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Asian-Pacific Islander race independently predicts poor outcome in patients with endometrial cancer☆☆The views expressed herein are those of the authors and do not reflect the official opinion of the Department of Defense or the United States Army or Air Force
- Source :
- Gynecologic Oncology. 89:218-226
- Publication Year :
- 2003
- Publisher :
- Elsevier BV, 2003.
-
Abstract
- Objective The Department of Defense health care system provides access to care without respect to age, race, or socioeconomic status. We sought to determine the effect of race as a predictor of survival in patients with endometrial cancer treated in the Department of Defense medical system. Methods Information on patients with endometrial carcinoma was extracted from the Department of Defense centralized tumor registry for the period 1988 to 1995. Data included age at diagnosis, military status, race, tumor histology, grade, FIGO surgical stage, adjuvant therapies, and disease-free survival. The χ 2 test was used for analysis of prognostic factors and adjuvant treatments between racial groups. Actuarial survival curves were calculated by using the method of Kaplan and Meier and compared by the log-rank test. Variables found to be significant on univariate analysis ( P Results Of 1811 patients meeting criteria for the study, racial distribution was 90% Caucasian, 4.4% African-American, and 5.5% Asian-Pacific Islander. African-Americans had more advanced stages of disease compared to Caucasians ( P P P = 0.007). Additional poor prognostic factors included age >60 years, grade, unfavorable histology, and stage. On multivariate analysis age >60 years, stage, and Asian-Pacific Islander race remained significant prognostic factors. Conclusion African-Americans and Asian-Pacific Islanders had worse survivals than Caucasians. After controlling for imbalances in clinicopathologic factors, Asian-Pacific Islander race was found to be a newly identified poor prognostic factor.
Details
- ISSN :
- 00908258
- Volume :
- 89
- Database :
- OpenAIRE
- Journal :
- Gynecologic Oncology
- Accession number :
- edsair.doi...........b17d31140c197c166233aef0a722f01a
- Full Text :
- https://doi.org/10.1016/s0090-8258(03)00050-7