Racial differences in survival of women with endometrlal cancer

Raymond P. Bain, Raymond S. Greenberg, Kevin C. Chung

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

The hypothesis that white women with endometrial cancer survive longer than black women with this disease was evaluated in a retrospective analysis of a population-based, prospective cohort study. All female residents of metropolitan Atlanta with a first diagnosis of primary endometrial cancer from 1978 through 1982 were eligible for inclusion. The 628 white and 105 black women were followed up through June. 1984 to determine survivorship. Race was evaluated as a prognostic factor, with univariate, multivariate, and excess death rate analyses. Overall, an estimated 89.2% of whites and 61.6% of blacks survived 3 years from the time of diagnosis. Although black women tended to have more advanced disease at the time of diagnosis and a higher proportion of undifferentiated malignancies, the racial difference in survival persisted after adjustment for these factors. When initial therapy was considered, race remained a significant prognostic determinant among women who did not receive radiation therapy.

Original languageEnglish (US)
Pages (from-to)914-923
Number of pages10
JournalAmerican journal of obstetrics and gynecology
Volume157
Issue number4
DOIs
StatePublished - 1987
Externally publishedYes

Keywords

  • Survival
  • endometrial neoplasms
  • mortality
  • prognosis
  • race

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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