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Cancer Causes Control. 2009 Dec;20(10):1881-92. doi: 10.1007/s10552-009-9382-3.

Disparities in survival after Hodgkin lymphoma: a population-based study.

Author information

1
Northern California Cancer Center, 2201 Walnut Ave, Suite 300, Fremont, CA 94536, USA. tkeegan@nccc.org

Abstract

Survival after Hodgkin lymphoma (HL) is generally favorable, but may vary by patient demographic characteristics. The authors examined HL survival according to race/ethnicity and neighborhood socioeconomic status (SES), determined from residential census-block group at diagnosis. For 12,492 classical HL patients ≥ 15 years diagnosed in California during 1988-2006 and followed through 2007, we determined risk of overall and HL-specific death using Cox proportional hazards regression; analyses were stratified by age and Ann Arbor stage. Irrespective of disease stage, patients with lower neighborhood SES had worse overall and HL-specific survival than patients with higher SES. Patients with the lowest quintile of neighborhood SES had a 64% (patients aged 15-44 years) and 36% (≥ 45 years) increased risk of HL-death compared to patients with the highest quintile of SES; SES results were similar for overall survival. Even after adjustment for neighborhood SES, blacks and Hispanics had increased risks of HL-death 74% and 43% (15-44 years) and 40% and 17% (≥ 45 years), respectively, higher than white patients. The racial/ethnic differences in survival were evident for all stages of disease. These data provide evidence for substantial, and probably remediable, racial/ethnic and neighborhood SES disparities in HL outcomes.

PMID:
19557531
PMCID:
PMC2888633
DOI:
10.1007/s10552-009-9382-3
[Indexed for MEDLINE]
Free PMC Article

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