Kaitlyn D’Onofrio

Urban Health Today

<a href="https://www.docwirenews.com/urban-health-today/urban-health-picks/postoperative-cancer-mortality-is-declining-but-racial-disparities-are-not-changing/">Black women with gynecologic cancer</a> constituted a significant portion of patients hospitalized for and who died from COVID-19—despite only making up a third of the patient population, according to a study.
“Mounting evidence suggests disproportionate coronavirus disease 2019 (COVID‐19) hospitalizations and deaths because of racial disparities. The association of race in a cohort of gynecologic oncology patients with severe acute respiratory syndrome‐coronavirus 2 infection is unknown,” the researchers reported.
The study authors collected data from patients from eight New York City area hospital systems who had gynecologic cancer and COVID-19. They implemented a multivariable mixed-effects logistic regression model that took into consideration county clustering. The main outcome was COVID-19 hospitalization and mortality.
A total of 193 patients with gynecologic cancer were identified, of whom a third were Black (n=67 [34.7%]), and two-thirds were non-Black (n=126, 65.3%).
Black patients, compared to non-Black patients, were more likely to require hospitalization (n=48/67 [71.6%] vs. n=58/126 [46%]; P=0.001). Despite only constituting a third of the study population, Black patients accounted for two in five of the 34 patients (17.6%) who died from COVID-19 (n=14 [41.2%]).
<ul>
<li>In the hospitalized cohort, Black patients, compared to non-Black patients, had a higher likelihood of the following:</li>
<li>have ≥3 comorbidities (n=30/37] [81.1%] vs. n=29/49 [59.2%]; P=0.05)</li>
<li>reside in Brooklyn (n=17/21 [81.0%] vs. n=12/27 [44.4%]; P=0.02)</li>
<li>live with family (n=25/36 [69.4%] vs. n=37/89 [41.6%]; P=0.009)</li>
<li>have public insurance (n=39/49 [79.6%] vs. n=39/73 [53.4%]; P=0.006)</li>
</ul>
Multivariate analysis found that Black patients aged younger than 65 years had a higher risk for hospitalization than non-Black patients aged younger than 65 years (odds ratio, 4.87; 95% confidence interval, 1.82-12.99; P=0.002).
The study was published in <a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.33335">Cancer</a>.
“Although Black patients represented only one‐third of patients with gynecologic cancer, they accounted for disproportionate rates of hospitalization (&gt;45%) and death (&gt;40%) because of COVID‐19 infection; younger Black patients had a nearly 5‐fold greater risk of hospitalization. Efforts to understand and improve these disparities in COVID‐19 outcomes among Black patients are critical,” the researchers concluded.

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COVID-19 Disproportionately Affects Black Women With Gynecologic Cancer

Gynecologic Cancer

Black women with gynecologic cancer constituted a large portion of patients who died from COVID-19—despite only making up a third of the patient population.

COVID-19 Affects Black Women With Gynecologic Cancer

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