Current impact of ureteral carcinoma amongst racial minorities: Analysis of the National Cancer Database.

• DOI: 10.1200/jco.2025.43.5_suppl.675
• Publication Date: 2025-02-18T14:43:07Z
• Authors: Christopher Edwards; Navid Leelani; Katiana Vazquez R...; Michael West; Benjamin Shpeen; Ariel Schulman
• Keywords: National database

675 Background: Upper tract cancer is a relatively uncommon type of genitourinary cancer. Lower socioeconomic status and racial disparities have long been associated with worse related outcomes for various types Our objective was to determine if minorities in the United States were more likely present ureteral stage II or greater. Methods: The National Cancer Database (NCDB) Hospital Comparison Benchmark Reports (HCBR) ureter from 2013 2022 reviewed. Demographic clinical data compared between races ethnicities affected any significant differences age, stage, insurance status, distance traveled, education at presentation. Patients stratified into two groups patients greater those less than Fischer’s exact test used compare proportion Caucasian against other ethnicities. Statistical significance defined as p<0.05. Results: Within NCDB HCBR database, there 26,153 carcinoma spanning 1,238 hospitals, males comprising 16, 435 (62.8%) females 9,718 (37.2%). included most cases 22,314 (86%), followed by African American 1,072 (4.17%), Hispanic 1,047 (4.08%), Asian Pacific Islander 871 (3.39%), Native 73 (0.28%). Overall distribution included—0: 9,342 (36.38%); I: 3,711 (14.45%); II: 2,443 (9.51%); III: 2,724 (10.61%); IV: 3,636 (14.16%). A higher Stage (43% vs 33.9%, p<0.001). Furthermore, invasive disease (73.6% 63.9%, found be uninsured Medicaid, educated household, travel longer distances care when (all Regarding presenting greater, no difference comparing versus American, Hispanic, patients. Conclusions: their counterparts. Future directions exploring factors affecting these at-risk vital properly redirecting resources improving disparities.