Association between sociodemographic variables and delayed patient presentation among surgical neuro-oncology patients in Mexico City: a single institution experience

• DOI: 10.1007/s11060-024-04827-8
• Publication Date: 2024-09-24T13:22:34Z
• Authors: Maria A. Punchak; Jose Alfonso Alva...; Jonathan Ramos Es...; Keren Magaly Agui...; Mauricio Macias Z...; Xymena Dominguez ...; Fernando Castro Soto; Mackenzie Castell...; Sergio Moreno-Jim...; Michael T. Lawton; Alfredo Quinones-...; Sonia Iliana Mejí...
• Keywords: Presentation (obstetrics)

Abstract Purpose Mexico has the second highest incidence of central and peripheral nervous system cancer cases in Latin America, but clinical research resources to improve oncologic care are biased towards high-income countries. We carried out a retrospective study identify sociodemographic factors associated with more severe presentation among surgical neuro-oncology who underwent surgery at major public referral hospital City. Methods The electronic medical record was reviewed all patients between January 1 December 31, 2022. Descriptive statistics were used characterize patient population outcomes; statistical analysis performed determine association variables advanced presentation. Results A total 366 during period. median age 48 (IQR 17–83). majority female (60.1, n = 220), single (51.4%, 188), 29.2% ( 107) endorsed being primary provider for their family. number dependents per 4 2–50), while monthly income 10269 Mexican pesos (MXN) 2000–13500] travel distance INNN 49 km 22–174). On multivariate analyses, having higher increased odds presenting longer symptom duration p 0.01). Divorced/separated status tumors > 35mL volume 0.04). Primary 0.01) average 0.03) decreased 35mL. Conclusions This is first recognize that certain patients. Further studies needed order decern specific causes delayed this create targeted interventions decrease delays care.