Work

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

Year: 2024

Type: article

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.

Source: Urologia Journal

DOI: 10.1177/03915603241282407

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

Institutions: Brown University, Miriam Hospital

Language: English

Topic: Bladder and Urothelial Cancer Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: bronze

Funder: Brown University