Musculoskeletal Tumor Care Disparities Prior to Initiation of Treatment Among Newly Diagnosed Adult Patients Article Swipe
Li Li
,
Nam Q. Bui
,
Everett J. Moding
,
Robert Steffner
,
David G. Mohler
,
Kristen N. Ganjoo
,
Minggui Pan
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/cancers17091519
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/cancers17091519
Purpose: We investigated care disparities and associated factors along the segments of adult musculoskeletal tumor (MST) care prior to initiation of treatment. Patients and Methods: This cohort included newly diagnosed MST patients who were referred to Stanford Medical Center for establishing care from July 2020 to April 2024. We investigated the interval from the onset of symptoms to the first appointment with a primary care provider (PCP wait-time), and the interval from first PCP appointment to obtaining the first imaging study (imaging wait-time) and to obtaining biopsy results (biopsy wait-time). Sarcoma consult wait-time was defined as the interval between referral date and consult date. We performed a survey among sarcoma physicians and non-physician staff on the perception of wait-time. Results: Among 402 eligible patients, approximately 38.5% had PCP a wait-time longer than 5 weeks, with young adults and Hispanic patients having the highest rate of such long wait-times. Approximately 20.6% of patients had an imaging wait-time longer than 5 weeks, with young adults having the highest proportion of such long wait-times. In addition, Hispanic (p = 0.02), Black (p = 0.05) and Caucasian (p = 0.02) patients had significantly higher percentages of patients with an imaging wait-time of more than 5 weeks compared to Asians. Approximately 79.3% of patients had a biopsy wait-time longer than 5 weeks, with Black and Hispanic patients having the highest percent of such long wait-times. In addition, compared to public insurance, private insurance was associated with a higher proportion of patients with PCP wait-times, imaging wait-times, sarcoma consult wait-times and biopsy wait-times longer than 5 weeks. The survey responses overwhelmingly indicated that a wait-time of more than 5 weeks was not acceptable. Conclusions: Substantial disparities in MST care related to age group, ethnicity and insurance type existed in multiple segments of the care journey prior to the initiation of treatment. Our study provides insights for practice, research and policy considerations for narrowing sarcoma care disparities.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/cancers17091519
- https://www.mdpi.com/2072-6694/17/9/1519/pdf?version=1746004498
- OA Status
- gold
- Cited By
- 1
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409965784
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4409965784Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/cancers17091519Digital Object Identifier
- Title
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Musculoskeletal Tumor Care Disparities Prior to Initiation of Treatment Among Newly Diagnosed Adult PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-30Full publication date if available
- Authors
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Li Li, Nam Q. Bui, Everett J. Moding, Robert Steffner, David G. Mohler, Kristen N. Ganjoo, Minggui PanList of authors in order
- Landing page
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https://doi.org/10.3390/cancers17091519Publisher landing page
- PDF URL
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https://www.mdpi.com/2072-6694/17/9/1519/pdf?version=1746004498Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2072-6694/17/9/1519/pdf?version=1746004498Direct OA link when available
- Concepts
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Medicine, Referral, Biopsy, Sarcoma, Young adult, Emergency medicine, Pediatrics, Internal medicine, Family medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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40Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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