PURPOSE: To compare the racial differences in treatment and survival of Asian- Americans and White @entity1 with @entity43 . METHODS: Data were obtained from the Surveillance, Epidemiology, and End Results Program between 1988 and 2009 and analyzed using Chi-squared tests, Kaplan-Meier methods, and Cox regression analysis. RESULTS: Of the 52,260 @entity1 , 3,932 (7.5%) were coded as Asian, and 48,328 (92.5%) were White. The median age of Asians at diagnosis was 56 vs. 64 years of the Whites (p<0.001). Asians were more likely to undergo primary surgery, have earlier stage of disease, have a diagnosis of a non-serous histology, and have lower grade @entity5 . The 5-year disease-specific survival (DSS) of Asians was higher compared to Whites (59.1% vs. 47.3%, p<0.001). On a subset analysis, Vietnamese, Filipino, Chinese, Korean, Japanese, and Asian Indian/Pakistani ethnicities had 5-year DSS of 62.1%, 61.5%, 61.0%, 59.0%, 54.6%, and 48.2%, respectively (p=0.015). On multivariate analysis, age at diagnosis, year of diagnosis, race, surgery, stage, and @entity5 grade were all independent prognostic factors for survival. Asians were further stratified to U.S. born versus those who were born in Asia and immigrated. Asian immigrants presented at a younger age compared to U.S. born Asians. Immigrants were found to have an improved 5-year DSS when compared to U.S. born Asians and Whites of 55%, 52%, and 48%, respectively (p<0.001). CONCLUSION: Asians were more likely to be younger, undergo primary surgery, have earlier stage of disease, non-serous histology, lower grade @entity5 , and higher survival.

Survival Differences of Asian and Caucasian XXXX @entity1 in the United States.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity43 :: ('MESH:D010051', 'Disease') :: ['epithelial ovarian cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors']
@entity43 :: (MESH:D010051,Disease) :: ['Epithelial Ovarian Cancer']
