Treatment of Localized Prostate Cancer in African-American Compared with Caucasian Men; Less Use of Aggressive Therapy for Comparable Disease
Bibliographic Data
| ID | 9099267 |
|---|---|
| Authors | Marilyn M Schapira (0000-0002-3775-9462, Medical College of Wisconsin, corresponding author), Timothy L Mcauliffe (0000-0002-9390-3959), Ann B Nattinger (0000-0002-8189-3300, Medical College of Wisconsin, corresponding author) |
| Year | 1995 |
| Volume | 33 |
| Issue | 11 |
| Pages | 1079-1088 |
| Publication date | 1995-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199511000-00002 |
| PMID | 7475418 |
| OpenAlex | W2022771893 |
| Language | EN |
| Citations received | 11 |
| References cited | 1 |
The objective of this study is to evaluate differences in treatment for localized prostate cancer in African-American compared with Caucasian men. A cohort of patients was identified from the 1988-1989 Surveillance, Epidemiology, and End Results data base. Data were linked by county of residence to the Area Resource File. The main outcome measures were (1) the receipt of aggressive therapy (radical prostatectomy or external beam radiation) and (2) the treatment modality (radical prostatectomy or external beam radiation). Of 5,786 subjects, 15% were treated with a radical prostatectomy, 29% received external beam radiation, and 56% did not receive aggressive therapy. African Americans were less likely (relative risk 0.46; 95% confidence interval 0.39, 0.54) than Caucasians to receive aggressive therapy. Among those receiving aggressive therapy, African Americans were less likely (relative risk 0.64; 95% confidence interval 0.48, 0.86) than Caucasians to have a radical prostatectomy. Adjustment for patient, disease, and community health care availability characteristics did not change these results. We conclude that African-American and Caucasian men receive different treatments for localized prostate cancer. The reasons for the differences, and their ultimate effect on mortality and quality of life require further study
Androgen deprivation therapy · Cancer · Confidence interval · Odds ratio · Prostate cancer · Prostatectomy · Radiation therapy · Relative risk · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Prostate Cancer Diagnosis and Treatment · Prostate Cancer Treatment and Research · Surgery
Racial and Ethnic Disparities in the Receipt of Cancer Treatment
Stage at Diagnosis and Survival in a Multiethnic Cohort of Prostate Cancer Patients
Life‐Threatening Disparities
Effect of Treatment on Quality of Life Among Men With Clinically Localized Prostate Cancer
Trends and Black/White Differences in Treatment for Nonmetastatic Prostate Cancer
Measuring Patientsʼ Perceptions of the Outcomes of Treatment for Early Prostate Cancer
Impact of Individual and Market Factors on the Timing of Initiation of Hospice Terminal Care
The Influence of Patient Race and Social Vulnerability on Urologist Treatment Recommendations in Localized Prostate Carcinoma
Health pessimism among black and white adults
Racial Differences in Treatment Decision-Making for Men with Clinically Localized Prostate Cancer
African-American Men with Low-Risk Prostate Cancer
| Citations per year | 0.39 |
|---|---|
| Citation span | 1998 - 2016 (19) |
| Highly cited | No |