Evidence map›Paper›PMID 35242979›Full record

ArticleGynecologic oncology reports2022

Disparities in cancer-specific and overall survival in black women with endometrial cancer: A Medicare-SEER study.

Daniel H Saris, Anna Jo Bodurtha Smith, Colleen Brensinger, Sarah H Kim, Ashley F Haggerty, Nawar Latif, Lori Cory, Robert L Giuntoli, Mark A Morgan, Lilie L Lin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Gynecologic oncology reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. A Single-Cell Atlas of Uterine Carcinosarcoma from Diverse Ancestries.bioRxiv : the preprint server for biology · 2026
    Article
  3. Agreement between Surveillance, Epidemiology, and End Results- and Medicare Claims-Derived Uterine Cancer Treatment Data.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Single-nuclei sequencing of uterine serous carcinoma reveals racial differences in immune signaling.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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  12. Review
  13. Article
  14. Article
  15. Cancer treatment and survivorship statistics, 2025.CA: a cancer journal for clinicians
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Daniel H SarisDepartment of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Anna Jo Bodurtha SmithDepartment of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Colleen BrensingerCenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, USA.
Sarah H KimDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Ashley F HaggertyDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Nawar LatifDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Lori CoryDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Robert L GiuntoliDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Mark A MorganDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Lilie L LinDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, USA.
Emily M KoDepartment of Obstetrics and Gynecology: Division of Gynecologic Oncology, Perelman School of Medicine, University of Pennsylvania, USA.
University of Pennsylvania Health System · USAbramson Cancer CenterThe University of Texas MD Anderson Cancer Center · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine overall survival (OS) and cancer-specific survival (CSS) for different racial groups of women with surgically staged endometrial cancer by histologic subtype.

methodsThis is a retrospective cohort study of women with stage I-III endometrioid, serous, clear cell, and carcinosarcoma who underwent hysterectomy as primary surgical staging in the 2000-2016 SEER-Medicare database. OS and CSS outcomes were stratified by race (defined as White, Black, Other), stage, and histology. Survival was assessed with descriptive analyses, log-rank tests and unadjusted and adjusted multivariable cox regression models.

resultsOf the 24,142 women identified, 85.5% were White, 8.5% Black, and 6% other races. Receipt of adjuvant therapy differed only for stage III endometrioid: Black women were less likely to receive adjuvant treatment after hysterectomy (61.2% vs. 70.1% White, p = 0.03). For stage I, Black women had worse CSS for all histologies other than clear cell in unadjusted and adjusted analyses. For stage II, Black women had worse CSS for endometrioid histology in unadjusted analyses and similar OS. For stage III, Black women with endometrioid carcinoma had worse CSS and OS in unadjusted analyses, but no significant difference in CSS in adjusted analyses. "Other" race showed improved OS for Stage I endometrioid adenocarcinoma without significant differences in outcomes when compared to White women.

conclusionAcross histologies other than clear cell, Black women diagnosed with stage I endometrial cancer had consistently worse CSS, despite similar receipt of adjuvant therapy. Differences in CSS and OS at higher stages disappeared once accounting for treatment disparities.

Indexed as

CSS, Cancer-specific survivalDemographicsDisparitiesEndometrial CancerNCCN, National Comprehensive Cancer NetworkOS, Overall survivalOutcomesSEER MedicareSEER, Surveillance Epidemiology and End Results DatabaseSurvival

Identifiers

PMID35242979
PMCPMC8866883
OpenAlexW4206558840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.