Abstract
Purpose: The population of adolescent and young adult (AYA, ages 15–39 years) diffuse large B-cell lymphoma (DLBCL) survivors is growing, however long-term overall survival patterns and disparities are largely unknown. Methods: The current study utilized the Surveillance, Epidemiology, and End Results (SEER) registry to assess the impact of race/ethnicity, sex, socioeconomic status, and rurality on long-term survival in 5-year DLBCL survivors using an accelerated failure time model. Results: Included were 4767 5-year survivors of AYA DLBCL diagnosed between the years 1980 and 2009 with a median follow-up time of 13.4 years. Non-Hispanic Black survivors had significantly worse long-term survival than non-Hispanic White survivors (Survival Time Ratio (STR): 0.53, p < 0.0001). Male sex (STR: 0.57, p < 0.0001) and older age at diagnosis were also associated with reduced long-term survival. There was no evidence that survival disparities improved over time. Conclusions: Racial disparities persist well into survivorship among AYA DLBCL survivors. Studies investigating specific factors associated with survival disparities are urgently needed to better address these disparities.
Original language | English (US) |
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Article number | 102044 |
Journal | Cancer Epidemiology |
Volume | 75 |
DOIs | |
State | Published - Dec 2021 |
Keywords
- AYA
- Adolescent and Young Adult Oncology
- Diffuse large B-cell lymphoma
- Racial disparities
- Survival
ASJC Scopus subject areas
- Epidemiology
- Oncology
- Cancer Research
MD Anderson CCSG core facilities
- Biostatistics Resource Group