Differential burdens: A study of gastric cancer hospitalization and outcomes across race and ethnicities.

• DOI: 10.1200/jco.2024.42.3_suppl.256
• Publication Date: 2024-01-22T21:12:58Z
• Authors: Chun-Wei Pan; Alejandro Nieto D...; Ayobami Gbenga Ol...; Muhammad Bilal Ib...
• Keywords: Odds

256 Background: Despite advances in H. pylori screening and eradication, gastric cancer remains a significant public health issue as the 4th most common globally. Racial ethnic disparities disease presentation, surgical intervention, healthcare burden United States are not well understood. Methods: We retrospectively analyzed National Inpatient Sample data (2016-2020) for hospitalizations patients ≥18 years. Primary outcome was in-hospital mortality. Secondary outcomes included gastrectomy, length of stay (LOS), total hospital charges. Results: In our study, we 207,690 related to from 2016- 2019. Over this period, observed decrease cancer-related hospitalizations, 42,865 39,855. However, among Hispanics, there increase 6,309 6,930 cases (annual percentage change [APC] 1.89%, P<0.01). Notably, higher mortality odds African-American (AA) (aOR 1.15, 95CI: 1.03-1.29), Asian 1.23, 1.06-1.42), all other races 1.35, 1.13-1.60). Surgical interventions differed racial groups, with AA having lower undergoing gastrectomy 0.71, 0.60-0.86), Asians receiving partial 1.59, 1.41-1.78). LOS also differs between ethnicities, had highest 7.9±0.1d days, followed by Native American/Other (NA) at 7.5±0.2 days. The financial impact differs, incurring mean charges 101,436.8±3,253.5, NA 93,102.7±3,954.7. charge increased 3,682.8 million 3,880.0 (APC 1.04%). white population experienced burden, 1,879.2 1,990.0 1.10%). Conclusions: an overall study reveals notable across groups. Hospitalizations AA, Asians, faced odds. longest lengths stay, while bore These findings highlight need targeted mitigate these disparities.[Table: see text]