Posters

Presenting Author

Smaran Marupudi

Presenting Author Academic/Professional Position

Medical Student

Academic Level (Author 1)

Medical Student

Discipline/Specialty (Author 1)

Immunology and Microbiology

Academic Level (Author 2)

Medical Student

Discipline/Specialty (Author 2)

Immunology and Microbiology

Academic Level (Author 3)

Medical Student

Discipline/Specialty (Author 3)

Immunology and Microbiology

Academic Level (Author 4)

Medical Student

Discipline/Specialty (Author 4)

Immunology and Microbiology

Academic Level (Author 5)

Faculty

Discipline/Specialty (Author 5)

Surgery

Presentation Type

Poster

Discipline Track

Community/Public Health

Abstract Type

Research/Clinical

Abstract

Background: Non-melanoma skin cancer (NMSC) is among the most common malignancies, yet survival outcomes vary widely across regions due to disparities in access to healthcare, socioeconomic factors, and public health infrastructure. The Lower Rio Grande Valley (LRGV) region of South Texas, encompassing Starr, Willacy, Cameron, and Hidalgo counties, is a predominantly Hispanic, medically underserved region where residents face systemic barriers to dermatologic care and early cancer detection. This study aims to evaluate survival disparities in NMSC patients between the LRGV and other Texas counties, emphasizing the need to address these inequities.

Methods: We conducted a retrospective cohort analysis using data from the Texas Cancer Registry. The dataset included 4,017 patients diagnosed with skin carcinoma between 1995-2019, grouped into two cohorts: Group 1 (Starr, Willacy, Cameron, Hidalgo counties) and Group 2 (all other Texas counties). Survival months, defined as the duration from diagnosis to the last recorded follow-up or death (presumptive survival), were the primary outcome. Independent t-tests compared means, and Cohen’s d assessed the effect size.

Results: Group 1 patients (LRGV) had an average survival of 50.47 months, significantly shorter than Group 2’s 63.57 months (t = -2.99, p = 0.0032). The effect size (Cohen’s d = -2.99) indicates a large disparity, emphasizing significant regional differences in survival outcomes.

Conclusion: This study identifies substantial survival disparities among skin carcinoma patients in the RGV compared to the rest of Texas. These findings underscore the need for targeted interventions, such as early detection programs, enhanced access to dermatologic care, and culturally tailored public health initiatives.

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Disparities in Survival Among Skin Carcinoma Patients in South Texas Counties

Background: Non-melanoma skin cancer (NMSC) is among the most common malignancies, yet survival outcomes vary widely across regions due to disparities in access to healthcare, socioeconomic factors, and public health infrastructure. The Lower Rio Grande Valley (LRGV) region of South Texas, encompassing Starr, Willacy, Cameron, and Hidalgo counties, is a predominantly Hispanic, medically underserved region where residents face systemic barriers to dermatologic care and early cancer detection. This study aims to evaluate survival disparities in NMSC patients between the LRGV and other Texas counties, emphasizing the need to address these inequities.

Methods: We conducted a retrospective cohort analysis using data from the Texas Cancer Registry. The dataset included 4,017 patients diagnosed with skin carcinoma between 1995-2019, grouped into two cohorts: Group 1 (Starr, Willacy, Cameron, Hidalgo counties) and Group 2 (all other Texas counties). Survival months, defined as the duration from diagnosis to the last recorded follow-up or death (presumptive survival), were the primary outcome. Independent t-tests compared means, and Cohen’s d assessed the effect size.

Results: Group 1 patients (LRGV) had an average survival of 50.47 months, significantly shorter than Group 2’s 63.57 months (t = -2.99, p = 0.0032). The effect size (Cohen’s d = -2.99) indicates a large disparity, emphasizing significant regional differences in survival outcomes.

Conclusion: This study identifies substantial survival disparities among skin carcinoma patients in the RGV compared to the rest of Texas. These findings underscore the need for targeted interventions, such as early detection programs, enhanced access to dermatologic care, and culturally tailored public health initiatives.

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