Objective – To determine the impact of distance on cervical cancer outcomes in addition to identifying potential factors by exploring age-specific differences Methods –Using the National Cancer Database (NCDB) for the years 2004 to 2013, cervical cancer incidence and mortality rates were calculated, and potential factors were investigated by using multivariable logistic regression analysis. Results – A total of 90,076 white and black women (≥20 years old) were diagnosed with cervical cancer from 2004 to 2013 (82.7% and 17.3% respectively). Race, region, insurance, income, facility type, comorbidity, cancer stage, age, and year of diagnosis were significantly associated with cervical cancer mortality. Only cancer stage was significantly associated with mortality for both white and black women across age groups. Race, insurance, facility type, comorbidity, cancer stage, distance to hospital, and age were significantly associated with five-year survival rates. Conclusions – This study confirmed the impact of distance to hospital on five-year survival rates. Both white and black women living more than 50 miles away showed significant lower five-year survival rates than those who lived in less than 10 miles (OR=0.82, 95% CI 0.73 to 0.91; OR=0.59, 95% CI 0.45 to 0.77 respectively).
Citation Format: Hyungkyung Park, Zhixin Wang, Chenguang Wang, Warner Huh, Sejong Bae. The impact of distance to hospital on cervical cancer outcomes [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr D091.