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. 2004 Dec;94(12):2104-11.
doi: 10.2105/ajph.94.12.2104.

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

Terri Madison  1 , David Schottenfeld, Sherman A James, Ann G Schwartz, Stephen B Gruber
Affiliations

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

Terri Madison et al. Am J Public Health. 2004 Dec.

Abstract

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.

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Figures

FIGURE 1—
FIGURE 1—
Survival, overall and by stage at diagnosis, among African American and White women who had endometrial cancer in the Detroit tri-county area, 1990–1998: (a) all stages combined, (b) local, (c) regional, (d) distant.
FIGURE 1—
FIGURE 1—
Survival, overall and by stage at diagnosis, among African American and White women who had endometrial cancer in the Detroit tri-county area, 1990–1998: (a) all stages combined, (b) local, (c) regional, (d) distant.
FIGURE 1—
FIGURE 1—
Survival, overall and by stage at diagnosis, among African American and White women who had endometrial cancer in the Detroit tri-county area, 1990–1998: (a) all stages combined, (b) local, (c) regional, (d) distant.
FIGURE 1—
FIGURE 1—
Survival, overall and by stage at diagnosis, among African American and White women who had endometrial cancer in the Detroit tri-county area, 1990–1998: (a) all stages combined, (b) local, (c) regional, (d) distant.
FIGURE 1—
FIGURE 1—
Survival, overall and by stage at diagnosis, among African American and White women who had endometrial cancer in the Detroit tri-county area, 1990–1998: (a) all stages combined, (b) local, (c) regional, (d) distant.
See this image and copyright information in PMC

References

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