Socioeconomic Impacts on Survival Differ by Race/Ethnicity among Adolescents and Young Adults with Non-Hodgkin's Lymphoma.

Journal of Cancer Epidemiology
Erin E KentHoda Anton-Culver

Abstract

Shorter survival has been associated with low socioeconomic status (SES) among elderly non-Hodgkin's lymphoma (NHL) patients; however it remains unknown whether the same relationship holds for younger patients. We explored the California Cancer Registry (CCR), to investigate this relationship in adolescent and young adult (AYA) NHL patients diagnosed from 1996 to 2005. A case-only survival analysis was conducted to examine demographic and clinical variables hypothesized to be related to survival. Included in the final analysis were 3,489 incident NHL cases. In the multivariate analyses, all-cause mortality (ACM) was higher in individuals who had later stage at diagnosis (P < .05) or did not receive first-course chemotherapy (P < .05). There was also a significant gradient decrease in survival, with higher ACM at each decreasing quintile of SES (P < .001). Overall results were similar for lymphoma-specific mortality. In the race/ethnicity stratified analyses, only non-Hispanic Whites (NHWs) had a significant SES-ACM trend (P < .001). Reduced overall and lymphoma-specific survival was associated with lower SES in AYAs with NHL, although a significant trend was only observed for NHWs.

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Citations

Aug 28, 2012·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Erin E KentHoda Anton-Culver
Mar 30, 2012·Journal of Cancer Survivorship : Research and Practice·Theresa H M KeeganUNKNOWN AYA HOPE Study Collaborative Group
Mar 16, 2012·Journal of Psychosocial Oncology·Erin E KentHoda Anton-Culver
Jan 14, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A M EvensB C-H Chiu
Mar 15, 2011·Blood·William A Wood, Stephanie J Lee
Oct 11, 2014·Journal of the National Cancer Institute·Arnold L PotoskyUNKNOWN AYA HOPE Study Collaborative Group
Apr 5, 2011·International Journal of Radiation Biology·Martin Blank, Reba Goodman
Jun 19, 2015·Cancer Causes & Control : CCC·Erin E KentNita L Seibel
Jun 13, 2017·Journal of Oncology Practice·Matthew C CheungSimron Singh
Jul 21, 2017·Blood·Kedar Kirtane, Stephanie J Lee
Feb 11, 2018·Journal of Cancer Survivorship : Research and Practice·Theresa H M KeeganTed Wun
Feb 9, 2012·British Journal of Cancer·B L FrederiksenP de Nully Brown
Mar 17, 2020·International Journal of Cancer. Journal International Du Cancer·Tahir TajOle Raaschou-Nielsen
Apr 18, 2018·Advances in Urology·Amanda F Saltzman, Nicholas G Cost
May 28, 2020·Journal of Adolescent and Young Adult Oncology·Ming LiDavid Currow
Apr 3, 2021·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Joseph A Vena, Linda C Copel
Mar 29, 2021·Seminars in Oncology Nursing·Joseph A Vena, Linda C Copel
Aug 1, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A M EvensB C-H Chiu

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