Endometrial cancer survival among US black and white women by birth cohort

Endometrial cancer survival among US black and white women by birth cohort
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DOI:
10.1097/01.ede.0000221026.49643.cf
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发表时间:
2006-07-01
期刊:
影响因子:
5.4
通讯作者:
Weiss, Noel S.
Weiss, Noel S.
中科院分区:
医学2区
文献类型:
--
作者:
Cook, Linda S.;Kmet, Leanne M.;Weiss, Noel S.

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背景:相对于白色妇女,黑人妇女子宫内膜癌发病率较低,但死亡率较高。这种差异是由于非裔美国人的病死率相对较高。我们调查了种族间的生存差异是否已经减少,在最近的出生cohols.Methods:妇女诊断子宫内膜恶性肿瘤在1977-1996年期间确定从美国监测,流行病学和最终结果程序(45,261白色和1986年黑人妇女)。我们计算了累积5年的相对生存率为6出生cohols.Results:生存率相对较高的年轻女性比老年妇女和妇女在早期诊断与近年来相比。更高的生存率是显而易见的,在最近的出生队列的妇女组60岁以上的年龄和所有的时间段,特别是黑人women.Conclusions:虽然黑人妇女子宫内膜癌有一个较差的预后比白色妇女,种族间的生存差异缩小在最近的出生队列。
Background: Endometrial cancer incidence is lower but mortality is higher among black relative to white women. This disparity results from a relatively higher level of case-fatality in African Americans. We investigated whether the inter-racial difference in survival has diminished in more recent birth cohorts.Methods: Women diagnosed with endometrial malignancies during 1977-1996 were identified from the U.S. Surveillance, Epidemiology and End Results program (45,261 white and 1986 black women). We calculated cumulative 5-year relative survival for 6 birth cohorts.Results: Survival was relatively higher in younger women than older women and in women diagnosed in earlier years compared with more recent years. Higher survival was evident in more recent birth cohorts for groups of women 60+ years of age and in all time periods, particularly for black women.Conclusions: Although black women with endometrial cancer have a poorer prognosis than white women, the inter-racial difference in survival has narrowed in more recent birth cohorts.