Introduction. Non- Hispanic black women are less often diagnosed with endometrial cancer than are non- Hispanic white women, but are more likely to die of their disease. Reasons for this disparity in outcome are not w...Introduction. Non- Hispanic black women are less often diagnosed with endometrial cancer than are non- Hispanic white women, but are more likely to die of their disease. Reasons for this disparity in outcome are not well understood. Methods. The Surveillance, Epidemiology, and End- Results Program data were used to sample women newly diagnosed in 1998 with cancer of the corpus uteri. A total of 711 women with no previous diagnosis of cancer were selected. Women with sarcoma were not eligible for the study. We then sought to verify the therapy provided each woman with her treating physician. Results. Non- Hispanic black women were diagnosed with higher stage, grade, poor histologic subtype, and greater extension of the tumor than were non- Hispanic white women. Hispanic women were diagnosed with more favorable tumor characteristics than non- Hispanic black women, but less favorable than non- Hispanic white women. The use of radiation and chemotherapy increased with stage. Conclusions. Our study did not show any difference in recommended therapy for women with uterine adenocarcinoma among NH black women, NH white women, and Hispanic women. We must look for other factors, therefore, to explain the disparities in cancer outcome observed among NH black women with endometrial cancer.展开更多
To evaluate treatment patterns, including lack of treatment, among women diagnosed with cervical cancer in the United States. Using the National Cancer Insti- tute s (NCI s) Surveillance, Epidemiology, and End Res...To evaluate treatment patterns, including lack of treatment, among women diagnosed with cervical cancer in the United States. Using the National Cancer Insti- tute s (NCI s) Surveillance, Epidemiology, and End Results (SEER) program, we identified 13,715 women diagnosed with invasive cervical cancer between 1992 and 1999 and eligible for inclusion in the study. Nearly 9% of women diagnosed with invasive cervical cancer received no therapy for their disease. Lack of therapy was associated with a later stage of disease at diagnosis, older age, and unmarried status. More than 16% of women aged 65 and older with stage IIB/IV cervical cancer received no therapy for their disease. We must educate women diagnosed with cervical cancer and their families about the importance of treatment for potential cure and control of symptoms. We must identify and overcome obstacles that may prevent adherence to treatment recommendations. These may include comorbidity, access to cancer treatment, inability to pay for treatment, and inadequate social support.展开更多
文摘Introduction. Non- Hispanic black women are less often diagnosed with endometrial cancer than are non- Hispanic white women, but are more likely to die of their disease. Reasons for this disparity in outcome are not well understood. Methods. The Surveillance, Epidemiology, and End- Results Program data were used to sample women newly diagnosed in 1998 with cancer of the corpus uteri. A total of 711 women with no previous diagnosis of cancer were selected. Women with sarcoma were not eligible for the study. We then sought to verify the therapy provided each woman with her treating physician. Results. Non- Hispanic black women were diagnosed with higher stage, grade, poor histologic subtype, and greater extension of the tumor than were non- Hispanic white women. Hispanic women were diagnosed with more favorable tumor characteristics than non- Hispanic black women, but less favorable than non- Hispanic white women. The use of radiation and chemotherapy increased with stage. Conclusions. Our study did not show any difference in recommended therapy for women with uterine adenocarcinoma among NH black women, NH white women, and Hispanic women. We must look for other factors, therefore, to explain the disparities in cancer outcome observed among NH black women with endometrial cancer.
文摘To evaluate treatment patterns, including lack of treatment, among women diagnosed with cervical cancer in the United States. Using the National Cancer Insti- tute s (NCI s) Surveillance, Epidemiology, and End Results (SEER) program, we identified 13,715 women diagnosed with invasive cervical cancer between 1992 and 1999 and eligible for inclusion in the study. Nearly 9% of women diagnosed with invasive cervical cancer received no therapy for their disease. Lack of therapy was associated with a later stage of disease at diagnosis, older age, and unmarried status. More than 16% of women aged 65 and older with stage IIB/IV cervical cancer received no therapy for their disease. We must educate women diagnosed with cervical cancer and their families about the importance of treatment for potential cure and control of symptoms. We must identify and overcome obstacles that may prevent adherence to treatment recommendations. These may include comorbidity, access to cancer treatment, inability to pay for treatment, and inadequate social support.
