ( n = 243,436). Characteristics of patients receiving care in academic versus nonacademic centers were compared using the Chi-square test. Results: Approximately 27% received care in academic centers. Patients receiving care in nonacademic centers, compared with academic centers, were more likely to be ⩾60 years (69% versus 58%, p < .0001), White (89% versus 80%, p < .0001) and have lower educational attainment (>12% without high school diploma: 72% versus 69%, p < .0001) and economic status (household income <$49,000: 66% versus 61%, p < 0.0001). Patients receiving care in nonacademic centers were less likely to travel ⩾25 miles (21% versus 26%, p < 0.0001). White patients, compared with non-Whites, were more likely to be ⩾60 years (70% versus <50%, p < 0.0001), which probably explains less care in academic centers. Conclusions: Patients ⩾60 years and those with poorer educational attainment and economic status were less likely to receive care in academic centers. Care in academic centers required a longer commute. Elderly patients frequently have inferior outcomes and may benefit from clinical trials with novel agents and expertise at academic centers.

Details

Title: Subtitle: Demographic and other characteristics of nodal non-Hodgkin’s lymphoma managed in academic versus non-academic centers
Creators: Vijaya Raj Bhatt - University of Nebraska Medical Center
Prajwal Dhakal - Tribhuvan University
Sumit Dahal - Interfaith Medical Center
Smith Giri - University of Tennessee Health Science Center
Ranjan Pathak - Reading Hospital
R. Gregory Bociek - University of Nebraska Medical Center
Peter T. Silberstein - CHI Health Creighton University Medical Center - Bergan Mercy
James O. Armitage - University of Nebraska Medical Center
Resource Type: Journal article
Publication Details: Therapeutic advances in hematology, Vol.6(5), pp.223-227
DOI: 10.1177/2040620715592568
PMID: 26425335
PMCID: PMC4556968
NLM abbreviation: Ther Adv Hematol
ISSN: 2040-6207
eISSN: 2040-6215
Language: English
Date published: 10/2015
Academic Unit: Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
Record Identifier: 9984359697902771

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