Using EHR Data to Identify Social Determinants of Health Affecting Disparities in Cancer Survival

Wanting Cui, Joseph Finkelstein

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations

Abstract

The aim of this pilot study was to identify social determinants of health (SDH) that affect disparities in cancer survival. A limited dataset was generated by querying electronic medical records (EHR) from an academic medical center in New York City between January 2003 and November 2020. Socio-demographic characteristics that affected survival in 22,096 cancer patients were analyzed using descriptive statistics and logistic regression analyses. Two subsets of adult patients were identified: patients who were deceased less than 1 year after diagnosis and patients who survived over 5 years after diagnosis. Percentage of individuals with short survival in Blacks and Whites was respectively 41.4% and 22.2% for lung cancer, 9.8% and 7.1% for colorectal cancer, 2.9% and 0.7% for breast cancer, 6.8% and 4.0% for multiple myeloma, and 1.4% and 0.8% for prostate cancer. Logistic regression identified SDH factors increasing likelihood of shorter survival that included older age, and being male, Black or Hispanic. We concluded that further analysis of a broader spectrum of SDH factors is warranted.

Original languageEnglish
Title of host publicationMEDINFO 2021
Subtitle of host publicationOne World, One Health - Global Partnership for Digital Innovation - Proceedings of the 18th World Congress on Medical and Health Informatics
EditorsPaula Otero, Philip Scott, Susan Z. Martin, Elaine Huesing
PublisherIOS Press BV
Pages967-971
Number of pages5
ISBN (Electronic)9781643682648
DOIs
StatePublished - 6 Jun 2022
Event18th World Congress on Medical and Health Informatics: One World, One Health - Global Partnership for Digital Innovation, MEDINFO 2021 - Virtual, Online
Duration: 2 Oct 20214 Oct 2021

Publication series

NameStudies in Health Technology and Informatics
Volume290
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference18th World Congress on Medical and Health Informatics: One World, One Health - Global Partnership for Digital Innovation, MEDINFO 2021
CityVirtual, Online
Period2/10/214/10/21

Keywords

  • Cancer survival
  • EHR
  • health disparities

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