Survival Disparities in Bladder, Kidney, and Prostate Cancer in Asian-Indian & Pakistani Immigrants to the United States as Compared to Other US Ethnic Groups: A Surveillance, Epidemiology and End Result (SEER) 2011 Public Use Database Study

作者: Akm Hossain , Thomas F Hogan , Rubayat Rahman , Gerald Hobbs Jr.

DOI: 10.5539/CCO.V2N1P103

关键词: ProstateGenitourinary systemEthnic groupPrognostic variableGynecologyProstate cancerStage (cooking)Relative riskInternal medicineEpidemiologyOncologyMedicine

摘要: Objective: To compare the SEER 2011 public use data prognostic variables and survival of US Asian-Indians Pakistanis (US-AIP) diagnosed with bladder, kidney, or prostate cancers, to patients in three comparable ethnic groups (African-Americans, Hispanics, Caucasians) same cancers. Patients Methods: 1988-to-2008 (released 2011) was analyzed using SEER*Stat Software V7.0.5 SAS version 9.3. Results: From 1988-to-2008, documented 14,006 cancers US-AIP (7,118 male, 6,888 female), 2,867 (20%) being prostate. Compared other examined, genitourinary (GU) occurred at significantly younger ages (p <0.01-to-<0.001). had more grade 3-4 <0.01-to-<0.001) stage (p<0.001) than groups. Paradoxically, despite having worse factors, five year age-adjusted for were better Conclusions: contained a “survival disconnect” US-AIP. All GU features but when compared groups, even though appeared have similar treatment. cultural biologic which might modify clinical behavior their are discussed. Of note, 2000-to-2008 showed significant decline cancer relative risk death all four studied versus earlier era 1994-to-2000 data.

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