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Racial Differences Pertaining to a Belief about Lung Cancer Surgery: Results of a Multicenter Survey

Mitchell L. Margolis, MD; Jason D. Christie, MD, MS; Gerard A. Silvestri, MD; Larry Kaiser, MD; Silverio Santiago, MD; and John Hansen-Flaschen, MD
[+] Article and Author Information

From the University of Pennsylvania and Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania; Medical University of South Carolina, Charleston, South Carolina; and Los Angeles Veterans Affairs Medical Center, Los Angeles, California.


Presented in part at the national meeting of the American Thoracic Society, Toronto, Ontario, Canada, 6–10 May 2000.

Acknowledgments: The authors thank Rachel Bagelman, BS; Luis Seijo, MD; Kate Lindell, MSN, RN; Judy Shea, PhD; Christy Gaughan, MS; and Sandy Masiak, BS, for assistance with data collection and analysis. They also thank Katrina Armstrong, MD, and Ellyn Micco, BS, for helpful suggestions and Brian Strom, MD, MPH, and David Asch, MD, for a critical review of the manuscript.

Grant Support: In part by a locally initiated project grant from the Veterans Affairs Health Services Research and Development Service.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Mitchell L. Margolis, MD, Pulmonary Section, Philadelphia Veterans Affairs Medical Center, Room 8A112, University and Woodland Avenues, Philadelphia, PA 19104.

Current Author Addresses: Dr. Margolis: Pulmonary Section, Philadelphia Veterans Affairs Medical Center, Room 8A112, University and Woodland Avenues, Philadelphia, PA 19104.

Dr. Christie: Pulmonary, Critical Care, and Allergy Section, Department of Biostatistics and Epidemiology, University of Pennsylvania, 719 Blockley Hall, Philadelphia, PA 19104.

Dr. Silvestri: Pulmonary and Critical Care Medicine, Allergy, and Clinical Immunology, 96 Jonathan Lucas Street, Suite 812 CSB, PO Box 250623, Charleston, SC 29425.

Dr. Kaiser: Department of Surgery, University of Pennsylvania, 6 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

Dr. Santiago: Pulmonary and Critical Care Section, West Los Angeles Veterans Affairs Medical Center, 11301 Wilshire Boulevard, Los Angeles, CA 90073.

Dr. Hansen-Flaschen: Pulmonary, Critical Care, and Allergy Section, University of Pennsylvania, 8th Floor, Maloney Building, 3400 Spruce Street, Philadelphia, PA 19104.

Author Contributions: Conception and design: M.L. Margolis, J.D. Christie, G.A. Silvestri, J. Hansen-Flaschen.

Analysis and interpretation of the data: M.L. Margolis, J.D. Christie, G.A. Silvestri.

Drafting of the article: M.L. Margolis, J.D. Christie, G.A. Silvestri.

Critical revision of the article for important intellectual content: M.L. Margolis, J.D. Christie, G.A. Silvestri, L. Kaiser, J. Hansen-Flaschen.

Final approval of the article: M.L. Margolis, J.D. Christie, G.A. Silvestri, L. Kaiser, S. Santiago, J. Hansen-Flaschen.

Provision of study materials or patients: M.L. Margolis, G.A. Silvestri, L. Kaiser, S. Santiago, J. Hansen-Flaschen.

Statistical expertise: M.L. Margolis, J.D. Christie, S. Santiago.

Obtaining of funding: M.L. Margolis.

Administrative, technical, or logistic support: M.L. Margolis, L. Kaiser, J. Hansen-Flaschen.

Collection and assembly of data: M.L. Margolis, G.A. Silvestri.


Ann Intern Med. 2003;139(7):558-563. doi:10.7326/0003-4819-139-7-200310070-00007
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We received 626 completed surveys of 652 that were distributed; 96% of respondents answered at least three quarters of the questions. Respondents included 251 VA patients (153 from Philadelphia and 98 from Los Angeles), 151 pulmonary outpatients and 127 thoracic surgery outpatients at the University of Pennsylvania, and 97 chest cancer clinic patients from the Medical University of South Carolina. Four percent of clinic attendees declined to participate.

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Summary for Patients

Patient Beliefs about Lung Cancer Surgery

The summary below is from the full report titled “Racial Differences Pertaining to a Belief about Lung Cancer Surgery. Results of a Multicenter Survey.” It is in the 7 October 2003 issue of Annals of Internal Medicine (volume 139, pages 558-563). The authors are M.L. Margolis, J.D. Christie, G.A. Silvestri, L. Kaiser, S. Santiago, and J. Hansen-Flaschen.

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