Abstract

effect of race on survival time after adjusting for differences in stage, age and grade using Cox-proportional hazards regression. We used SPSS software (version 19.0) for the analysis. Results: We included 11,184 patients who were less than 50 years (9432 Caucasians and 1752 African-Americans) in our study. The mean (SD) age in years at diagnosis was similar in Caucasians 42(6) and African-Americans 42(6). Sigmoid colon was the commonest site affected in both groups (Caucasians 24% and African-Americans 20%). Differences in tumor characteristics at diagnosis is shown in Table 1. Surgery was performed in most of the patients in both groups (Caucasians 99% and African-Americans 100%). Mean survival was longer in Caucasian patients as compared to African-Americans (15 years vs. 12 years) P , 0.001 Log Rank (Mantel-Cox). Young Caucasians had better 5-year colon cancer-specific survival compared to African-Americans (62% vs. 52% respectively). After adjusting for differences in stage of disease at presentation, age and grade, African-Americans survive shorter time as compared to Caucasians (hazard ratio 95% CI 1.39 (1.28-1.51) (Figure 1). Conclusion: Young African-Americans had advanced stage of colorectal cancer at diagnosis. They had shorter survival time even after adjustment for differences of stage, grade and age. Table1: The characteristics of colorectal cancer in Caucasians and African-Americans

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