Abstract A87: Cardiovascular disease (CVD) and hospitalization costs among lung cancer patients: Examining the effect of race and gender

Objective: Delineate race and gender variations in cardiovascular disease associated with lung cancer and hospitalization cost of Tennessee lung cancer patients in 2008. Methods: We examined Tennessee Hospital Discharge Database for2008 for patients (aged 20+) discharged with a primary diagnosis of lung cancer (LC). The LC patient sample (n= 6665) included black males (BM; n=494), white males (WM; n=3286), black females (BF; n=387); and white females (WF; n=2498). For each patient, we extracted data on cardiovascular risk factors and hospitalization costs for the entire year of 2008. Age-adjusted hospitalization rate for lung cancer (LC) per 100K 2000 US population for white and black as well as male & female groups were developed per CDC methodology. To delineate CVD risk factors, multivariate logistic models were used for each group separately to determine CVD risk factors of LC. Results: Our analyses revealed four major trends: (i) Age-adjusted LC rates were higher for blacks and males compared to white and females; (ii) LC patients had an average of 3 co-morbid conditions which varied from 3 conditions among WM, to 2.86 among BF, 2.75 among BM, and 2.70 among WF; (iii) Regression analyses revealed COPD predicted LC for all four groups. In addition, BM had cardiac arrhythmia and high cholesterol, The same factors were associated with LC among both WM and WF. Among BF, hypertension and COPD predicted higher rates of LC; and (iv) hospitalization cost for the year was highest among BF ($97,085) and lowest among WF ($66,758). Among males, the cost was higher among BM compared to WM ($91,384 vs. 71,716, p Conclusion: Lung cancer rates and hospitalization costs are higher for blacks. While males have higher LC rate compared to females, the hospitalization costs are similar among them. COPD, cardiac arrhythmia, and high cholesterol are CVD factors that are associated with lung cancer and need to be aggressive managed through intensive population-based education programs in the minority populations. Citation Format: Baqar Husaini, Rebecca Selove, Elizabeth Williams, Meggan Novotny, Janice Emerson, Van Cain, Margaret Whalen, Robert Levine. Cardiovascular disease (CVD) and hospitalization costs among lung cancer patients: Examining the effect of race and gender. [abstract]. In: Proceedings of the Seventh AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; Nov 9-12, 2014; San Antonio, TX. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2015;24(10 Suppl):Abstract nr A87.