MP2-13 INCIDENCE OF THROMBOEMBOLIC EVENTS AFTER MAJOR ONCOLOGIC UROLOGIC SURGERY IS UNDERESTIMATED IN THE PERIOPERATIVE PERIOD: ANALYSIS OF A NATIONAL DATABASE

Abstract

Thus, the objective of this study was to analyze the socioeconomic demographics of patients with UTM and DTM. METHODS: All 17 registries comprising the Surveillance Epidemiology and End Results (SEER) database were analyzed from 1988 2008. Patients with descended or undescended testis and a diagnosis of nonseminomatous or seminomatous germ cell tumor were identified. Patients classified as testis not otherwise specified were grouped with DTM. Variables of interest included census county data for % foreign born, educational attainment (less than 9th grade vs less than high school), poverty level, median family income, % unemployed, ethnic or racial minority and rural/urban (populations rural 20,000; metropolitan 1,000,000; unknown/missing/Alaska). Multivariate analysis was used to assess the above variables according to their quartile range and risk of UTM. RESULTS: There were 27,831 (98.3%) men with DTM and 496 (1.7%) men with UTM who comprised the study cohort. Compared to patients with DTM, patients with UTM were more commonly from counties with higher % foreign born (19.9% vs. 17.1%, p 1 million people) communities (p1⁄40.02). On multivariate analysis, residing in a county with greater foreign born inhabitants was associated with greater odds of UTM (highest quartile vs. lowest quartile e OR 1.33, 95% CI 1.004 1.759). CONCLUSIONS: Patients with UTM are more commonly from regions with a greater proportion of foreign born and minority inhabitants, poorer and less educated. These results suggest that indicators of lower SES are associated with UTM and outcomes may be linked to access to adequate healthcare.