Cervical adenocarcinoma survival among Hispanic and white women: A multicenter cohort study

John O. Schorge, Jayanthi S. Lea, Elizabeth O. Garner, Linda R. Duska, David S. Miller, Robert L. Coleman

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

OBJECTIVE: We compared the clinical outcome of cervical adenocarcinoma in Hispanic and white women to determine whether race was an independent predictor of survival. STUDY DESIGN: All women who were diagnosed with cervical adenocarcinoma at three institutions between 1982 and 2000 were identified. Medical records were reviewed retrospectively. Hispanic and white cohorts were matched 1:2 for age, stage of disease, date of diagnosis, tumor size, histologic subtype, grade, and invasive depth. RESULTS: The 65 Hispanic patients were more likely to be treated at the public hospital (71% vs 14%; P < .001) than the 122 matched white patients. Most Hispanic patients (72%) and white patients (76%) presented with early (stage IA-IIA), not advanced (IIB-IVB), disease. Early (81% vs 81%, P = .65), advanced (37% vs 26%, P = .21), and overall 5-year survival rates (67% vs 68%, P = .57) were similar among Hispanic and white patients, respectively. The relative risk of race on recurrence was 1.22 (95% Cl, 0.56-2.42) and on survival was 0.72 (95% Cl, 0.36-1.44). CONCLUSION: Hispanic race is not an independent predictor of survival in cervical adenocarcinoma.

Original languageEnglish (US)
Pages (from-to)640-644
Number of pages5
JournalAmerican journal of obstetrics and gynecology
Volume188
Issue number3
DOIs
StatePublished - Mar 1 2003

Keywords

  • Cervical adenocarcinoma
  • Cohort study
  • Racial difference

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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