Racial disparities in surgical treatment and survival of epithelial ovarian cancer in United States
Article first published online: 2 NOV 2007
Copyright © 2007 Wiley-Liss, Inc.
Journal of Surgical Oncology
Volume 97, Issue 2, pages 103–107, 1 February 2008
How to Cite
Chan, J. K., Zhang, M., Hu, J. M., Shin, J. Y., Osann, K. and Kapp, D. S. (2008), Racial disparities in surgical treatment and survival of epithelial ovarian cancer in United States. J. Surg. Oncol., 97: 103–107. doi: 10.1002/jso.20932
- Issue published online: 7 JAN 2008
- Article first published online: 2 NOV 2007
- Manuscript Accepted: 25 SEP 2007
- Manuscript Received: 3 JUL 2007
- ovarian cancer
To compare the racial differences in treatment and survival of epithelial ovarian cancer patients.
Data were obtained from the Surveillance, Epidemiology, and End Results Program between 1988 and 2001 and analyzed using Kaplan–Meier methods and Cox proportional hazards regression.
Of the 24,038 women, 22,407 (93.2%) were non-Hispanic White, and 1,631 (6.8%) were African-American. Median age of Whites versus African-Americans was 65 versus 63 years, respectively (P < 0.001). Of the patients with early-stage (I–II) disease, 38.8% of Whites underwent lymphadenectomy with their primary surgery compared to only 32.8% of African-Americans (P = 0.005). In the overall study group, the 5-year disease-specific survival of Whites was significantly higher compared to the African-Americans (44.1% vs. 40.7%, P = 0.001). On multivariable analysis, age, race, stage, cell type, and grade of disease were all independent prognostic factors for survival.
Our data suggest that race is an independent prognostic factor for survival in epithelial ovarian cancer. In addition, African-Americans with early-stage cancer were less likely to undergo lymphadenectomy with their staging procedure. Furthermore, patient/physician education is needed to increase the number of patients undergoing surgical staging procedures for epithelial ovarian cancer. J. Surg. Oncol. 2008;97:103–107. © 2007 Wiley-Liss, Inc.