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ORIGINAL ARTICLE Stage-Adjusted Lung Cancer Survival Does Not Differ between Low-Income Blacks and Whites Melinda C. Aldrich, PhD,*† Eric L. Grogan, MD,*‡§ Heather M. Munro, MS,║ Lisa B. Signorello, ScD,¶ and William J. Blot, PhD†║ Key W ords: Lung cancer, Race, Disparities, Survival, Socioeconomic Introduction: Few lung cancer studies have focused on lung can- status. cer survival in underserved populations. We conducted a prospective cohort study among 81,697 racially diverse and medically under- (J Thorac Oncol. 2013;8: 1248–1254) served adults enrolled in the Southern Community Cohort Study throughout an 11-state area of the Southeast from March 2002 to September 2009. ung cancer is the leading cause of cancer-related mortality Methods: Using linkages with state cancer registries, we identified Lin the United States among men and women, with an over- 1–3 501 incident non–small-cell lung cancer cases. We applied Cox pro- all 5-year relative survival of only 16%. According to the portional hazards models to estimate hazard ratios (HRs) and 95% American Cancer Society, an estimated 160,340 lung cancer confidence intervals (CIs) for subsequent mortality among black and deaths occurred in the United States in 2012, accounting for white participants. 28% of all cancer deaths. Although survival from lung can- cer has improved since the early 1990s, racial differences in
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Oct 1, 2013
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