Disparities in treatment and survival for women with endometrial cancer: A contemporary national cancer database registry analysis

Systematic review on socioeconomic deprivation and survival in endometrial cancer

“…However, in a multivariate analysis, Robbins et al did not identify SES as a significant predictor of patient outcome, while in the study done by Madison et al, the significance remains after adjusting for stage. The third study done by Fader et al [17] found no difference either in overall survival or recurrence-free survival within the different income groups or educational levels, even after adjusting for stage.…”

“…Furthermore, three studies [15][16][17] used the median household income as a measure of SES of which two studies (Madison et al and Robbins et al) found an association between mortality and deprivation, with a higher income being associated with a decreased risk of death [15,16]. However, in a multivariate analysis, Robbins et al did not identify SES as a significant predictor of patient outcome, while in the study done by Madison et al, the significance remains after adjusting for stage.…”

The Effect of Insurance Status on Surgical Outcomes in Gynecologic Cancer Patients

“…[1][2][3] Insurance status has also been shown to influence morbidity and mortality in patients with gynecologic malignancies. 4,5 Reduced access to care experienced by uninsured patients puts them at increased risk of advanced-stage disease at diagnosis and worse overall survival. [4][5][6][7] This study was conducted to investigate the influence of insurance status on postoperative surgical complications in gynecologic cancer patients treated at a large tertiary-care center in North Carolina.…”

“…4,5 Reduced access to care experienced by uninsured patients puts them at increased risk of advanced-stage disease at diagnosis and worse overall survival. [4][5][6][7] This study was conducted to investigate the influence of insurance status on postoperative surgical complications in gynecologic cancer patients treated at a large tertiary-care center in North Carolina. Recognizing the association between insurance status and surgical outcomes at a large state hospital where care is provided regardless of a patient's ability to pay could provide insight into the national implications of a single-payor model.…”

Adjuvant therapy for women with high-risk endometrial carcinoma

“…This is an important consideration, recognising that in the USA, patients older than 70 years are 50% less likely than their younger counterparts to receive adjuvant chemotherapy or radiotherapy after surgery. 6 Although lymph node assessment was not required, it was done in the majority of patients, was not associated with failure-free survival, and rates were identical in both groups. The findings of PORTEC-3 should therefore be relevant to all practices, irrespective of surgical paradigm.…”