Conclusion
In this study, we demonstrate that social marginalization adversely
impacts overall survival in endometrial cancer patients, independent of
disease stage and other patient factors. Our study mitigates some of the
confounders that commonly challenge health equity research in cancer
care. Opportunities to reduce disparities in cancer outcomes exist
across the entire disease trajectory, from prevention through early
detection, access to care and healthcare utilization, treatment and
survivorship. Further study is needed to identify targetable events in
the cancer care pathway, and to assess the efficacy of healthcare
systems interventions, in order to narrow the social chasm in cancer
outcomes.