Social Determinants of Health Influence on Survival in Wilms Tumor, Neuroblastoma, and Hepatoblastoma
hosted by Dr. Sophia Schermerhorn · StayCurrentMD
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Study was a retrospective analysis of 12,000 patients with neuroblastoma, Wilms tumor, and hepatoblastoma from the National Cancer Database
Socioeconomic disadvantage score was created for each patient based on median household income and education level in their local communities
The most disadvantaged children were more likely to have worse survival for Wilms tumor and neuroblastoma
After adjusting for tumor size, grade, treatment, and comorbidities, socioeconomic effects on survival remained present
Hazard ratio for socioeconomic disadvantage was 2.02 for Wilms tumor
Hazard ratio for socioeconomic disadvantage was 1.29 for hepatoblastoma
Pediatric oncology outcomes depend on tumor biology, treatment received, and social determinants of health
Identifying socioeconomic risk factors is necessary to close equity gaps and improve survival for all children with solid tumors