BACKGROUND AND OBJECTIVES: Rural @entity1 have poor access to specialists and are less likely to receive evidence-based @entity5 care. We hypothesized that @entity157 ( @entity157 ) @entity1 from rural counties in Texas would be less likely to receive surgical therapy than those from urban areas. METHODS: The Texas @entity5 Registry was queried (2000-2008). County-level data included " @entity22550 and income variables derived by @entity10688 code. Surgical intervention included: (i) ablation, (ii) resection-partial or total lobectomy, or (iii) transplantation. A multinomial logistic regression was created to determine predictors of intervention. RESULTS: Five thousand thirty seven @entity157 @entity1 were identified (86% urban) for study. A multinomial regression demonstrated, older age, African-American race, and lower @entity146 . Younger age, female gender, Caucasian, and Asian/other race predicted surgical resection, or transplantation. Hispanic race was associated with lower likelihood of resection (RRR 0.75) and transplantation (RRR 0.74), whereas African-American race was associated with pronounced decrease for transplantation (RRR 0.48). Area of residency was not predictive of intervention. CONCLUSIONS: Rural residency did not decrease the likelihood of surgical intervention for @entity157 . Race and income continue to be associated with significant treatment disparity. Additional investigation should focus on factors that govern the selection of resection or transplantation for potentially eligible @entity1 . J. Surg. Oncol.    2015 Wiley Periodicals, Inc.

Race not rural residency is predictive of surgical treatment for @entity157 : Analysis of the Texas XXXX Registry.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity146 :: ('MESH:D001523', 'Disease') :: ['income reduced the likelihood of ablation'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'Cancer'] @entity10688 :: ('1613', 'Gene') :: ['zip'] @entity22550 :: ('MESH:C538276', 'Disease') :: ['rural or urban" designation'] @entity157 :: ('MESH:D006528', 'Disease') :: ['HCC', 'hepatocellular carcinoma']
@entity5 :: (MESH:D009369,Disease) :: ['Cancer']
