Survival Impact and Sociodemographic Correlates of Colon Cancer Surgery Refusal
Sociodemographic factors such as older age, Black race, female sex, lower income, non-private insurance, and non-Hispanic ethnicity were associated with higher refusal rates. Patients who refused surgery had lower five-year survival (55%) compared to those who underwent surgery (66%), underscoring the survival benefit of surgical intervention. These findings highlight the need for targeted efforts to reduce treatment disparities and improve education on treatment outcomes.
Authors
- Ramin Shekouhi (ORCID: https://orcid.org/0000-0002-3784-5280)
- Syeda Hoorulain Ahmed (ORCID: https://orcid.org/0000-0002-8234-2586)
- P. Jiménez (ORCID: https://orcid.org/0009-0006-3226-8855)
- Emmanuel M Gabriel (ORCID: https://orcid.org/0000-0001-8570-4784)
- Bansi Savaliya
- Anjali Yadav (ORCID: https://orcid.org/0000-0001-7355-6411)
- Berkay Demirors
- Reed Popp
- V. Mahesh
- John Waite Bowers
- ESINAM P. EKPEH
- Guido Chiriboga
- Angel Aguayo Merly
Institutions
- Florida State University (US)
- University of North Florida (US)
- Geisinger Medical Center (US)
- Florida A&M University - Florida State University College of Engineering (US)
- University of Puerto Rico System (PR)
- Jacksonville College (US)
- University of Florida (US)
- Government Medical College and Hospital (IN)
- Mayo Clinic in Arizona (US)
- University of Pittsburgh Medical Center (US)
- Mayo Clinic in Florida (US)
- Louisiana State University Health Sciences Center New Orleans (US)
- Florida College (US)
Publication Details
- Journal
- Anticancer Research
- Published
- 2025-09-26
- DOI
- https://doi.org/10.21873/anticanres.17781
- Primary Topic
- Colorectal Cancer Screening and Detection
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Cancer Institute