caa a22 4500 44531561X CHVBK 20180317142646.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s10552-011-9727-6 doi (NATIONALLICENCE)springer-10.1007/s10552-011-9727-6 Cancer survival among Latinos and the Hispanic Paradox [Elektronische Daten] [Paulo Pinheiro, Melanie Williams, Eric Miller, Stephanie Easterday, Sheniz Moonie, Edward Trapido] Background: Cancer survival is a key indicator of the effectiveness and social justice of health services. However, little is known about cancer survival among Hispanics, how it varies by Hispanic subgroup (Mexicans, Puerto Ricans, Cubans, and Others), and how their survival patterns relate to the Hispanic Paradox. Methods: We studied all 1.2million cancer cases diagnosed during 1995-2003, in two states, Florida and Texas, according to three categories of outcome: highly fatal outcome, poor outcome, and moderate outcome. All were followed up until December 31, 2006. We calculated survival rates for each Hispanic subgroup, and using Cox regression, we studied the risk of death for each Hispanic subgroup compared with non-Hispanic Whites, adjusted for age, cancer site, and stage at diagnosis. Results: Important differences in cancer survival were found according to Hispanic subgroup. For cancers of moderate outcome, the adjusted risk of death was higher among all Hispanic populations in comparison with non-Hispanic Whites: 6% higher for Cubans, 11% for Puerto Ricans, and 13% for US-born Mexicans. Foreign-born Mexicans, even with incomplete follow-up, had a 24% higher risk of death. For foreign-born Hispanics, except Cubans, the mortality follow-up of cancers of highly fatal outcome was insufficient, resulting in missing deaths and thus unrealistically high survival rates. Conclusions: No evidence of a Hispanic advantage was found in cancer survival. Improvement in mortality follow-up procedures for Latinos, especially for those without a valid social security number, is critical. By considering Hispanics as a whole rather than by subgroup, existing survival disparities are being missed. Springer Science+Business Media B.V., 2011 Cancer survival nationallicence Mortality nationallicence Hispanic nationallicence Latino nationallicence Paradox nationallicence Florida nationallicence Texas nationallicence Pinheiro Paulo School of Community Health Sciences, University of Nevada Las Vegas, BHS 359, S Maryland Parkway, Box 490693, 89154, Las Vegas, NV, USA aut Williams Melanie Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut Miller Eric Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut Easterday Stephanie Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut Moonie Sheniz School of Community Health Sciences, University of Nevada Las Vegas, BHS 359, S Maryland Parkway, Box 490693, 89154, Las Vegas, NV, USA aut Trapido Edward Louisiana State University Health Sciences Center, New Orleans, LA, USA aut Cancer Causes & Control Springer Netherlands 22/4(2011-04-01), 553-561 0957-5243 22:4<553 2011 22 10552 https://doi.org/10.1007/s10552-011-9727-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10552-011-9727-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pinheiro Paulo School of Community Health Sciences, University of Nevada Las Vegas, BHS 359, S Maryland Parkway, Box 490693, 89154, Las Vegas, NV, USA aut NATIONALLICENCE 700 1- Williams Melanie Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut NATIONALLICENCE 700 1- Miller Eric Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut NATIONALLICENCE 700 1- Easterday Stephanie Department of State Health Services Texas, Texas Cancer Registry, Austin, TX, USA aut NATIONALLICENCE 700 1- Moonie Sheniz School of Community Health Sciences, University of Nevada Las Vegas, BHS 359, S Maryland Parkway, Box 490693, 89154, Las Vegas, NV, USA aut NATIONALLICENCE 700 1- Trapido Edward Louisiana State University Health Sciences Center, New Orleans, LA, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Springer Netherlands 22/4(2011-04-01), 553-561 0957-5243 22:4<553 2011 22 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer