Racial disparities in treatment of high-grade endometrial cancer in the Medicare population

Obstetrics and Gynecology
J Alejandro Rauh-HainMarcela G Del Carmen

Abstract

To examine the patterns of care and survival for African American and white women with high-grade endometrial cancer. The linked Surveillance, Epidemiology, and End Results and Medicare databases were queried to identify patients diagnosed with grade 3 endometrioid endometrial adenocarcinoma, uterine carcinosarcoma, uterine clear cell carcinoma, and uterine serous carcinoma between 1992 and 2009. The effect of treatment modality on survival was analyzed using the Kaplan-Meier method. Factors predictive of outcome were compared using the Cox proportional hazards model. A total of 9,042 patients met study eligibility criteria. African Americans had definitive surgery (76.8% compared with 88.7%; P<.001) less frequently. There was no difference in the rate of adjuvant treatment between the groups. In the crude models for both all-cause mortality and cancer-specific mortality, African American women had an increased overall and disease-specific hazard of death compared with white women. The overall hazard ratio for African American women was 1.6 (95% confidence interval [CI] 1.5-1.7), and the disease-specific hazard ratio was 1.5 (95% CI 1.3-1.6). Over the entire study period, after adjusting for stage, age, period of diagnosis, reg...Continue Reading

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Citations

Mar 5, 2016·Frontiers in Oncology·Sudeshna ChatterjeeKevin Holcomb
Nov 10, 2015·Obstetrics and Gynecology·J Alejandro Rauh-HainMarcela G Del Carmen
Jan 31, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Allison A GockleyMarcela G del Carmen
Dec 31, 2016·American Journal of Obstetrics and Gynecology·Kemi M DollBarbara A Goff
Jan 25, 2017·Gynecologic Oncology Research and Practice·Jonathan R FooteLaura J Havrilesky
May 10, 2018·Obstetrics and Gynecology·Anna Jo Bodurtha Smith, Amanda N Fader
Jul 12, 2019·BMC Public Health·Brenna E BlackburnMia Hashibe
Feb 20, 2020·Nature Reviews. Urology·Paweł ŁaniewskiMelissa M Herbst-Kralovetz
Feb 16, 2016·American Journal of Obstetrics and Gynecology·Jason D WrightDawn L Hershman
Apr 20, 2016·Gynecologic Oncology·Talha ShaikhPenny R Anderson
Aug 5, 2021·Gynecologic Oncology Reports·Logan CoreySudeshna Bandyopadhyay
Nov 6, 2021·American Journal of Obstetrics and Gynecology·Logan CoreyIra Winer
Mar 7, 2020·American Journal of Obstetrics and Gynecology·Mara KaspersAshley S Felix

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