Pediatric hodgkin lymphoma: disparities in survival by race

Karishma Khullar1, Zorimar Rivera-Núñez1, Sachin R Jhawar2

  • 1Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.

Leukemia & Lymphoma
|October 24, 2019
PubMed

Insights

Black children with Hodgkin lymphoma (HL) have lower overall survival rates compared to White children. This study highlights racial disparities in pediatric cancer outcomes, emphasizing the need for further investigation into contributing factors.

Area of Science:

  • Oncology
  • Epidemiology
  • Health Disparities

Background:

  • Pediatric Hodgkin lymphoma (HL) survival rates have improved, but disparities persist.
  • Understanding racial differences in outcomes is crucial for equitable cancer care.

Purpose of the Study:

  • To investigate factors contributing to racial disparities in overall survival (OS) among pediatric Hodgkin lymphoma patients.
  • To analyze survival data based on race in patients diagnosed with stage I-IV HL.

Main Methods:

  • Utilized the National Cancer DataBase (NCDB) from 2004-2015.
  • Included patients aged 21 years or younger diagnosed with stage I-IV HL.
  • Employed a multivariable Cox proportional hazards model for survival analysis.

Main Results:

  • Black pediatric HL patients had a 5-year OS of 91.5% compared to 95.9% in White patients (p < .0001).
  • Black race was significantly associated with decreased OS (HR=1.50; 95% CI: 1.12-1.99; p < .01) after adjusting for confounders.
  • Poorer OS in Black patients was observed across different age strata (≤15, 16-18, >18 years).

Conclusions:

  • Black pediatric Hodgkin lymphoma patients experienced significantly lower overall survival compared to White patients.
  • Racial disparities in survival outcomes for pediatric HL warrant further investigation and targeted interventions.

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