Exploring Racial Disparities in Uterine Cancer Survival: A 20-Year, Single-Site Analysis.

OBJECTIVES: To assess differences in risk factors for uterine cancer (UC) mortality, differences in five-year overall survival across clinical and demographic characteristics, and independent predictors of mortality among Black and White patients. SAMPLE & SETTING: Patients treated between January 1...

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Publicado en:Oncology Nursing Forum Vol. 53; no. 4; pp. 1 - 12
Autores principales: Menon, Susanne, Harrison, Carmen V., Mazzola, Emanuele, Pozzar, Rachel A.
Formato: research tables/charts Journal Article
Publicado: Oncology Nursing Society Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      vid: 53
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      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        atl: Exploring Racial Disparities in Uterine Cancer Survival: A 20-Year, Single-Site Analysis.
      aug:
        au:
          Menon, Susanne
          Harrison, Carmen V.
          Mazzola, Emanuele
          Pozzar, Rachel A.
        affil: Practitioner in the Department of Gynecologic Oncology at the Dana-Farber Cancer Institut
      sug:
        subj:
          Uterine Neoplasms Prognosis
          Uterine Neoplasms Mortality
          Risk Assessment
          Race Factors
          Sociodemographic Factors
          Human
          Female
          New England
          Cancer Care Facilities
          Hospitals, Urban
          Retrospective Design
          Cancer Patients
          Record Review
          Overall Survival
          Kaplan-Meier Estimator
          Survival Analysis
          Log-Rank Test
          Cox Proportional Hazards Model
          Age Factors
          Neoplasm Grading
          Educational Status
          Social Determinants of Health
          Health Inequities
          Secondary Analysis
          Descriptive Statistics
          Middle Age
          Aged
          Neoplasm Staging
          Uterine Neoplasms Pathology
          Confidence Intervals
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: OBJECTIVES: To assess differences in risk factors for uterine cancer (UC) mortality, differences in five-year overall survival across clinical and demographic characteristics, and independent predictors of mortality among Black and White patients. SAMPLE & SETTING: Patients treated between January 1, 2002, and December 31, 2022, at a specialized urban cancer center in the northeastern United States. METHODS & VARIABLES: This study used a retrospective analysis of data from an internal registry. Differences in overall survival across age, race, education, area income, stage, grade, and histology were compared using Kaplan-Meier curves. Survival was compared across characteristics using pairwise log-rank tests, followed by a Cox proportional hazards regression model to identify predictors of mortality. RESULTS: Among 4,891 patients, 262 self-identified as African American or Black. Compared to nonHispanic White patients, Black patients were more likely to experience risk factors for UC mortality. Kaplan-Meier curves suggested reduced survival in patients with fewer resources. In the adjusted model, older age, advanced disease, higher tumor grade, and not having graduated from high school were associated with a greater likelihood of mortality. IMPLICATIONS FOR NURSING: Socioeconomic factors may contribute to racial disparities in UC survival. Earlier diagnosis and enhanced patient support may address modifiable risk factors for UC mortality.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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