Disparities in survival after Hodgkin lymphoma: a population-based study.

Disparities in survival after Hodgkin lymphoma: a population-based study.
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DOI:
10.1007/s10552-009-9382-3
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发表时间:
2009-12
影响因子:
2.3
通讯作者:
Glaser, Sally L.
Glaser, Sally L.
中科院分区:
医学4区
文献类型:
--
作者:
Keegan, Theresa H. M.;Clarke, Christina A.;Chang, Ellen T.;Shema, Sarah J.;Glaser, Sally L.

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Survival after Hodgkin lymphoma (HL) is generally favorable, but may vary by patient demographic characteristics. The authors examined HL survival according to race/ethnicity and neighborhood socioeconomic status (SES), determined from residential census block group at diagnosis. For 12,492 classical HL patients ≥15 years diagnosed in California during 1988-2006 and followed through 2007, we determined risk of overall and HL-specific death using Cox proportional hazards regression; analyses were stratified by age and Ann Arbor stage. Irrespective of disease stage, patients with lower neighborhood SES had worse overall and HL-specific survival than patients with higher SES. Patients with the lowest quintile of neighborhood SES had a 64% (patients aged 15-44 years) and 36% (≥45 years) increased risk of HL-death compared to patients with the highest quintile of SES; SES results were similar for overall survival. Even after adjustment for neighborhood SES, blacks and Hispanics had increased risks of HL-death 74% and 43% (15-44 years) and 40% and 17% (≥45 years), respectively, higher than white patients. The racial/ethnic differences in survival were evident for all stages of disease. These data provide evidence for substantial, and probably remediable, racial/ethnic and neighborhood SES disparities in HL outcomes.
DOI: 10.1200/jco.1999.17.7.2244
发表时间: 1999-07-01
影响因子: 45.3
作者:
Boyd, C;Zhang-Salomons, JY;Mackillop, WJ
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发表时间: 2005-03-01
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作者:
Eversley, R;Estrin, D;Favila-Penney, W
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