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- W2110733906 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Apr 2004RACIAL/ETHNIC DISPARITIES IN THE TREATMENT OF LOCALIZED/REGIONAL PROSTATE CANCERis corrected byRE: RACIAL/ETHNIC DISPARITIES IN THE TREATMENT OF LOCALIZED/REGIONAL PROSTATE CANCERRE: RACIAL/ETHNIC DISPARITIES IN THE TREATMENT OF LOCALIZED/REGIONAL PROSTATE CANCER WILLIE UNDERWOOD, SONYA DeMONNER, PETER UBEL, ANGELA FAGERLIN, MARTIN G. SANDA, and JOHN T. WEI WILLIE UNDERWOODWILLIE UNDERWOOD More articles by this author , SONYA DeMONNERSONYA DeMONNER More articles by this author , PETER UBELPETER UBEL More articles by this author , ANGELA FAGERLINANGELA FAGERLIN More articles by this author , MARTIN G. SANDAMARTIN G. SANDA More articles by this author , and JOHN T. WEIJOHN T. WEI More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000118907.64125.e0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Racial/ethnic disparities in the utilization of definitive therapy for prostate cancer are well recognized in the United States. The effect of race on the use of contemporary definitive therapies, including brachytherapy, and the assessment of Hispanic men with regard to racial/ethnic disparity has not been fully characterized. Materials and Methods: We evaluated treatment patterns using Surveillance, Epidemiology and End Results registry data on 142,340 localized/regional stage cases between 1992 and 1999 in white, black and Hispanic American men. Definitive therapy was defined as radical prostatectomy, external beam radiation, brachytherapy or combinations thereof. Logistic regression models were constructed to determine the odds of receiving definitive treatment, adjusting for age, marital status, tumor grade, and Surveillance, Epidemiology and End Results site. Results: Black and Hispanic men were less likely to receive definitive therapy than white men (p <0.001). Higher tumor grade was associated with decreasing odds of definitive therapy for black and Hispanic men (p <0.001) compared to white men. The racial/ethnic disparities in the use of definitive therapy decreased between 1992 and 1999 with the greatest decrease in Hispanic men. Conclusions: Hispanic and black men were less likely than white men to receive definitive therapy. The disparity in the use of definitive therapy between 1992 and 1999 decreased significantly in Hispanic men, although a significant disparity in the use of definitive therapy persisted in black men. Our observation of an association between tumor grade and the racial/ethnic disparity in definitive therapy ties together relevant biological and social factors that may contribute to the observed racial/ethnic disparity in mortality. References 1 : Cancer statistics, 2003. CA Cancer J Clin2003; 53: 5. Google Scholar 2 : Effect of age and race on the survival of men with prostate cancer in the Metropolitan Detroit tricounty area, 1973 to 1987. Urology1995; 45: 93. Crossref, Medline, Google Scholar 3 : Treatment of localized prostate cancer in African-American compared with Caucasian men. Less use of aggressive therapy for comparable disease. Med Care1995; 33: 1079. Google Scholar 4 : Geographic, age, and racial variation in the treatment of local/regional carcinoma of the prostate. J Clin Oncol1995; 13: 93. Google Scholar 5 : Factors associated with initial therapy for clinically localized prostate cancer: prostate cancer outcomes study. J Natl Cancer Inst2001; 93: 1864. 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Google Scholar From the Robert Wood Johnson Clinical Scholars Program (WU, SD), Division of Clinical Research and Quality Assurance, Department of Urology (WU, MGS, JTW) and Program for Improving Health Care Decisions, Division of General Medicine (PU, AF), University of Michigan, Veterans Affairs Center for Practice Management and Outcomes Research (WU, SD, PU, AF) and Veteran Administration Healthcare System (PU, AF), Ann Arbor, Michigan© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byChhatre S, Malkowicz S, Gallo J and Jayadevappa R (2023) Racial Disparity in Outcomes Among Prostate Cancer Patients in the Post–Affordable Care Act PeriodUrology Practice, VOL. 10, NO. 2, (123-129), Online publication date: 1-Mar-2023.DeWitt-Foy M, Gam K, Modlin C, Kim S and Abouassaly R (2020) Race, Decisional Regret and Prostate Cancer Beliefs: Identifying Targets to Reduce Racial Disparities in Prostate CancerJournal of Urology, VOL. 205, NO. 2, (426-433), Online publication date: 