Equal care ensures equal survival for African‐American women with cervical carcinoma
BACKGOUND. It was the purpose of this study to investigate whether race is an independent prognostic factor in the survival of patients with cervical carcinoma in a health care system with minimal racial bias, and few barriers to access to care. METHODS Records for patients with a diagnosis of invas...
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| Veröffentlicht in: | Cancer 2001-02, Vol.91 (4), p.869-873 |
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| creator | Farley, John H. Hines, Jeffrey F. Taylor, Robert R. Carlson, Jay W. Parker, Mary F. Kost, Edward R. Rogers, Stacey J. Harrison, Terry A. Macri, Cynthia I. Parham, Groesbeck P. |
| description | BACKGOUND.
It was the purpose of this study to investigate whether race is an independent prognostic factor in the survival of patients with cervical carcinoma in a health care system with minimal racial bias, and few barriers to access to care.
METHODS
Records for patients with a diagnosis of invasive cervical carcinoma from 1988 to 1999 were obtained from the Automated Central Tumor Registry for the United States Military Health Care System. Clinical data including race, age at diagnosis, histology, grade, stage, socioeconomic status, treatment modality, and survival also were obtained. Survival analysis was performed with Kaplan–Meier survival curves.
RESULTS
One thousand five hundred fifty‐three patients were obtained for review. Sixty‐five percent of patients were Caucasian, and 35% were minorities. Of the minorities, 29% were African Americans (AAs). Mean age of diagnosis was similar among AAs and Caucasians, 44 and 42 years, respectively. There was no statistically significant difference between the distribution of age, stage, grade, or histology between Caucasians and AAs. Forty‐six percent of patients were treated with surgery and 56% with radiation therapy, with no difference in type of treatment between the Caucasian and AA groups. Five‐ and 10‐year survival rates for Caucasians and AAs were 75%, and 76%, and 64% 65% (P = 0.59), respectively.
CONCLUSIONS
In an equal access, unbiased, nonracial environment, race is not an independent predictor of survival for patients with cervical carcinoma. This study has shown, for the first time to the authors' knowledge, that when they receive equal treatment for cervical carcinoma, AA women's survival can approach that of their nonminority counterparts (75% at 10 years). Cancer 2001;91:869–73. © 2001 American Cancer Society.
Survival among African‐American women with cervical carcinoma is equal to that of their Caucasian counterparts when treatment is provided in an equal access health care system. |
| doi_str_mv | 10.1002/1097-0142(20010215)91:4<869::AID-CNCR1075>3.0.CO;2-D |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70666711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70666711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3865-2037ff5eb1e70b84cf82a0b21e8ed68e7b5ac5ca1cd379f32dd69788367329903</originalsourceid><addsrcrecordid>eNqVkN9qFDEUh4Modq2-ggwIoheznpNMJjPbIiyzVQvFBamiV4dMJsGR-dMmnZbe-Qg-o09itrtdr7zwJjk5fPmdw8fYMcIcAfgbhFKlgBl_xQEQOMrXJS6y4yIvF4vl6SqtPlafEJR8K-Ywr9ZHPF09YLP9t4dsBgBFKjPx9YA9CeFHfCouxWN2gMgz5FLN2JeTy0l3idHeJnYIk7chsXetWF-317Fwo0-WzrdGD79__lr29q5MbsbexrO9-p4YG1GzjTHtMPb6KXvkdBfss919yD6_OzmvPqRn6_en1fIsNaLIZcpBKOekrdEqqIvMuIJrqDnawjZ5YVUttZFGo2mEKp3gTZOXqihErgQvSxCH7OU298KPl5MNV9S3wdiu04Mdp0AK8jxXiBE834LGjyF46-jCt732t4RAG9-0EUcbcXTvm0qkjKJvouib7n2TIKBqTZxWMfb5bv5U97b5G7oTHIEXO0CHaMh5PZg27LlSchRZpL5tqZu2s7f_tdo_Ntv3xB8CWqeo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70666711</pqid></control><display><type>article</type><title>Equal care ensures equal survival for African‐American women with cervical carcinoma</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>Alma/SFX Local Collection</source><creator>Farley, John H. ; Hines, Jeffrey F. ; Taylor, Robert R. ; Carlson, Jay W. ; Parker, Mary F. ; Kost, Edward R. ; Rogers, Stacey J. ; Harrison, Terry A. ; Macri, Cynthia I. ; Parham, Groesbeck P.</creator><creatorcontrib>Farley, John H. ; Hines, Jeffrey F. ; Taylor, Robert R. ; Carlson, Jay W. ; Parker, Mary F. ; Kost, Edward R. ; Rogers, Stacey J. ; Harrison, Terry A. ; Macri, Cynthia I. ; Parham, Groesbeck P.</creatorcontrib><description>BACKGOUND.
