Racial and ethnic characteristics and cancer-specific survival in Primary Malignant Cardiac Tumors

Autor: Aloysius, Mark M., Shrivastava, Sanskriti, Rojulpote, Chaitanya, Naseer, Raza, Hanif, Hamza, Babic, Milos, Gentilezza, Kenneth, Boruah, Pranjal K., Pancholy, Samir
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine. 9
ISSN: 2297-055X
DOI: 10.3389/fcvm.2022.961160
Popis: BackgroundThere is limited insight into the epidemiological characteristics and effect of race and ethnicity on Primary Malignant Cardiac Tumors (PMCTs).ObjectivesComparison of clinical characteristics and cancer-specific survival outcomes of major races in the United States from the Surveillance, Epidemiology and End-Result (SEER) registry.MethodsICD-O-3 codes were used to identify PMCTs for the years 1975 to 2015. Three major races were identified—“White”, “Black”, and “Asian/Pacific Islander”. Cancer-specific survival outcomes were compared using Kaplan-Meier analysis across and amongst races, based on tumor histology. A subgroup analysis of cancer-specific survival was performed between “Hispanics” and “non-Hispanics.”ResultsSeven hundred and twenty patients were identified−47% females and 79% White, mean age at diagnosis (47 ± 20 years). Black patients were significantly younger (39 ± 18 years) and presented more commonly with angiosarcomas (53%). Non-angiogenic sarcomas and lymphomas were the most common tumors in the White (38%) and Asian/Pacific Islander (34%) cohorts. For a median follow-up period of 50 (IQR3-86) months, cancer-specific survival (mean ± SD, in months) was worse in Blacks (9 ± 3) as compared to Whites (15 ± 1) and Asian/Pacific Islander (14 ± 1) (p-value; Black vs. White p = 0.011).ConclusionBlack and non-Hispanic patients have poorer cancer-specific survival in PMCTs.
Databáze: OpenAIRE