Retrospective Chart Review Indicates Earlier Age of Endometrial Cancer Diagnosis and Elevated Housing and Transportation Vulnerability in Hispanic and Native American Populations.
6 affiliations
- 1Department of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona, USA.
- 2Department of Obstetrics and Gynecology, Kaiser Los Angeles Medical Center, Los Angeles, California, USA.
- 3University of Arizona Cancer Center, Tucson, Arizona, USA.
- 4Department of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona, USA.
- 5Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
- 6Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Abstract
Background
In 2025, Endometrial cancer (EC) is the 6th most common cancer in women globally, with rising cases in younger patients and communities of color. EC risk factors include postmenopausal status, family history, diabetes, and hyperestrogenic state conditions.Methods
We retrospectively reviewed charts of patients who received hysterectomies or hysteroscopies for either cancerous and/or benign diagnoses between 2016 and 2021 at a university hospital in Phoenix (AZ). Sociodemographic and clinical data were collected. The Arizona Social Vulnerability Index was utilized to understand contributors to EC diagnosis outcomes. Kruskal-Wallis, Fisher's exact, and multinomial logistic regression tests were used to compare EC to benign conditions.Results
Two hundred sixty-one patients were diagnosed with benign conditions (n = 31), hyperplasia (n = 53), or EC (n = 168). EC patients were older (p = 0.016), mostly post-menopausal (p = 0.008), and more frequently had diabetes (p = 0.001) compared to patients with benign conditions. Native Americans had a higher percentage of EC cases relative to other races (p = 0.07) and presented with EC at significantly younger ages (49.79 years, p = 0.001) and with more comorbid diagnoses of diabetes (38.5%, p = 0.051) compared to Whites (61.99 years, 27.1%). Hispanic patients also presented with EC at younger ages (53.74,p = 0.006) compared to non-Hispanics (61.56 years). Higher vulnerability in Housing Type and Transportation scores (p = 0.045) among patients diagnosed with EC was observed.Conclusion
Public health initiatives should target modifiable risk factors contributing to increased EC rates at younger ages, especially in Native American and Hispanic communities. Differences in housing and transportation highlight social structures and health accessibility as areas for improving EC outcomes.
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BibTeX
@article{jimenez2026retrospective,
title = {{Retrospective Chart Review Indicates Earlier Age of Endometrial Cancer Diagnosis and Elevated Housing and Transportation Vulnerability in Hispanic and Native American Populations.}},
author = {Nicole R Jimenez and Rachel Mendoza and Erika Flores and Haiyan Cui and Paweł Łaniewski and Dana M Chase and Denise J Roe and Melissa M Herbst-Kralovetz},
journal = {Cancer medicine},
year = {2026},
month = nov,
doi = {10.1002/cam4.72379},
url = {https://europepmc.org/article/MED/42968191},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Retrospective Chart Review Indicates Earlier Age of Endometrial Cancer Diagnosis and Elevated Housing and Transportation Vulnerability in Hispanic and Native American Populations.
AU - Nicole R Jimenez
AU - Rachel Mendoza
AU - Erika Flores
AU - Haiyan Cui
AU - Paweł Łaniewski
AU - Dana M Chase
AU - Denise J Roe
AU - Melissa M Herbst-Kralovetz
PY - 2026
DA - 2026/11/01
JO - Cancer medicine
DO - 10.1002/cam4.72379
UR - https://europepmc.org/article/MED/42968191
AB - Background In 2025, Endometrial cancer (EC) is the 6th most common cancer in women globally, with rising cases in younger patients and communities of color. EC risk factors include postmenopausal status, family history, diabetes, and hyperestrogenic state conditions.Methods We retrospectively reviewed charts of patients who received hysterectomies or hysteroscopies for either cancerous and/or benign diagnoses between 2016 and 2021 at a university hospital in Phoenix (AZ). Sociodemographic and clinical data were collected. The Arizona Social Vulnerability Index was utilized to understand contributors to EC diagnosis outcomes. Kruskal-Wallis, Fisher's exact, and multinomial logistic regression tests were used to compare EC to benign conditions.Results Two hundred sixty-one patients were diagnosed with benign conditions (n = 31), hyperplasia (n = 53), or EC (n = 168). EC patients were older (p = 0.016), mostly post-menopausal (p = 0.008), and more frequently had diabetes (p = 0.001) compared to patients with benign conditions. Native Americans had a higher percentage of EC cases relative to other races (p = 0.07) and presented with EC at significantly younger ages (49.79 years, p = 0.001) and with more comorbid diagnoses of diabetes (38.5%, p = 0.051) compared to Whites (61.99 years, 27.1%). Hispanic patients also presented with EC at younger ages (53.74,p = 0.006) compared to non-Hispanics (61.56 years). Higher vulnerability in Housing Type and Transportation scores (p = 0.045) among patients diagnosed with EC was observed.Conclusion Public health initiatives should target modifiable risk factors contributing to increased EC rates at younger ages, especially in Native American and Hispanic communities. Differences in housing and transportation highlight social structures and health accessibility as areas for improving EC outcomes.
SN - 2045-7634
ER -