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

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  • Madison, T.
  • Schottenfeld, D.
  • James, S.A.
  • Schwartz, A.G.
  • Gruber, S.B.

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.

Suggested Citation

  • Madison, T. & Schottenfeld, D. & James, S.A. & Schwartz, A.G. & Gruber, S.B., 2004. "Endometrial cancer: Socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2104-2111.
    • Handle: RePEc:aph:ajpbhl:2004:94:12:2104-2111_1
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    Cited by:

    1. Sunil Rajpal & Abhishek Kumar & William Joe, 2018. "Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    2. Jonathan Karnon & Thomas Delea & Vicki Barghout, 2008. "Cost utility analysis of early adjuvant letrozole or anastrozole versus tamoxifen in postmenopausal women with early invasive breast cancer: the UK perspective," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(2), pages 171-183, May.

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