ArticleJournal of cancer research and clinical oncology2022
Socioeconomic disparities in endometrial cancer survival in Germany: a survival analysis using population-based cancer registry data.
Article in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Representativeness of a German AI-enabled data network for secondary epidemiological analysis based on electronic health records.PloS one · 2026Article
- Exploring endometrial cancer in premenopausal women-A nationwide PremEnCa cohort study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Research with cancer registry data in radiation oncology-current possibilities and perspectives : A narrative review.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026Review
- Assessment of Five-Year Relative Survival of Patients With Endometrial Cancer: A Period Analysis.World journal of oncology · 2024Article
- Population based study on the progress in survival of primarily metastatic lung cancer patients in Germany.Scientific reports · 2024Article
- Weibull parametric model for survival analysis in women with endometrial cancer using clinical and T2-weighted MRI radiomic features.BMC medical research methodology · 2024Article
- Clinical characteristics of sarcoma patients: a population-based data analysis from a German clinical cancer registry.Journal of cancer research and clinical oncology · 2023Article
- Current and Emerging Prognostic Biomarkers in Endometrial Cancer.Frontiers in oncology · 2022Review
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4 authors.
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Abstract
purposeArea-based socioeconomic deprivation has been established as an important indicator of health and a potential predictor of survival. In this study, we aimed to measure the effect of socioeconomic inequality on endometrial cancer survival.
methodsPopulation-based data on patients diagnosed with endometrial cancer between 2004 and 2014 were obtained from the German Centre for Cancer Registry Data. Socioeconomic inequality was defined by the German Index of Socioeconomic Deprivation. We investigated the association of deprivation and overall survival through Kaplan-Meier curves and Cox proportional regression models.
resultsA total of 21,602 women, with a mean age of 67.8 years, were included in our analysis. The observed 5-year overall survival time for endometrial cancer patients living in the most affluent districts (first quintile) was 78.6%. The overall survival rate decreased as the level of deprivation increased (77.2%, 73.9%, 76.1%, 74.7%, for patients in the second, third, fourth, and fifth quintile (most deprived patients), respectively). Cox regression models showed stage I patients living in the most deprived districts to have a higher hazard of overall mortality when compared to the cases living in the most affluent districts [Hazard ratio: 1.20; 95% Confidence interval (0.99-1.47)] after adjusting for age, tumor characteristics, and treatment.
conclusionOur results indicate differences in endometrial cancer survival according to socioeconomic deprivation among stage I patients. Considering data limitations, future studies with access to individual-level patient information should be conducted to examine the underlying causes for the observed disparity in cancer survival.
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