title: Racial Disparities in Health-Related Quality of Life After Lung Cancer Surgery: Findings From the Cancer Care Outcomes Research and Surveillance Consortium.
abstract: BACKGROUND
  This study investigated racial disparities in postsurgical health-related quality of life (HRQOL) among patients with non-small-cell lung cancer (NSCLC).
  
  
  METHODS
  Data were collected by the Cancer Care Outcomes Research and Surveillance Consortium. Inclusion criteria were greater than or equal to 21 years of age, NSCLC, and receipt of surgery. HRQOL data were available from patients' surveys, and complete medical record abstraction was performed to obtain clinical data. HRQOL was assessed by the physical/mental component summary scores (PCS/MCS) of the 12-item Short-Form Health Survey at two time points. Mean time between surgery and the initial assessment (time 1) after surgery was 4.1 (SD 2.2) months and between surgery and second assessment (time 2) was 12.7 (SD 3.8) months. Multivariable linear regression models were used to examine associations between race and HRQOL.
  
  
  RESULTS
  Of 650 patients, 80.5% were White, 8.8% Black, and 10.7% other races. At second assessment, Blacks reported lower MCS than Whites (47.4 versus 52.6, p = 0.002). In multivariable analysis, Blacks had lower MCS compared with Whites. No difference was found between Whites and Blacks on PCS. Those with less than high school education reported lower MCSs. Older age and receipt of adjuvant chemotherapy after surgery were associated with gain in MCS. Male, less than college education, and comorbidities were associated with impaired PCS. Older age was associated with improved PCS.
  
  
  CONCLUSIONS
  Racial disparities exist in postoperative mental HRQOL. Results highlight the need for interventions after lung cancer surgery to improve mental health in Black and younger patients.
authors.affiliation: *College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts; †Department of Mathematics and Computer Science, College of the Holy Cross, Worcester, Massachusetts; ‡RTI International, Waltham, Massachusetts; §Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana Farber Cancer Institute, Boston, Massachusetts; and ‖Henry Ford Health System, Detroit, Michigan.
authors.forename: Hermine
authors.initials: H
authors.lastname: Poghosyan
authors.forename: Shannon
authors.initials: S
authors.lastname: Stock
authors.forename: Lisa
authors.initials: L
authors.lastname: Kennedy Sheldon
authors.forename: Jerry
authors.initials: J
authors.lastname: Cromwell
authors.forename: Mary E
authors.initials: ME
authors.lastname: Cooley
authors.forename: David R
authors.initials: DR
authors.lastname: Nerenz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000208:ethnology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D014481:United States / Q000453:epidemiology; D055815:Young Adult