Endometrial cancer: socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival.

• Autores: Terri Madison, David Schottenfeld, Sherman A. James, Ann G Schwartz, Stephen B Gruber
• Localización: American journal of public health, ISSN 0090-0036, Vol. 94, Nº. 12, 2004, págs. 2104-2111
• Idioma: inglés
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• Resumen

  • 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.;