It was the purpose of this study to investigate whether race is an independent prognostic factor in the survival of patients with cervical carcinoma in a health care system with minimal racial bias, and few barriers to access to care.
METHODS
Records for patients with a diagnosis of invasive cervical carcinoma from 1988 to 1999 were obtained from the Automated Central Tumor Registry for the United States Military Health Care System. Clinical data including race, age at diagnosis, histology, grade, stage, socioeconomic status, treatment modality, and survival also were obtained. Survival analysis was performed with Kaplan–Meier survival curves.
RESULTS
One thousand five hundred fifty‐three patients were obtained for review. Sixty‐five percent of patients were Caucasian, and 35% were minorities. Of the minorities, 29% were African Americans (AAs). Mean age of diagnosis was similar among AAs and Caucasians, 44 and 42 years, respectively. There was no statistically significant difference between the distribution of age, stage, grade, or histology between Caucasians and AAs. Forty‐six percent of patients were treated with surgery and 56% with radiation therapy, with no difference in type of treatment between the Caucasian and AA groups. Five‐ and 10‐year survival rates for Caucasians and AAs were 75%, and 76%, and 64% 65% (P = 0.59), respectively.
CONCLUSIONS
In an equal access, unbiased, nonracial environment, race is not an independent predictor of survival for patients with cervical carcinoma. This study has shown, for the first time to the authors' knowledge, that when they receive equal treatment for cervical carcinoma, AA women's survival can approach that of their nonminority counterparts (75% at 10 years). Cancer 2001;91:869–73. © 2001 American Cancer Society.
Survival among African‐American women with cervical carcinoma is equal to that of their Caucasian counterparts when treatment is provided in an equal access health care system.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(20010215)91:4<869::AID-CNCR1075>3.0.CO;2-D</identifier><identifier>PMID: 11241257</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>African Americans - statistics & numerical data ; Biological and medical sciences ; carcinoma ; cervix ; European Continental Ancestry Group - statistics & numerical data ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Health Services Accessibility ; Humans ; Medical sciences ; Prognosis ; race ; survival ; Survival Analysis ; Tumors ; United States - epidemiology ; Uterine Cervical Neoplasms - ethnology ; Uterine Cervical Neoplasms - therapy</subject><ispartof>Cancer, 2001-02, Vol.91 (4), p.869-873</ispartof><rights>Copyright © 2001 American Cancer Society</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 American Cancer Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3865-2037ff5eb1e70b84cf82a0b21e8ed68e7b5ac5ca1cd379f32dd69788367329903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1097-0142%2820010215%2991%3A4%3C869%3A%3AAID-CNCR1075%3E3.0.CO%3B2-D$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1097-0142%2820010215%2991%3A4%3C869%3A%3AAID-CNCR1075%3E3.0.CO%3B2-D$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=952134$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11241257$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farley, John H.</creatorcontrib><creatorcontrib>Hines, Jeffrey F.</creatorcontrib><creatorcontrib>Taylor, Robert R.</creatorcontrib><creatorcontrib>Carlson, Jay W.</creatorcontrib><creatorcontrib>Parker, Mary F.</creatorcontrib><creatorcontrib>Kost, Edward R.</creatorcontrib><creatorcontrib>Rogers, Stacey J.</creatorcontrib><creatorcontrib>Harrison, Terry A.</creatorcontrib><creatorcontrib>Macri, Cynthia I.</creatorcontrib><creatorcontrib>Parham, Groesbeck P.</creatorcontrib><title>Equal care ensures equal survival for African‐American women with cervical carcinoma</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGOUND.
