Publications [#277791] of Sherman A. James

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Journal Articles

  1. Madison, T; Schottenfeld, D; James, SA; Schwartz, AG; Gruber, SB. "Endometrial cancer: Socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival." American Journal of Public Health 94.12 (2004): 2104-2111.
    (last updated on 2017/11/18)

    Abstract:
    Objective. We evaluated the association between socioeconomic status and racial/ ethnic differences in endometrial cancer stage at diagnosis, treatment, and survival. Methods. We conducted a population-based study among 3656 women. Results. Multivariate analyses showed that either race/ethnicity or income, but not both, was associated with advanced-stage disease. Age, stage at diagnosis, and income were independent predictors of hysterectomy. African American ethnicity, increased age, aggressive histology, poor tumor grade, and advanced-stage disease were associated with increased risk for death; higher income and hysterectomy were associated with decreased risk for death. Conclusions. Lower income was associated with advanced-stage disease, lower likelihood of receiving a hysterectomy, and lower rates of survival. Earlier diagnosis and removal of barriers to optimal treatment among lower-socioeconomic status women will diminish racial/ethnic differences in endometrial cancer survival.

Sherman A. James