ASO Author Reflections: Minority-Serving Hospitals are Associated with Lower Likelihood of Providing NCCN Guideline Compliant Care to Patients with Resectable Cholangiocarcinoma

Abstract

In the United States, significant disparities in treatment and outcomes of patients with cancer have been reported based on race/ethnicity., 2 Minority-serving hospitals (MSH)—i.e., institutions that serve a disproportionally high number of minority populations—have been associated with a lower likelihood of providing guideline compliant care among patients with cancer that may lead to inferior outcomes. Due to the poor prognosis of patients with cholangiocarcinoma (CCA), the National Comprehensive Cancer Network (NCCN) recommends multimodality therapy with adjuvant chemotherapy or chemoradiation for a subset of patients with CCA who are at high risk for adverse outcomes. The objective of this study was to examine whether MSH were associated with lower rates of NCCN guideline compliant care among patients with resectable CCA. In addition, we sought to examine whether compliance with NCCN guidelines translated into improved outcomes among patients with resected CCA. PRESENT