It was the purpose of this study to investigate whether race is an independent prognostic factor in the survival of patients with cervical carcinoma in a health care system with minimal racial bias, and few barriers to access to care.
METHODS
Records for patients with a diagnosis of invasive cervical carcinoma from 1988 to 1999 were obtained from the Automated Central Tumor Registry for the United States Military Health Care System. Clinical data including race, age at diagnosis, histology, grade, stage, socioeconomic status, treatment modality, and survival also were obtained. Survival analysis was performed with Kaplan–Meier survival curves.
RESULTS
One thousand five hundred fifty‐three patients were obtained for review. Sixty‐five percent of patients were Caucasian, and 35% were minorities. Of the minorities, 29% were African Americans (AAs). Mean age of diagnosis was similar among AAs and Caucasians, 44 and 42 years, respectively. There was no statistically significant difference between the distribution of age, stage, grade, or histology between Caucasians and AAs. Forty‐six percent of patients were treated with surgery and 56% with radiation therapy, with no difference in type of treatment between the Caucasian and AA groups. Five‐ and 10‐year survival rates for Caucasians and AAs were 75%, and 76%, and 64% 65% (P = 0.59), respectively.
CONCLUSIONS
In an equal access, unbiased, nonracial environment, race is not an independent predictor of survival for patients with cervical carcinoma. This study has shown, for the first time to the authors' knowledge, that when they receive equal treatment for cervical carcinoma, AA women's survival can approach that of their nonminority counterparts (75% at 10 years). Cancer 2001;91:869–73. © 2001 American Cancer Society.
Survival among African‐American women with cervical carcinoma is equal to that of their Caucasian counterparts when treatment is provided in an equal access health care system.</description><subject>African Americans - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>carcinoma</subject><subject>cervix</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Prognosis</subject><subject>race</subject><subject>survival</subject><subject>Survival Analysis</subject><subject>Tumors</subject><subject>United States - epidemiology</subject><subject>Uterine Cervical Neoplasms - ethnology</subject><subject>Uterine Cervical Neoplasms - therapy</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkN9qFDEUh4Modq2-ggwIoheznpNMJjPbIiyzVQvFBamiV4dMJsGR-dMmnZbe-Qg-o09itrtdr7zwJjk5fPmdw8fYMcIcAfgbhFKlgBl_xQEQOMrXJS6y4yIvF4vl6SqtPlafEJR8K-Ywr9ZHPF09YLP9t4dsBgBFKjPx9YA9CeFHfCouxWN2gMgz5FLN2JeTy0l3idHeJnYIk7chsXetWF-317Fwo0-WzrdGD79__lr29q5MbsbexrO9-p4YG1GzjTHtMPb6KXvkdBfss919yD6_OzmvPqRn6_en1fIsNaLIZcpBKOekrdEqqIvMuIJrqDnawjZ5YVUttZFGo2mEKp3gTZOXqihErgQvSxCH7OU298KPl5MNV9S3wdiu04Mdp0AK8jxXiBE834LGjyF46-jCt732t4RAG9-0EUcbcXTvm0qkjKJvouib7n2TIKBqTZxWMfb5bv5U97b5G7oTHIEXO0CHaMh5PZg27LlSchRZpL5tqZu2s7f_tdo_Ntv3xB8CWqeo</recordid><startdate>20010215</startdate><enddate>20010215</enddate><creator>Farley, John H.</creator><creator>Hines, Jeffrey F.</creator><creator>Taylor, Robert R.</creator><creator>Carlson, Jay W.</creator><creator>Parker, Mary F.</creator><creator>Kost, Edward R.</creator><creator>Rogers, Stacey J.</creator><creator>Harrison, Terry A.</creator><creator>Macri, Cynthia I.</creator><creator>Parham, Groesbeck P.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010215</creationdate><title>Equal care ensures equal survival for African‐American women with cervical carcinoma</title><author>Farley, John H. ; Hines, Jeffrey F. ; Taylor, Robert R. ; Carlson, Jay W. ; Parker, Mary F. ; Kost, Edward R. ; Rogers, Stacey J. ; Harrison, Terry A. ; Macri, Cynthia I. ; Parham, Groesbeck P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3865-2037ff5eb1e70b84cf82a0b21e8ed68e7b5ac5ca1cd379f32dd69788367329903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>African Americans - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>carcinoma</topic><topic>cervix</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Prognosis</topic><topic>race</topic><topic>survival</topic><topic>Survival Analysis</topic><topic>Tumors</topic><topic>United States - epidemiology</topic><topic>Uterine Cervical Neoplasms - ethnology</topic><topic>Uterine Cervical Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farley, John H.