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 (December, 2004): 2104-2111. [doi]
    (last updated on 2024/04/24)

    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