Department of Public Health Sciences, University of Virginia, PO Box 800765, Charlottesville, VA, 22903, USA.
Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Cancer Causes Control. 2019 Sep;30(9):967-978. doi: 10.1007/s10552-019-01199-7. Epub 2019 Jun 24.
Although the incidence rate of epithelial ovarian cancer (EOC) is somewhat lower in African American (AA) than white women, survival is worse. The Ovarian Cancer in Women of African Ancestry (OCWAA) consortium will overcome small, study-specific sample sizes to better understand racial differences in EOC risk and outcomes.
We harmonized risk factors and prognostic characteristics from eight U.S.
the North Carolina Ovarian Cancer Study (NCOCS), the Los Angeles County Ovarian Cancer Study (LACOCS), the African American Cancer Epidemiology Study (AACES), the Cook County Case-Control Study (CCCCS), the Black Women's Health Study (BWHS), the Women's Health Initiative (WHI), the Multiethnic Cohort Study (MEC), and the Southern Community Cohort Study (SCCS).
Determinants of disparities for risk and survival in 1,146 AA EOC cases and 2,922 AA controls will be compared to 3,368 white EOC cases and 10,270 white controls. Analyses include estimation of population-attributable risk percent (PAR%) by race.
OCWAA is uniquely positioned to study the epidemiology of EOC in AA women compared with white women to address disparities. Studies of EOC have been underpowered to address factors that may explain AA-white differences in the incidence and survival. OCWAA promises to provide novel insight into disparities in ovarian cancer.
尽管非裔美国女性(AA)的上皮性卵巢癌(EOC)发病率略低于白人女性,但生存率却较差。非洲裔美国女性卵巢癌(OCWAA)联盟将克服研究特异性样本量小的问题,以更好地了解 EOC 风险和结局的种族差异。
我们协调了来自八项美国研究的风险因素和预后特征:北卡罗来纳州卵巢癌研究(NCOCS)、洛杉矶县卵巢癌研究(LACOCS)、非裔美国人癌症流行病学研究(AACES)、库克县病例对照研究(CCCCS)、黑人妇女健康研究(BWHS)、妇女健康倡议(WHI)、多种族队列研究(MEC)和南方社区队列研究(SCCS)。
将比较 1146 例 AA 上皮性卵巢癌病例和 2922 例 AA 对照与 3368 例白人上皮性卵巢癌病例和 10270 例白人对照之间风险和生存差异的决定因素。分析包括按种族估计人群归因风险百分比(PAR%)。
OCWAA 具有独特的优势,可以与白人女性比较研究 AA 女性的 EOC 流行病学,以解决差异问题。EOC 的研究在解释发病率和生存率方面的 AA-白人群体差异的因素方面一直力不从心。OCWAA 有望为卵巢癌的差异提供新的见解。