Hispanic vs. Caucasian Race/Ethnicity in Adrenocortical Carcinoma Patients
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Hispanic vs. Caucasian Race/Ethnicity in Adrenocortical Carcinoma Patients. / Panunzio, Andrea; Tappero, Stefano; Garcia, Cristina Cano; Piccinelli, Mattia; Barletta, Francesco; Incesu, Reha-Baris; Tian, Zhe; Tafuri, Alessandro; Tilki, Derya; Briganti, Alberto; DE Cobelli, Ottavio; Chun, Felix K H; Terrone, Carlo; Saad, Fred; Shariat, Shahrokh F; Bourdeau, Isabelle; Cerruto, Maria Angela; Antonelli, Alessandro; Karakiewicz, Pierre I.
in: ANTICANCER RES, Jahrgang 42, Nr. 11, 11.2022, S. 5579-5585.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Hispanic vs. Caucasian Race/Ethnicity in Adrenocortical Carcinoma Patients
AU - Panunzio, Andrea
AU - Tappero, Stefano
AU - Garcia, Cristina Cano
AU - Piccinelli, Mattia
AU - Barletta, Francesco
AU - Incesu, Reha-Baris
AU - Tian, Zhe
AU - Tafuri, Alessandro
AU - Tilki, Derya
AU - Briganti, Alberto
AU - DE Cobelli, Ottavio
AU - Chun, Felix K H
AU - Terrone, Carlo
AU - Saad, Fred
AU - Shariat, Shahrokh F
AU - Bourdeau, Isabelle
AU - Cerruto, Maria Angela
AU - Antonelli, Alessandro
AU - Karakiewicz, Pierre I
N1 - Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
PY - 2022/11
Y1 - 2022/11
N2 - BACKGROUND/AIM: In primaries other than adrenocortical carcinoma (ACC), Hispanic race/ethnicity may predispose to higher stage at initial diagnosis and may result in worse survival. We tested the association between Hispanic race/ethnicity and cancer specific mortality (CSM) in ACC patients in addition to testing for differences in other-cause mortality (OCM) rates between Hispanics and Caucasians.PATIENTS AND METHODS: Within Surveillance, Epidemiology, and End Results database (2004-2018), we identified 1,060 ACC patients: 167 (15.8%) Hispanics vs. 893 (84.2%) Caucasians. Propensity score matching (age, sex, grade, T, N and M stages, treatment types), cumulative incidence plots Poisson-smoothing and competing risk regression (CRR) were used.RESULTS: Compared to Caucasians, Hispanics were younger (51 vs. 57 years, p<0.001) and presented higher rates of T3-4 primary tumor stage (52.7% vs. 42.8%, p=0.007). No other statistically significant differences were observed for grade, lymph node invasion, distant metastases, European Network for the Study of Adrenal Tumors (ENSAT) stage and treatment type (p>0.05 in all cases). After matching (1:3), 167 Hispanics and 501 Caucasians remained and were included in CRR analyses. In Hispanics, five-year CSM rates were 38.0% and 78.8% in respectively ENSAT stages I-II and III-IV vs. 34.1% and 74.4% in Caucasians. Overall, five-year OCM rates were 10.7% vs. 9.0% in Hispanics and Caucasians, respectively. In multivariable CRR models, Hispanic race/ethnicity was not an independent predictor for higher CSM (hazard ratio=1.18, p=0.2).CONCLUSION: In ACC, relative to Caucasians, Hispanic race/ethnicity is associated with lower age at initial diagnosis, but not with higher tumor stage or survival disadvantage.
AB - BACKGROUND/AIM: In primaries other than adrenocortical carcinoma (ACC), Hispanic race/ethnicity may predispose to higher stage at initial diagnosis and may result in worse survival. We tested the association between Hispanic race/ethnicity and cancer specific mortality (CSM) in ACC patients in addition to testing for differences in other-cause mortality (OCM) rates between Hispanics and Caucasians.PATIENTS AND METHODS: Within Surveillance, Epidemiology, and End Results database (2004-2018), we identified 1,060 ACC patients: 167 (15.8%) Hispanics vs. 893 (84.2%) Caucasians. Propensity score matching (age, sex, grade, T, N and M stages, treatment types), cumulative incidence plots Poisson-smoothing and competing risk regression (CRR) were used.RESULTS: Compared to Caucasians, Hispanics were younger (51 vs. 57 years, p<0.001) and presented higher rates of T3-4 primary tumor stage (52.7% vs. 42.8%, p=0.007). No other statistically significant differences were observed for grade, lymph node invasion, distant metastases, European Network for the Study of Adrenal Tumors (ENSAT) stage and treatment type (p>0.05 in all cases). After matching (1:3), 167 Hispanics and 501 Caucasians remained and were included in CRR analyses. In Hispanics, five-year CSM rates were 38.0% and 78.8% in respectively ENSAT stages I-II and III-IV vs. 34.1% and 74.4% in Caucasians. Overall, five-year OCM rates were 10.7% vs. 9.0% in Hispanics and Caucasians, respectively. In multivariable CRR models, Hispanic race/ethnicity was not an independent predictor for higher CSM (hazard ratio=1.18, p=0.2).CONCLUSION: In ACC, relative to Caucasians, Hispanic race/ethnicity is associated with lower age at initial diagnosis, but not with higher tumor stage or survival disadvantage.
KW - Humans
KW - White People
KW - Adrenocortical Carcinoma
KW - Hispanic or Latino
KW - Ethnicity
KW - Adrenal Gland Neoplasms
KW - Adrenal Cortex Neoplasms
U2 - 10.21873/anticanres.16065
DO - 10.21873/anticanres.16065
M3 - SCORING: Journal article
C2 - 36288855
VL - 42
SP - 5579
EP - 5585
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 11
ER -