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Racial Disparities in Patients with Melanoma: A Multivariate Survival Analysis
Joshua Brady1, Reem Kashlan1, Julie Ruterbusch2
1Wayne State University School of Medicine, Detroit, MI, USA.
Purpose:
As the most common cause of skin cancer death, incidence and mortality of melanoma vary widely between ethnic and racial groups.
Methods:
Surveillance, Epidemiology, and End Results (SEER) data were used to examine the incidence and survival in patients with melanoma concerning race and ethnicity in Wayne County, Michigan between 2000 and 2016.
Results:
Analysis of data revealed significantly higher melanoma-specific death in non-Hispanic black patients compared to their non-Hispanic white counterparts (p <0.001). However, no increased risk of death due to melanoma was observed following adjustment of data for the stage, age, and sex (H.R. = 1.00, 95% CI 0.64-1.56).
Conclusion:
Non-Hispanic black patients have the highest percentage of late-stage melanoma. Increased incidence of melanoma mortality in non-Hispanic black patients is likely a consequence of late-stage diagnosis.
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