Disparities in gynecologic cancer incidence, treatment, and survival: a narrative review of outcomes among black and white women in the United States

被引:7
作者
Towner, Mary [1 ]
Kim, J. Julie [2 ]
Simon, Melissa A. [3 ]
Matei, Daniela [1 ]
Roque, Dario [1 ]
机构
[1] Northwestern Univ, Div Gynecol Oncol, Obstet & Gynecol, Feinberg Sch Med, Chicago, IL 60611 USA
[2] Northwestern Univ, Obstet & Gynecol, Robert H Lurie Comprehens Canc Ctr, Chicago, IL 60611 USA
[3] Northwestern Univ, Obstet & Gynecol, Feinberg Sch Med, Chicago, IL 60611 USA
基金
美国国家卫生研究院;
关键词
Ovarian Cancer; Uterine Cancer; Cervical Cancer; TUSKEGEE LEGACY PROJECT; OVARIAN-CANCER; RACIAL DISPARITIES; CERVICAL-CANCER; ENDOMETRIAL CANCER; AFRICAN-AMERICAN; FOLLOW-UP; RACIAL/ETHNIC DISPARITIES; STAGE; RACE;
D O I
10.1136/ijgc-2022-003476
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
For patients diagnosed with ovarian, uterine, or cervical cancer, race impacts expected outcome, with black women suffering worse survival than white women for all three malignancies. Moreover, outcomes for black women have largely worsened since the 1970s. In this narrative review, we first provide an updated summary of the incidence and survival of ovarian, uterine, and cervical cancer, with attention paid to differences between white and black patients. We then offer a theoretical framework detailing how racial disparities in outcomes for each of the gynecologic malignancies can be explained as the sum result of smaller white-black differences in experience of preventive strategies, implementation of screening efforts, early detection of symptomatic disease, and appropriate treatment. Much research has been published regarding racial disparities in each of these domains, and with this review, we seek to curate the relevant literature and present an updated understanding of disparities between black and white women with gynecologic malignancies.
引用
收藏
页码:931 / 938
页数:8
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