Outcome of esophageal carcinoma in the veteran affairs population: A comparative analysis from the veteran affairs central cancer registry

Muhammad Shaalan Beg, Udayakumar Navaneethan, Muslim Atiq, Rami Komrokji, Malek Safa

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective: Reports indicate that esophageal carcinoma is changing with a shift from squamous cell carcinoma (SCC) to adenocarcinoma (AC) along with worse survival in black patients. However, data on esophageal carcinoma in the Veteran Affairs (VA) population is lacking. We set to describe site-specific and histology-specific characteristics of esophageal cancer in the VA population over the past decades. Methods: We queried the VA Central Cancer Registry database for esophageal cancer cases between 1995 and 2005. Patient characteristics and treatment methods were obtained and overall survival was estimated using the Kaplan-Meier method. Results: There were 7929 patients included in the study. The median survival in the period 1995 to 1999 was 7.53 months and 2000 to 2005 was 8.33 months. The median survival in AC was 8.93 months; SCC was 7.30 months. Cox-regression multivariate model revealed that location, age, histology, stage, and treatment were independent predictors of survival. Blacks were less likely to undergo surgery and more likely to undergo radiation. Conclusions: In nonmetastatic esophageal cancer at the VA, SCC has worse outcome as compared with AC. Blacks with AC have worse outcome than whites. Despite equal access to health care blacks are less likely to undergo surgery, which may contribute to their worse outcome. We recommend further studies to determine factors leading to selection of treatment modalities in minority patients.

Original languageEnglish (US)
Pages (from-to)286-290
Number of pages5
JournalAmerican Journal of Clinical Oncology: Cancer Clinical Trials
Volume32
Issue number3
DOIs
StatePublished - Jun 1 2009

Keywords

  • Epidemiology
  • Esophageal carcinoma
  • SEER
  • Veteran affairs

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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