title: Health Disparities in Native Hawaiians and Other Pacific Islanders Following Hysterectomy for Endometrial Cancer.
abstract: The current study was undertaken to assess disparities in 5 year admission rates and mortality following hysterectomy for endometrial cancer in the State of Hawai'i. Data from the Hawai'i Health Information Corporation was utilized to determine five-year admission rates and overall mortality. Native Hawaiian and Other Pacific Islander (NHOPI) patients were compared to non-NHOPI patients for the period January 1, 2007 to December 31, 2013. Secondary admission rates were significantly higher for NHOPI patients compared to non-NHOPI patients (P=.02). Overall mortality was not different. NHOPI patients living on Oahu were less likely to live in Honolulu (P=.01), were more likely to have government insurance (P=.01), and were significantly younger (P=.02) than non-NHOPI patients. The findings suggest that race, insurance, and demographic factors are interrelated and are associated with disparities following surgery for endometrial cancer.
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KT, MC,RK).
authors.forename: Keith
authors.initials: K
authors.lastname: Terada
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KT, MC,RK).
authors.forename: Michael
authors.initials: M
authors.lastname: Carney
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KT, MC,RK).
authors.forename: Robert
authors.initials: R
authors.lastname: Kim
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KT, MC,RK).
authors.forename: Hyeong Jun
authors.initials: HJ
authors.lastname: Ahn
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KT, MC,RK).
authors.forename: Jill
authors.initials: J
authors.lastname: Miyamura
mesh_terms: D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000208:ethnology* / Q000628:therapy*; D005260:Female; D006254:Hawaii / Q000208:ethnology; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander / Q000208:ethnology*