Investigating the association between blue light cystoscopy utilization and social determinants of health.

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urologia Journal Pub Date : 2024-09-19 DOI:10.1177/03915603241282407

Vikas Bhatt, Kamil Malshy, Alexander Homer, Borivoj Golijanin, Dragan Golijanin

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Abstract

Introduction: Blue light cystoscopy (BLC) improves bladder cancer (BCa) detection. No studies have evaluated socioeconomic inequity in the utilization of BLC.

Methods: An institutional bladder tumor (TURBT) database (2016-2023) was retrospectively reviewed and BLC and white light cystoscopy (WLC) recipients were compared. Demographic and insurance data were collected. Socioeconomic Status (SES) was determined using a validated national and Rhode Island Area Deprivation Index (ADI).

Results: 2122 Rhode Island patients underwent TURBT and 32.23% had BLC. BLC recipients were younger (mean age 71.5 vs 73.8 years, p < 0.001), more likely married (69.6% vs 57.2%, p < 0.001), more likely English speakers (93.3% vs 91.9%, p = 0.015), and more likely to have private insurance (34.2% vs 27%, p = 0.001). BLC recipients had less socioeconomic disadvantage (p < 0.001): lower mean National (36.2 vs 38.7) and State (4.8 vs 5.2) ADI.

Conclusion: SES is associated with BLC utilization, which may negatively influence BCa outcomes.

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调查蓝光膀胱镜检查的使用与健康的社会决定因素之间的关联。

简介蓝光膀胱镜检查（BLC）可提高膀胱癌（BCa）的检测率。目前还没有研究对使用蓝光膀胱镜的社会经济不平等现象进行评估：方法：回顾性审查了一家机构的膀胱肿瘤（TURBT）数据库（2016-2023 年），并比较了蓝光膀胱镜和白光膀胱镜（WLC）的接受者。收集了人口统计学和保险数据。结果：2122 名罗德岛患者接受了 TURBT，其中 32.23% 接受了白光膀胱镜检查。接受 BLC 的患者更年轻（平均年龄 71.5 岁对 73.8 岁，P = 0.015），更有可能拥有私人保险（34.2% 对 27%，P = 0.001）。接受 BLC 者的社会经济地位较低（P 结论：社会经济地位与 BLC 的使用有关：社会经济地位与 BLC 的使用有关，这可能会对 BCa 的结果产生负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Journal UROLOGY & NEPHROLOGY-

CiteScore

0.60

自引率

12.50%

发文量