1-Feb-2021.Webster B, Riley J and Davis M (2020) Initial Presentation and Outcomes of Testicular Cancer among Different Racial and Ethnic Groups at a Tertiary Care Facility in New MexicoUrology Practice, VOL. 8, NO. 1, (71-77), Online publication date: 1-Jan-2021.Krimphove M, Fletcher S, Cole A, Berg S, Sun M, Lipsitz S, Mahal B, Nguyen P, Choueiri T, Kibel A, Kluth L, Weissman J and Trinh Q (2018) Quality of Care in the Treatment of Localized Intermediate and High Risk Prostate Cancer at Minority Serving HospitalsJournal of Urology, VOL. 201, NO. 4, (735-741), Online publication date: 1-Apr-2019.Taneja S (2016) Re: Racial Differences in the Surgical Care of Medicare Beneficiaries with Localized Prostate CancerJournal of Urology, VOL. 196, NO. 3, (742-743), Online publication date: 1-Sep-2016.Kelly S, Van Den Eeden S, Hoffman R, Aaronson D, Lobo T, Luta G, Leimpter A, Shan J, Potosky A and Taylor K (2016) Sociodemographic and Clinical Predictors of Switching to Active Treatment among a Large, Ethnically Diverse Cohort of Men with Low Risk Prostate Cancer on Observational ManagementJournal of Urology, VOL. 196, NO. 3, (734-740), Online publication date: 1-Sep-2016.Mahmood U, Levy L, Nguyen P, Lee A, Kuban D and Hoffman K (2014) Current Clinical Presentation and Treatment of Localized Prostate Cancer in the United StatesJournal of Urology, VOL. 192, NO. 6, (1650-1656), Online publication date: 1-Dec-2014.Filson C, Schroeck F, Ye Z, Wei J, Hollenbeck B and Miller D (2014) Variation in Use of Active Surveillance among Men Undergoing Expectant Treatment for Early Stage Prostate CancerJournal of Urology, VOL. 192, NO. 1, (75-81), Online publication date: 1-Jul-2014.Holmes J, Carpenter W, Wu Y, Hendrix L, Peacock S, Massing M, Schenck A, Meyer A, Diao K, Wheeler S, Godley P, Stitzenberg K and Chen R (2012) Impact of Distance to a Urologist on Early Diagnosis of Prostate Cancer Among Black and White PatientsJournal of Urology, VOL. 187, NO. 3, (883-888), Online publication date: 1-Mar-2012.Powell I, Bock C, Ruterbusch J and Sakr W (2010) Evidence Supports a Faster Growth Rate and/or Earlier Transformation to Clinically Significant Prostate Cancer in Black Than in White American Men, and Influences Racial Progression and Mortality DisparityJournal of Urology, VOL. 183, NO. 5, (1792-1797), Online publication date: 1-May-2010.Abraham N, Wan F, Montagnet C, Wong Y and Armstrong K (2007) Decrease in Racial Disparities in the Staging Evaluation for Prostate Cancer After Publication of Staging GuidelinesJournal of Urology, VOL. 178, NO. 1, (82-87), Online publication date: 1-Jul-2007.Ramsey S, Zeliadt S, Hall I, Ekwueme D and Penson D (2018) On the Importance of Race, Socioeconomic Status and Comorbidity When Evaluating Quality of Life in Men With Prostate CancerJournal of Urology, VOL. 177, NO. 6, (1992-1999), Online publication date: 1-Jun-2007.McFall S (2018) Use and Awareness of Prostate Specific Antigen Tests and Race/EthnicityJournal of Urology, VOL. 177, NO. 4, (1475-1480), Online publication date: 1-Apr-2007.Powell I (2018) Epidemiology and Pathophysiology of Prostate Cancer in African-American MenJournal of Urology, VOL. 177, NO. 2, (444-449), Online publication date: 1-Feb-2007.Lee C, Dunn R, Williams C and Underwood W (2018) Racial Disparity in Bladder Cancer: Trends in Tumor Presentation at DiagnosisJournal of Urology, VOL. 176, NO. 3, (927-934), Online publication date: 1-Sep-2006.NELSON C, PARK J, DUNN R and WEI J (2018) CONTEMPORARY TRENDS IN SURGICAL CORRECTION OF PEDIATRIC URETEROPELVIC JUNCTION OBSTRUCTION: DATA FROM THE NATIONWIDE INPATIENT SAMPLEJournal of Urology, VOL. 173, NO. 1, (232-236), Online publication date: 1-Jan-2005.Related articlesJournal of Urology9 Nov 2018RE: RACIAL/ETHNIC DISPARITIES IN THE TREATMENT OF LOCALIZED/REGIONAL PROSTATE CANCERJournal of Urology9 Nov 2018RE: RACIAL/ETHNIC DISPARITIES IN THE TREATMENT OF LOCALIZED/REGIONAL PROSTATE CANCER Volume 171Issue 4April 2004Page: 1504-1507 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.KeywordsAfrican continental ancestry groupprostateEuropean continental ancestry groupprostatic neoplasmsHispanic AmericansMetricsAuthor Information WILLIE UNDERWOOD More articles by this author SONYA DeMONNER More articles by this author PETER UBEL More articles by this author ANGELA FAGERLIN More articles by this author MARTIN G. SANDA More articles by this author JOHN T. WEI More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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