title: Race and clinical outcome in endometrial carcinoma.
abstract: OBJECTIVE
  To compare the outcomes of black and white women who have surgically staged endometrial carcinoma.
  
  
  METHODS
  We retrospectively compared the clinicopathologic factors, socioeconomic status, treatments, and outcomes of 70 black and 302 white women who were treated for surgically staged endometrial carcinoma at our institution.
  
  
  RESULTS
  Black women had higher-grade tumors, less favorable histologic findings, more comorbid illnesses, and lower socioeconomic indices. A nonsignificant trend was also seen toward more advanced-stage disease. The extent of surgical staging and types of adjuvant therapies were similar. On univariate analysis, black women had worse 5-year disease-free survival than white women (52.8% versus 75.2%; P = .001). Other significant factors included stage, grade, lymph node status, extension to the uterine serosa, cervical involvement, histology, adnexal involvement, lymphovascular invasion, myometrial invasion, positive peritoneal cytology, level of education, and household income. After controlling for pathologic and socioeconomic differences in multivariate analysis, race remained a significant prognostic factor (P = .008; hazard rate 2.0; 95% confidence interval 1.2, 3.5).
  
  
  CONCLUSIONS
  In a large cohort of surgically staged and uniformly treated patients with endometrial carcinoma, black race was associated with significantly worse outcomes, even after controlling for clinicopathologic and socioeconomic factors.
authors.affiliation: Department of Radiation and Cellular Oncology, University of Chicago Hospitals, Illinois 60637, USA.
authors.forename: P P
authors.initials: PP
authors.lastname: Connell
authors.forename: J
authors.initials: J
authors.lastname: Rotmensch
authors.forename: S E
authors.initials: SE
authors.lastname: Waggoner
authors.forename: A J
authors.initials: AJ
authors.lastname: Mundt
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D016889:Endometrial Neoplasms / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data*