Publications [#277791] of Sherman A. James

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, vol. 94 no. 12 (December, 2004), pp. 2104-2111 [doi]
   (last updated on 2024/04/23)

   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.