Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/57774
Type: Artigo de Periódico
Title: Lack of Impact of Race Alone on Cervical Cancer Survival in Brazil
Authors: Angélica Nogueira Rodrigues
Andréia Cristina de Melo
Flávia Vieira Guerra Alves
Mariana do Nascimento Vilaça
Laisa Gabrielle Silva
Cristiane Alves Silva
Juliana Chaves Fabrini
Anderson Thiago Vieira Carneiro
Luiz Claudio Santos Thuler
Abstract: Objective: To analyze differences in survival between black and non-black women diagnosed with cervical cancer and treated at the National Cancer Institute in Brazil. Methods: This retrospective cohort study was conducted using medical records of patients who were treated for cervical cancer between 2006 and 2009 at the Brazilian National Cancer Institute - Rio de Janeiro - Brazil. The clinical and epidemiological characteristics of black and non-black patients were compared using the chi-square test. Survival functions over five years were calculated using the Kaplan-Meier estimator and compared using the log-rank test. Associations between race and mortality risk were analyzed using the Cox proportional hazards model. P-values <0.05 were considered statistically significant. Results: The study included 1,482 women, of whom 188 (12.7%) were black, 1,209 (81.6%) were non-black and 85 (5.7%) were of unspecified race. The age at diagnosis of the patients ranged from 19 to 84 years (mean 50.1 years; SD±13.2). Hemoglobin <12 g/dL at the time of diagnosis (p=0.008) and absence of surgery as primary treatment (p = 0.005) were more frequent among black women. Cox analysis adjusted for these two factors showed no statistically significant difference in the mortality risk associated with cervical cancer among black and non-black women (HR=1.1 95% CI 0.9-1.5; p=0.27). Conclusion: After adjusting for hemoglobin levels and surgery, race alone was not shown to be a prognostic factor for patients with cervical cancer
Subject: Neoplasias do colo de útero
Prognóstico
Etnia
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: DOI:10.22034/APJCP.2018.19.5.1209
URI: http://hdl.handle.net/1843/57774
Issue Date: 5-Apr-2018
metadata.dc.url.externa: https://journal.waocp.org/?sid=Entrez:PubMed&id=pmid:29801403&key=2018.19.5.1209
metadata.dc.relation.ispartof: Asian Pacific Journal of Cancer Prevention
Appears in Collections:Artigo de Periódico

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