Retrospective analysis of endometrial cancer among Afro-Caribbean women in Barbados 2008-2017

Trop Doct. 2022 Oct;52(4):495-502. doi: 10.1177/00494755221123190. Epub 2022 Sep 4.

Abstract

Endometrial cancer data amongst Barbadian women was collected, to inform screening and management in this under-studied population. We analysed all recorded primary cases between January 1st 2008, and December 31st, 2017. Age-specific incidence, and crude mortality rates were calculated. Descriptive statistics characterized demographics, risk factors, prescription data and histopathology. Log-rank tests assessed simple group differences by EC type. Survival analysis based on tumour type was plotted using Kaplein-Meir curves. There were 270 recorded cases of EC, averaging 66 (8.8) years old (SD 8.75), with parity of 3.60 (2.3). Cases were postmenopausal with 257 (95%) experiencing postmenopausal bleeding. Of the 270 cases, 113 (42%) had type 1 tumours and 157(58%) had type 2 tumours. Weak evidence suggests the latter imparted worse survival (log rank test = 0.02). Estimated crude incidence rate was 18.64 per 100,000 women. Crude mortality rate from EC between January 1st, 2008 and December 31st, 2019 was 27%.

Keywords: Afro-Caribbean; Barbados; Endometrial cancer; endometrium; uterine cancer.

MeSH terms

  • Barbados / epidemiology
  • Child
  • Endometrial Neoplasms* / complications
  • Endometrial Neoplasms* / diagnosis
  • Endometrial Neoplasms* / epidemiology
  • Female
  • Humans
  • Incidence
  • Retrospective Studies
  • Uterine Hemorrhage / epidemiology
  • Uterine Hemorrhage / etiology
  • Uterine Hemorrhage / pathology