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Disparities in minimally invasive surgery for early NSCLC are influenced by demographic and patient-specific factors, according to results published in JTCVS Open. Aminah Sallam, MD, and colleagues examined receipt of minimally invasive surgery for stage 1 and 2 NSCLC among 130,452 patients in the National Cancer Database, including 67,046 (51%) who underwent open surgery, 43,849 (34%) who had video-assisted thorascopic surgery, and 19,557 (15%) who had robotic surgery. Black patients were less likely to receive minimally invasive surgery than White patients (adjusted OR [aOR], 0.895 [95% CI, 0.858-0.934]; P<0.001). However, this finding did not retain significance after adjustment for census tract income. Black patients were significantly more likely to live in lower-income census tracts and be underinsured; these factors were significantly associated with reduced access to minimally invasive surgery. Patients undergoing open surgery had worse adjusted 30-day and 90-day mortality compared to those who underwent minimally invasive surgery. Mortality was associated with census tract income level and insurance status (P<0.001).