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  1. Racial differences in survival of female breast cancer in the Detroit Metropolitan area.

    Article - En anglais


    In the United States, breast cancer survival is worse among African-American women compared with white women.

    This difference in survival is likely due to several factors, including tumor biology and/or access to care.

    In this analysis, we evaluated the effects of sociodemographic and clinical variables on differences in breast cancer survival among African-American and white women.


    The study population included 10,502 women (82% white, 18% African-American), diagnosed between 1988 and 1992 and identified through the Metropolitan Detroit Cancer Surveillance System, a member of the Surveillance, Epidemiology and End-Results (SEER) Program.

    Cox proportional hazards regression was used to estimate the relative risk of death comparing African-American women with white women after controlling for variables believed to influence survival.


    The mean age at diagnosis was 61 years and average length of follow-up was 34 months (range, 1-78 months).

    African-American women were more likely to present with regional or distant disease (45%) than were white women (37%). Although white women had better survival than African-American women during the first 4 years postdiagnosis (P<0.0001), there were no significant differences in survival by race for women who lived longer than 4 years (P=0.64).

    There was a significant interaction between age and race.

    The unadjusted relative risk of dying for African-American women compared with white women wa...

    Mots-clés Pascal : Tumeur maligne, Glande mammaire, Homme, Caucasoïde, Négroïde, Femelle, Pronostic, Survie, Etude comparative, Epidémiologie, Zone urbaine, Michigan, Etats Unis, Amérique du Nord, Amérique, Noir américain, Glande mammaire pathologie

    Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Human, Caucasoid, Negroid, Female, Prognosis, Survival, Comparative study, Epidemiology, Urban area, Michigan, United States, North America, America, Black American, Mammary gland diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0238177

    Code Inist : 002B20E02. Création : 199608.