@entity189 : Racial and Ethnic Disparities in Survival-A Review of 4714 XXXX .

@entity1 @entity189 @entity957 @entity5
OBJECTIVE: To determine whether or not @entity1 race and ethnicity affect sinonasal @entity5 survival. STUDY DESIGN: Retrospective database analysis. SETTING: National @entity5 Institute's Surveillance, Epidemiology, and End Results Database, 1988-2010. SUBJECTS AND METHODS: @entity189 cases were extracted according to site codes and histology recode-broad groupings. The cohort was used to calculate disease-specific survival in regard to race and ethnicity. Extracted data were further analyzed through direct comparisons and multivariable Cox regression models controlling for @entity1 , @entity5 , and treatment characteristics. RESULTS: Unadjusted survival curves for all @entity189 showed poorer disease-specific survival for black versus white @entity1 (P = .02), which was eliminated after controlling for @entity5 characteristics (hazard ratio: 1.02, P = .86). Specifically for @entity957 , significantly poorer disease-specific survival was found for both black (P = .01) and Hispanic (P = .01) @entity1 as compared with white @entity1 . Similarly, when controlling for @entity5 characteristics, the disease-specific survival disparity was eliminated for black (hazard ratio: 0.93, P = .59) and Hispanic @entity1 (hazard ratio: 1.01, P = .94). CONCLUSION: Black race is a risk factor for poorer disease-specific survival when all sinonasal histologic subtypes are examined together. Specifically for @entity957 , both black race and Hispanic ethnicity are risk factors for poorer disease-specific survival. When @entity5 characteristics are controlled for in this cohort, the survival disparity is eliminated, demonstrating that the disparity can be accounted for exclusively by more advanced disease at presentation, opposed to the more complex effect seen in other subsites of the head and neck.
