Tertiary center referral patterns for patients with myelodysplastic syndrome are indicative of age and race disparities: A single-institution experience

Dan P. Zandberg, Franklin Hendrick, Emily Vannorsdall, Jason Bierenbaum, Michael L. Tidwell, Yi Ning, Xianfeng Frank Zhao, Amy J. Davidoff, Maria R. Baer

Research output: Contribution to journalReview articlepeer-review

Abstract

Little is known about disparities in myelodysplastic syndromes (MDS). We performed a retrospective chart review of patients with MDS (n = 252) evaluated at the University of Maryland Greenebaum Cancer Center between 2000 and 2010. The median age at diagnosis was 65 years, which was lower than the median age of 76 years for patients with MDS in the Surveillance, Epidemiology and End Results database. Black males were younger than white males (62 vs. 68 years; p = 0.03) and had longer time to referral (9 vs. 1.5 months; p = 0.03), but black and white females did not differ in age or in time to referral. A difference in World Health Organization subtype classification was noted in black and white patients at diagnosis, but not at referral. There was no difference between all other pretreatment characteristics, treatment and survival by race. Our data suggest barriers to tertiary care referral for older patients and for black males.

Original languageEnglish (US)
Pages (from-to)304-309
Number of pages6
JournalLeukemia and Lymphoma
Volume54
Issue number2
DOIs
StatePublished - Feb 2013

Keywords

  • Age
  • Cytogenetics
  • Myelodysplastic syndrome
  • Race
  • Referral patterns
  • Survival
  • Treatment

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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