</creatorcontrib><creatorcontrib>Hines, Jeffrey F.</creatorcontrib><creatorcontrib>Taylor, Robert R.</creatorcontrib><creatorcontrib>Carlson, Jay W.</creatorcontrib><creatorcontrib>Parker, Mary F.</creatorcontrib><creatorcontrib>Kost, Edward R.</creatorcontrib><creatorcontrib>Rogers, Stacey J.</creatorcontrib><creatorcontrib>Harrison, Terry A.</creatorcontrib><creatorcontrib>Macri, Cynthia I.</creatorcontrib><creatorcontrib>Parham, Groesbeck P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farley, John H.</au><au>Hines, Jeffrey F.</au><au>Taylor, Robert R.</au><au>Carlson, Jay W.</au><au>Parker, Mary F.</au><au>Kost, Edward R.</au><au>Rogers, Stacey J.</au><au>Harrison, Terry A.</au><au>Macri, Cynthia I.</au><au>Parham, Groesbeck P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Equal care ensures equal survival for African‐American women with cervical carcinoma</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2001-02-15</date><risdate>2001</risdate><volume>91</volume><issue>4</issue><spage>869</spage><epage>873</epage><pages>869-873</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGOUND.
It was the purpose of this study to investigate whether race is an independent prognostic factor in the survival of patients with cervical carcinoma in a health care system with minimal racial bias, and few barriers to access to care.
METHODS
Records for patients with a diagnosis of invasive cervical carcinoma from 1988 to 1999 were obtained from the Automated Central Tumor Registry for the United States Military Health Care System. Clinical data including race, age at diagnosis, histology, grade, stage, socioeconomic status, treatment modality, and survival also were obtained. Survival analysis was performed with Kaplan–Meier survival curves.
RESULTS
One thousand five hundred fifty‐three patients were obtained for review. Sixty‐five percent of patients were Caucasian, and 35% were minorities. Of the minorities, 29% were African Americans (AAs). Mean age of diagnosis was similar among AAs and Caucasians, 44 and 42 years, respectively. There was no statistically significant difference between the distribution of age, stage, grade, or histology between Caucasians and AAs. Forty‐six percent of patients were treated with surgery and 56% with radiation therapy, with no difference in type of treatment between the Caucasian and AA groups. Five‐ and 10‐year survival rates for Caucasians and AAs were 75%, and 76%, and 64% 65% (P = 0.59), respectively.
CONCLUSIONS
In an equal access, unbiased, nonracial environment, race is not an independent predictor of survival for patients with cervical carcinoma. This study has shown, for the first time to the authors' knowledge, that when they receive equal treatment for cervical carcinoma, AA women's survival can approach that of their nonminority counterparts (75% at 10 years). Cancer 2001;91:869–73. © 2001 American Cancer Society.
Survival among African‐American women with cervical carcinoma is equal to that of their Caucasian counterparts when treatment is provided in an equal access health care system.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>11241257</pmid><doi>10.1002/1097-0142(20010215)91:4<869::AID-CNCR1075>3.0.CO;2-D</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | African Americans - statistics & numerical data Biological and medical sciences carcinoma cervix European Continental Ancestry Group - statistics & numerical data Female Female genital diseases Gynecology. Andrology. Obstetrics Health Services Accessibility Humans Medical sciences Prognosis race survival Survival Analysis Tumors United States - epidemiology Uterine Cervical Neoplasms - ethnology Uterine Cervical Neoplasms - therapy |
| title | Equal care ensures equal survival for African‐American women with cervical carcinoma |
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