Endometrial cancer survivors’ access to recommended self-care resources to target obesity in a high poverty urban community

Impact of socio‐economic deprivation on endometrial cancer survival in the North West of England: a prospective database analysis

“…Socio‐economic disparities in cancer survival may be related to patient (age, obesity, comorbidities, health‐seeking behaviours), tumour (cancer stage and grade, tumour biology) or healthcare factors (access to health care, variation in quality of care) 35 . In our study, women from the most deprived neighbourhoods were more obese than women from less deprived neighbourhoods, in keeping with the literature 35–37 . Obesity‐driven endometrial cancer is usually low‐grade, early‐stage disease with good survival outcomes when compared with aggressive, non‐endometrioid histological subtypes 38,39 .…”

“…35 In our study, women from the most deprived neighbourhoods were more obese than women from less deprived neighbourhoods, in keeping with the literature. [35][36][37] Obesity-driven endometrial cancer is usually low-grade, early-stage disease with good survival outcomes when compared with aggressive, non-endometrioid histological subtypes. 38,39 Despite advantages in tumour Social status and endometrial cancer survival biology, however, obesity is linked to unfavourable survival outcomes through a high prevalence of related comorbid health conditions.…”

Socioeconomic deprivation and survival in endometrial cancer: The effect of BMI

“…Endometrial cancer is the most common gynaecological malignancy in the United Kingdom (UK), with over 9000 women being diagnosed annually [1]. The most important risk factor for the development of endometrial cancer is obesity [2], which is associated with low socioeconomic status (SES) [3,4]. SES is the social standing or class of an individual or group and is measured as a combination of income, education and occupation [5].…”

Systematic review on socioeconomic deprivation and survival in endometrial cancer

“…One of the mechanisms that has been suggested to explain the differences in survival is the fact that obesity is associated with an increased risk of surgical morbidity [9]; however, some studies have shown that it is not an independent predictor but likely related to other comorbid conditions [28]. Since there is a strong relationship between obesity and socioeconomic deprivation in endometrial cancer patients [4], this could potentially be an important factor affecting survival in deprived patients; however, the articles included in this review, with the exception of Seidelin et al, did not include or correct for BMI.…”

“…Both incidence and mortality rates have increased over the last decades, with obesity being one of the main risk factors [2]. The increase in obesity has multiple underlying factors including socioeconomical factors, with a strong association between obesity and lower socioeconomic status (SES) in endometrial cancer patients and in the general population [3,4].…”