ArticleInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society2019
Endometrial cancer outcomes among non-Hispanic US born and Caribbean born black women.
Article in International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Influence of residential segregation and health provider density on advanced stage endometrial cancer diagnoses.Gynecologic oncology · 2025Article
- Differences in modifiable cancer risk behaviors by nativity (US-born v. Non-US-born) and length of time in the US.PloS one · 2024Article
- Black Nativity and Health Disparities: A Research Paradigm for Understanding the Social Determinants of Health.International journal of environmental research and public health · 2022Review
- Variation in Cancer Incidence Rates Among Non-Hispanic Black Individuals Disaggregated by Nativity and Birthplace, 2005-2017: A Population-Based Cancer Registry Analysis.Frontiers in oncology · 2022Article
- Competing risk nomogram predicting cancer-specific mortality for endometrial cancer patients treated with hysterectomy.Cancer medicine · 2021Article
- Endometrial Cancer Type 2 Incidence and Survival Disparities Within Subsets of the US Black Population.Frontiers in oncology · 2021Article
- Article
- Race and Ethnicity Influence Survival Outcomes in Women of Caribbean Nativity With Epithelial Ovarian Cancer.Frontiers in oncology · 2020Article
- Differences in breast cancer outcomes amongst Black US-born and Caribbean-born immigrants.Breast cancer research and treatment · 2019Article
- Endometrial cancer among a cohort of urban Haitian immigrants.World journal of clinical oncology · 2019Article
- Unique Considerations in Early Detection, Risk, and Awareness of Endometrial Cancer in Black Women.Cancer control : journal of the Moffitt Cancer CenterReview
- Differences in Cervical Cancer Outcomes by Caribbean Nativity in Black and White Women in Florida.Cancer control : journal of the Moffitt Cancer CenterArticle
- Influence of Race, Ethnicity, and Nativity on Distribution and Outcomes Among Women With Choriocarcinoma in Florida.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
4 authors.
Funding
Abstract
purposeData on endometrial cancer outcomes among immigrant women in the USA are lacking. The objective was to determine the effect of Caribbean nativity on outcomes in black women with endometrial cancer compared with women born in the USA, with attention paid to the effects of tumor grade, sociodemographic factors, and treatment approaches.
methodsA review of the institutional cancer registry was performed to identify black, non-Hispanic women with known nativity and treated for endometrial cancer between 2001 and 2017. Sociodemographic, treatment, and outcomes data were collected. Analyses were done using the χ
results195 women were included in the analysis. High grade histologies were present in a large proportion of both US born (64.5%) and Caribbean born (72.2%) patients. Compared with US born women, those of Caribbean nativity were more likely to be non-smokers (P=0.01) and be uninsured (P=0.03). Caribbean born women had more cases of stage III disease (27.8% versus 12.5%, P<0.01), while carcinosarcoma was more common in US born black women (23.6% versus 10.6%, P=0.05). Caribbean nativity trended towards improvement in overall survival (hazard ratio (HR) 0.65 (0.40-1.07)). Radiation (HR 0.53 (0.29-1.00)) was associated with improved survival while advanced stage (HR 3.81 (2.20-6.57)) and high grade histology (HR 2.34 (1.17-4.72)) were predictive of worse survival.
conclusionsThe prevalence of high grade endometrial cancer histologies among black women of Caribbean nativity is higher than previously reported. Caribbean nativity may be associated with improved overall survival although additional study is warranted.
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