Endometrial cancer: socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival.
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.
Madison
Terri
T
School of Public Health, University of Michigan, Ann Arbor, MI, USA. terri.madison@i3statprobe.com
Schottenfeld
David
D
James
Sherman A
SA
Schwartz
Ann G
AG
Gruber
Stephen B
SB
D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000401:mortality / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007182:Income; D008875:Middle Aged; D015999:Multivariate Analysis; D012959:Socioeconomic Factors; D015996:Survival Rate