Impact of race and ethnicity on outcomes and health care utilization after allogeneic hematopoietic cell transplantation. Issue 4 (April 2015)

• Record Type: Journal Article
• Authors: Khera, Nandita; Chang, Yu-Hui; Slack, James; Fauble, Veena; Leis, Jose F.; Noel, Pierre; Sproat, Lisa; Palmer, Jeanne; Adams, Roberta; Fitch, Tom; Northfelt, Donald; Guy, Mignonne; Tilburt, Jon; Mikhael, Joseph
• Is Part Of: Leukemia & lymphoma. Volume 56:Issue 4(2015:Apr.)
• Page Start: 987
• Page End: 992
• Publication Date: 2015-04
• Subjects: Leukemia -- Periodicals; Lymphomas -- Periodicals; 616.99419
• DOI: 10.3109/10428194.2014.941834
• Languages: English
• ISSNs: 1042-8194

Abstract

<abstract> <title>Abstract</title> <p>Disparities in outcomes after hematopoietic cell transplant (HCT) are reported mostly by registry studies. We examined the association of self-reported race and ethnicity with outcomes and health care utilization after allogeneic HCT in a single center study. Clinical and socioeconomic data of 296 adult patients who underwent allogeneic HCT from November 2003 to October 2012 were analyzed. Survival was compared between non-Hispanic Whites (NHW) and minority patients using Cox proportional hazards regression. Some 73% of patients were NHW and 27% were racial/ethnic minority patients. More minority patients were younger and had lower socioeconomic status. Both unadjusted and adjusted overall and progression-free survival were comparable between the two groups. High risk disease, poor performance score and Medicare/Tricare were significant predictors of mortality. Health care utilization was comparable between the two groups. Homogeneity of medical care for allogeneic HCT may help overcome racial/ethnic disparities, but not those due to patients' primary insurance.</p> </abstract>