Disparities in End-of-Life Outcomes: A Demographic and Geographic Analysis of Endometrial Cancer Deaths in the United States

生命末期结局的差异:美国子宫内膜癌死亡病例的人口统计学和地理分析

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Abstract

INTRODUCTION: Endometrial cancer poses a significant public health challenge globally. With an increasing incidence, understanding end-of-life outcomes becomes crucial in navigating this landscape. This study aims to explore disparities in endometrial cancer death locations across demographic and geographic parameters. METHODOLOGY: Using the Centre for Disease Control and Prevention - Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database, data on endometrial cancer deaths were retrieved and analysed. Logistic and linear regression models were employed to identify predictors and trends in place of death. RESULTS: The study identified 90,140 endometrial cancer deaths from 1999 to 2020. Age-specific analysis revealed higher mortality rates in the 64-75 years age group. Geographically, the South reported the highest mortality rates. White individuals exhibited higher death rates across all settings. Age, race, and geographic disparities were evident in endometrial cancer death locations. CONCLUSIONS: Understanding end-of-life outcomes in endometrial cancer is crucial for improving patient care. Tailored interventions addressing demographic and geographic disparities are essential for ensuring equitable and dignified end-of-life care for individuals with endometrial cancer.

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