UNASSIGNED: CRA6009 Background: Studies have shown an association between @entity159 ( @entity159 ) and quality of oncology care, but less is known about the impact of @entity159 on decision-making about CT participation. METHODS: We assessed patterns of CT treatment decision-making according to important @entity159 and demographic factors (age, sex, race, income, education) in a large sample of @entity1 surveyed via a web-based treatment decision tool (NexCura, The Woodlands, TX). Eligible @entity1 had a new diagnosis of @entity0 , and were >18. Logistic regression (conditioning on type of @entity5 ) was used. Reasons for non-participation in CTs were assessed using pre-specified items about treatment, family, cost, and logistics. All data were self-reported. RESULTS: 5,499 @entity1 were surveyed from 2007-2011. 40% discussed CTs with their physician; this differed by age (42% <65 v. 29% >65), income (42% > 50k/yr v. 36% < 50k/yr), and education (42% >college degree (CD) v. 37% <CD). 45% of discussions led to offers of CT participation, and 51% of offers led to CT participation. The overall CT participation rate was 9%, differing by age, income, and education (see table below). In a multivariate model including all @entity159 and demographic factors (plus covariates comorbidity status and "distance to clinic", a surrogate for convenience), income remained a predictor of CT participation (OR 0.73, 95% CI, 0.57-0.94, p=.01). Even in @entity1 >65, who are nearly universally covered by Medicare, lower income predicted @entity146 (age by income interaction test, p>.05). Cost concerns were much more evident among lower income @entity1 (p=.0001). CONCLUSIONS: Lower income @entity1 were less likely to participate in CTs, even when considering age group.A better understanding of why income is a barrier may help identify ways to make CTs better available to all @entity1 , and would increase the generalizability of CT study results across all levels of @entity159 . [Table: see text].

Patterns of decision making about @entity5 clinical trial participation among the online XXXX treatment community: A collaboration between SWOG and NexCura.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast, lung, colorectal, or prostate cancer'] @entity146 :: ('MESH:D001523', 'Disease') :: ['reduced CT participation'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity159 :: ('MESH:D013226', 'Disease') :: ['SES', 'socioeconomic status']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
