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Outcome disparities among ethnic subgroups of Waldenström's macroglobulinemia: a population-based study.
[waldenström macroglobulinemia]
Ethnic
disparities
in
cancers
are
associated
with
variability
in
clinical
outcomes
.
We
present
a
Surveillance
Epidemiology
and
End
RESULTS
(
SEER
)
-
based
outcome
analysis
of
multiethnic
Waldenström
's
macroglobulinemia
(
WM
)
patients
.
Adult
WM
patients
diagnosed
in
1992
or
later
(
n
=
3
,
175
)
were
analyzed
.
Median
overall
survival
(
OS
)
was
compared
across
different
ethnicities
stratified
by
year
of
diagnosis
,
registry
identification
,
age
at
diagnosis
,
sex
,
and
marital
status
.
African-
Americans
(
AA
)
had
the
youngest
median
age
at
diagnosis
(
63
years
)
and
Whites
had
the
oldest
(
73
years
)
(
p
<
0
.
001
)
.
Female
gender
,
a
younger
age
at
diagnosis
,
and
a
recent
year
of
diagnosis
were
associated
with
an
improved
OS
.
Hispanics
had
the
worst
(
5
.
6
years
)
while
Whites
had
the
best
(
6
.
8
years
)
median
OS
.
A
significant
interaction
existed
between
median
OS
,
gender
,
and
race
(
p
=
0
.
007
)
.
Among
males
,
AA
had
the
worst
(
4
.
3
years
)
and
Asians
had
the
best
(
7
.
3
years
)
median
OS
.
A
significant
interaction
was
also
noted
between
median
OS
,
age
at
diagnosis
,
and
race
(
p
=
0
.
033
)
.
The
worst
median
OS
was
seen
in
Hispanics
among
patients
aged
>
75
years
,
and
in
AA
among
those
aged
<
65
years
.
These
disparities
among
WM
patients
may
be
multifactorial
but
need
to
be
explored
systematically
to
better
understand
the
disease
biology
and
for
optimal
triaging
of
health
care
resources
.
Diseases
Validation
Diseases presenting
"median overall survival"
symptom
cholangiocarcinoma
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
waldenström macroglobulinemia
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