Endometrial cancer: socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival.
Journal Article (Journal Article)
Objective
We evaluated the association between socioeconomic status and racial/ ethnic differences in endometrial cancer stage at diagnosis, treatment, and survival.Methods
We conducted a population-based study among 3656 women.Results
Multivariate analyses showed that either race/ethnicity or income, but not both, was associated with advanced-stage disease. Age, stage at diagnosis, and income were independent predictors of hysterectomy. African American ethnicity, increased age, aggressive histology, poor tumor grade, and advanced-stage disease were associated with increased risk for death; higher income and hysterectomy were associated with decreased risk for death.Conclusions
Lower income was associated with advanced-stage disease, lower likelihood of receiving a hysterectomy, and lower rates of survival. Earlier diagnosis and removal of barriers to optimal treatment among lower-socioeconomic status women will diminish racial/ethnic differences in endometrial cancer survival.Full Text
Duke Authors
Cited Authors
- Madison, T; Schottenfeld, D; James, SA; Schwartz, AG; Gruber, SB
Published Date
- December 2004
Published In
Volume / Issue
- 94 / 12
Start / End Page
- 2104 - 2111
PubMed ID
- 15569961
Pubmed Central ID
- PMC1448599
Electronic International Standard Serial Number (EISSN)
- 1541-0048
International Standard Serial Number (ISSN)
- 0090-0036
Digital Object Identifier (DOI)
- 10.2105/ajph.94.12.2104
Language
- eng