ArticleJournal of carcinogenesis2017
The impact of gender, race, socioeconomic status, and treatment on outcomes in esophageal cancer: A population-based analysis.
Article in Journal of carcinogenesis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Racial and ethnic disparities in esophageal cancer survival are greatest at curable stages: a population-based study.Cancer causes & control : CCC · 2026Article
- Does robotic-assisted esophagectomy improve outcomes compared to other techniques? An NCDB analysis of access and disparities.Surgical endoscopy · 2026Article
- Gender, racial, and socioeconomic disparities in the management and survival of patients with locally advanced esophageal cancer: a SEER-based study.Surgical endoscopy · 2025Article
- Survival Disparities among Cancer Patients Based on Mobility Patterns: A Population-Based Study.Health data science · 2024Article
- Long-term survival outcomes associated with robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer.Surgical endoscopy · 2023Article
- Chemotherapy predictors and a time-dependent chemotherapy effect in metastatic esophageal cancer.World journal of gastrointestinal oncology · 2022Article
- Racial Disparities in Rates of Surgery for Esophageal Cancer: a Study from the National Cancer Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Racial and ethnic disparities in mortality from gastric and esophageal adenocarcinoma.Cancer medicine · 2020Article
- Disparities in esophageal cancer: less treatment, less surgical resection, and poorer survival in disadvantaged patients.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2020Article
- Characterization of Esophageal Cancer and ItsAssociation with Influencing Factors in GuangzhouCity, China.International journal of environmental research and public health · 2020Article
- Association between neutrophil-lymphocyte ratio, socioeconomic status, and ethnic minority with treatment outcome in hepatocellular carcinoma.Hepatology international · 2019Article
- Treatment disparities affect outcomes for patients with stage I esophageal cancer: a national cancer data base analysis.Journal of gastrointestinal oncology · 2019Article
- Survival Disparities by Race and Ethnicity in Early Esophageal Cancer.Digestive diseases and sciences · 2018Article
- Factors Affecting Long-Survival of Patients with Esophageal Cancer Using Non-Mixture Cure Fraction ModelAsian Pacific journal of cancer prevention : APJCP · 2018Article
- Social group disparities in the incidence and prognosis of oesophageal cancer.United European gastroenterology journal · 2018Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAfrican Americans and Hispanics are reported to have higher mortality from esophageal cancer (EC) than Caucasians. In this study, we analyzed the independent effects of race, gender, treatment, and socioeconomic status (SES) on overall survival (OS).
methodsData for all EC cases between 2004 and 2010 with follow-up through 2012 were obtained from the California Cancer Registry. We conducted descriptive analyses of clinical variables and survival analyses by Kaplan-Meier and Cox proportional hazards methods.
resultsAfrican Americans and Hispanics were more likely to be in the lower SES strata and less likely to receive surgery than Caucasians in this cohort. The proportion of patients receiving chemotherapy and radiotherapy was similar across different racial/ethnic groups. After adjustment for stage, grade, histology, treatments, and SES in multivariate analyses, the mortality risk in African Americans (hazard ratio [HR] 0.96, 95% confidence interval [CI] 0.85-1.07) and Hispanics (HR 0.96, 95% CI 0.89-1.07) did not differ from Caucasians (HR = 1.00, referent), with histology, SES, and surgery largely accounting for unadjusted OS differences. We also observed that African American men had higher adjusted risk of death relative to Caucasian men (HR 1.24, 95% CI 1.07-1.42), but this effect was not observed for African American women compared to Caucasian women (HR 1.12, 95% CI 0.94-1.35).
conclusionsRace is not an independent risk factor for OS in our population-based analysis of EC cases. Rather, observed differences in OS by race/ethnicity result from differences in cancer histology, SES, surgery, and gender. Our findings support further health disparities research for this disease.
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