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Titolo:
THE NATIONAL CANCER DATA-BASE REPORT ON MALIGNANT EPITHELIAL OVARIAN-CARCINOMA IN AFRICAN-AMERICAN WOMEN
Autore:
PARHAM G; PHILLIPS JL; HICKS ML; ANDREWS N; JONES WB; SHINGLETON HM; MENCK HR;
Indirizzi:
AMER COLL SURG,COMMISS CANC,NATL CANC DATA BASE,55 E ERIE ST CHICAGO IL 60611 AMER COLL SURG,COMMISS CANC,NATL CANC DATA BASE CHICAGO IL 60611 UNIV ARKANSAS,COLL MED SCI,DEPT OBSTET & GYNECOL,DIV GYNECOL ONCOL LITTLE ROCK AR 72204 HENRY FORD HOSP,DEPT OBSTET & GYNECOL,DIV GYNECOL ONCOL DETROIT MI 48202 MEM SLOAN KETTERING CANC CTR,DEPT GYNECOL ONCOL NEW YORK NY 10021 AMER CANC SOC,DETECT & TREATMENT ATLANTA GA 30329
Titolo Testata:
Cancer
fascicolo: 4, volume: 80, anno: 1997,
pagine: 816 - 826
SICI:
0008-543X(1997)80:4<816:TNCDRO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICARE PATIENTS;
Keywords:
OVARIAN CARCINOMA; AFRICAN AMERICAN; TREATMENT; SURVIVAL RATE; POVERTY; NATIONAL CANCER DATA BASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
G. Parham et al., "THE NATIONAL CANCER DATA-BASE REPORT ON MALIGNANT EPITHELIAL OVARIAN-CARCINOMA IN AFRICAN-AMERICAN WOMEN", Cancer, 80(4), 1997, pp. 816-826

Abstract

BACKGROUND. Epithelial ovarian carcinoma is the fifth most common cause of cancer death among African-American women. Although the incidence rate of ovarian carcinoma for whites is higher than that for AfricanAmericans, the relative survival rate for African Americans is poorer. METHODS. Data were cases submitted to the National Cancer Data Base for invasive epithelial tumors of the ovary diagnosed between 1985-1988 and 1990-1993. African-American women with epithelial ovarian carcinoma were compared with non-Hispanic white women with the same disease. The groups of white women with which African-American women were compared were classified as ''White-same facility'' and ''White-other facility. '' ''White-same facility'' were white patients from hospitals that contributed a substantial proportion of African-American patients. ''White-other facility'' were white patients from hospitals that contributed few or no African-American patients. No patient had a history ofprior cancer. RESULTS. African-American women with advanced invasive epithelial ovarian carcinoma were less often treated with combined surgery and chemotherapy and more often treated with chemotherapy only. African-American women were twice as likely as white women not to receive appropriate treatment. African-American women had poorer survival rates than white women from the same or different hospitals, regardlessof income. Among staged cases, African-American women were more oftendiagnosed with Stage IV disease than either group of white women. CONCLUSIONS. The current study findings show that African-American women with advanced epithelial ovarian carcinoma received less aggressive treatment than white women and had a poorer prognosis. (C) 1997 AmericanCancer Society.

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Documento generato il 25/11/20 alle ore 06:52:09