{"doi":"10.1016/j.cllc.2024.02.009","title":"Lung Cancer Survival Trends in the Veterans Health Administration","abstract":"INTRODUCTION: Lung cancer survival is improving in the United States. We investigated whether there was a similar trend within the Veterans Health Administration (VHA), the largest integrated healthcare system in the United States. MATERIALS AND METHODS: Data from the Veterans Affairs Central Cancer Registry were analyzed for temporal survival trends using Kaplan-Meier estimates and linear regression. RESULTS: A total number of 54,922 Veterans were identified with lung cancer diagnosed from 2010 to 2017. Histologies were classified as non-small-cell lung cancer (NSCLC) (64.2%), small cell lung cancer (SCLC) (12.9%), and 'other' (22.9%). The proportion with stage I increased from 18.1% to 30.4%, while stage IV decreased from 38.9% to 34.6% (both P < .001). The 3-year overall survival (OS) improved for stage I (58.6% to 68.4%, P < .001), stage II (35.5% to 48.4%, P < .001), stage III (18.7% to 29.4%, P < .001), and stage IV (3.4% to 7.8%, P < .001). For NSCLC, the median OS increased from 12 to 21 months (P < .001), and the 3-year OS increased from 24.1% to 38.3% (P < .001). For SCLC, the median OS remained unchanged (8 to 9 months, P = .10), while the 3-year OS increased from 9.1% to 12.3% (P = .014). Compared to White Veterans, Black Veterans with NSCLC had similar OS (P = .81), and those with SCLC had higher OS (P = .003). CONCLUSION: Lung cancer survival is improving within the VHA. Compared to White Veterans, Black Veterans had similar or higher survival rates. The observed racial equity in outcomes within a geographically and socioeconomically diverse population warrants further investigation to better understand and replicate this achievement in other healthcare systems.","journal":"Clinical Lung Cancer","year":2024,"id":434896,"datarank":0.49351084337382717,"base_score":2.5649493574615367,"endowment":2.5649493574615367,"self_citation_contribution":0.38474240361923057,"citation_network_contribution":0.1087684397545966,"self_endowment_contribution":0.38474240361923057,"citer_contribution":0.1087684397545966,"corpus_percentile":61.15881488357701,"corpus_rank":5022,"citation_count":12,"citer_count":12,"citers_with_citation_signal":5,"citers_with_endowment":5,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5492,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1241641,"name":"J. R. Taylor","orcid":"0000-0002-1918-4300","position":1,"is_corresponding":false},{"id":263868,"name":"Alex K. Bryant","orcid":"0000-0003-0194-8381","position":2,"is_corresponding":false},{"id":263866,"name":"Lucas K. Vitzthum","orcid":"0000-0003-2033-6874","position":3,"is_corresponding":false},{"id":380162,"name":"Nikhil Sebastian","orcid":"0000-0002-3977-7867","position":4,"is_corresponding":false},{"id":407716,"name":"David A. Gutman","orcid":"0000-0002-1386-8701","position":5,"is_corresponding":false},{"id":1242090,"name":"Abigail Burns","orcid":null,"position":6,"is_corresponding":false},{"id":672988,"name":"Zhonglu Huang","orcid":null,"position":7,"is_corresponding":false},{"id":371557,"name":"Jennifer A. Lewis","orcid":"0000-0002-4234-1765","position":8,"is_corresponding":false},{"id":371558,"name":"Lucy B. Spalluto","orcid":"0000-0002-9821-3498","position":9,"is_corresponding":false},{"id":242795,"name":"Christina D. Williams","orcid":"0000-0002-6925-3482","position":10,"is_corresponding":false},{"id":337425,"name":"Donald R. Sullivan","orcid":"0000-0003-3266-3389","position":11,"is_corresponding":false},{"id":337424,"name":"Christopher G. Slatore","orcid":"0000-0003-0958-8122","position":12,"is_corresponding":false},{"id":69837,"name":"Madhusmita Behera","orcid":"0000-0003-1121-6002","position":13,"is_corresponding":false},{"id":465984,"name":"William A. Stokes","orcid":"0000-0002-1616-7046","position":14,"is_corresponding":false},{"id":371565,"name":"Drew Moghanaki","orcid":"0000-0002-5129-2184","position":0,"is_corresponding":true}],"reference_count":28,"raw_metadata":null,"created_at":"2026-07-19T01:59:58.582186Z","pmid":"38553325","pmcid":"PMC11098707","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}