Journal of Immigrant and Minority Health

, Volume 13, Issue 5, pp 818–824 | Cite as

Increased Mortality Among Hispanic Testis Cancer Patients Independent of Neighborhood Socioeconomic Status: A SEER Study

  • Timothy V. Johnson
  • Wayland Hsiao
  • Ashesh Jani
  • Viraj A. Master
Original Paper


Testis cancer-specific survival (CSS) varies by Hispanic ethnicity. Our goal was to assess whether neighborhood socioeconomic status (SES) accounts for elevated testis CSS among Hispanic patients. We queried the Surveillance, Epidemiology, and End Results (SEER) database for Hispanic (HW) and Non-Hispanic white (NHW) patients. Multivariate Cox regression analyses evaluated Hispanic ethnicity’s impact on tCSS while adjusting for neighborhood socioeconomic status (education and income levels). HWs constituted 14.3% of the 26,258 patients in the cohort. Neighborhood SES factors such as county income (P < 0.001) and education level (P < 0.001) were significant predictors of testis cancer-specific survival (tCSS). Controlling for SES and other variables, Hispanic ethnicity remained a significant predictor of tCSS. Compared to NHWs, HWs experienced a 41% greater cancer-specific mortality (HR: 1.406, 95% CI: 1.178–1.678, P < 0.001). The mechanism underlying the increased testis cancer mortality experienced by Hispanic patients remains unknown.


Testicular neoplasms Ethnic groups Mortality SEER program Socioeconomic factors 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Timothy V. Johnson
    • 1
  • Wayland Hsiao
    • 2
    • 3
  • Ashesh Jani
    • 4
    • 5
  • Viraj A. Master
    • 1
    • 5
  1. 1.Department of UrologyEmory UniversityAtlantaUSA
  2. 2.Department of UrologyWeill Cornell Medical CollegeNew YorkUSA
  3. 3.Center for Male Reproductive MedicineWeill Cornell Medical CollegeNew YorkUSA
  4. 4.Department of Radiation OncologyEmory UniversityDruid HillsUSA
  5. 5.Winship Cancer InstituteEmory UniversityDruid HillsUSA

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