County-Level Structural Racism Indices and Racial Disparities in Lung Cancer Care

Is structural racism associated with quality of care and outcomes for Black and White patients with non–small cell lung cancer (NSCLC)?In this cross-sectional study of 54 344 adults with NSCLC, areas with the highest structural racism showed the largest differences in the percentage of Black compared with White patients diagnosed at a localized stage (10.6% lower among Black patients) and who survived 2 years after diagnosis (10.0% lower among Black patients).These findings suggest that quantifying structural racism and its association with NSCLC care delivery may identify targets that allow for improvement in the quality of cancer care and mitigation of racial disparities.

Corresponding Author: Jacquelyne J. Gaddy, MD, Department of Internal Medicine, Yale School of Medicine, 333 Cedar St, New Haven, CT 06510 (Jacquelyne.gaddy@yale.edu).

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