Comparison of stage at diagnosis of melanoma among Hispanic, black, and white patients in Miami-Dade County, Florida

Arch Dermatol. 2006 Jun;142(6):704-8. doi: 10.1001/archderm.142.6.704.

Abstract

Objective: To compare stage at diagnosis of melanoma between non-Hispanic white, non-Hispanic black, and Hispanic patients.

Design: Retrospective analysis.

Setting: Melanoma cases reported to the Florida Cancer Data System, with known stage and race/ethnicity information, for residents of Miami-Dade County, Florida, from 1997 to 2002.

Patients: Those diagnosed as having melanoma according to the Florida Cancer Data System.

Main outcome measure: Stage of melanoma at diagnosis.

Results: Of the 1690 melanoma cases reported with both stage and race/ethnicity information, 1176 (70%) were among non-Hispanic white patients, 485 (29%) were among Hispanic patients of any race, and 29 (2%) were among non-Hispanic black patients. Late-stage (regional and distant) diagnosis was more common among Hispanic (26%) and non-Hispanic black patients (52%) compared with non-Hispanic white patients (16%) (P < .001).

Conclusion: Advanced stage of melanoma diagnosis among Hispanic and black patients suggests suboptimal secondary prevention efforts in minority populations.

Publication types

  • Comparative Study

MeSH terms

  • African Americans / statistics & numerical data*
  • European Continental Ancestry Group / statistics & numerical data*
  • Female
  • Florida / epidemiology
  • Hispanic Americans / statistics & numerical data*
  • Humans
  • Male
  • Medical Records
  • Melanoma / diagnosis
  • Melanoma / ethnology*
  • Melanoma / etiology
  • Melanoma / pathology
  • Melanoma / prevention & control
  • Neoplasm Staging
  • Preventive Health Services / standards
  • Preventive Health Services / statistics & numerical data*
  • Registries
  • Retrospective Studies
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / ethnology*
  • Skin Neoplasms / etiology
  • Skin Neoplasms / pathology
  • Skin Neoplasms / prevention & control