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• W4234486057 abstract "Disparities in prostate cancer mortality rates are well documented in the literature. We analyzed the impact of race, primary language, marital status, income, and insurance type on mortality in prostate cancer patients at an academic medical center with a diverse patient population. A total of 869 prostate cancer patients were diagnosed at our institution between August 1, 2004-October 1, 2011. The patients were stratified by race (Black, White, Hispanic, and Other), primary language (English, Spanish, Haitian Creole, and Other), marital status (Married, Single, Divorced, Separated, Widowed, Other), income (determined by zip code), age, AJCC stage, and insurance type (Private, Medicaid/Free, Medicare, Other). Twenty-six patients with missing demographic information were excluded and data was analyzed. Chi-squared analyses and multivariate logistic regression analysis were performed to analyze the drivers of mortality at the end of follow-up as recorded in March 2012. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were reported. Data was analyzed using a 0.05 level of significance. There was no significant difference in mortality for patients related to race. However, mortality was decreased in patients who spoke Haitian Creole (p = 0.0197, OR = 0.171, CI 0.039-0.754), increased in patients who were single (p = 0.0304, OR = 1.95, CI, 1.065-3.569), and increased in patient with Medicaid/Free insurance (p = 0.0214, OR = 2.743, CI, 1.161-6.481) as noted in the selected results reported in Table. Of the 869 patients, 231 (26.6%) received radiation therapy during the course of their treatment. In this large retrospective patient analysis, race did not create significant disparities in prostate cancer patient mortality, possibly due to the focus on care for disadvantaged populations at our institution. Interestingly, patients who spoke Haitian Creole as their primary language had a lower incidence of mortality than English speakers, possibly reflecting the robust focus on interpreter services and greater family support among that patient population. The increased mortality among single patients is consistent with other large scale cancer studies. Increased mortality in prostate cancer patients with Medicaid/Free insurance may be important to address in further studies to identify whether these differences are due to differences in the utilization rates of services, such as radiation therapy, based on insurance status.Poster Viewing Abstract 2976; TableLogistic regression analysis of drivers of mortality in prostate cancer patientsReference valueVariableChi-squaredP ValueOdds ratio95% Confidence intervalRace (reference = White)Hispanic/Latino0.4164.51881.608(0.38-6.793)Other0.4655.49510.654(0.193-2.216)Language (reference = English)Haitian Creole5.4411.01970.171(0.039-0.754)Spanish1.7828.18182.743(1.161-6.481)Insurance (reference = commercial/private)Charity/Medicaid5.2904.02142.743(1.161-6.481)Medicare0.4849.48621.316(0.607-2.851)Marital status (reference = married)Divorced0.0471.82820.869(0.245-3.084)Separated0.0315.85910.86(0.163-4.542)Single4.6879.03041.95(1.065-3.569) Open table in a new tab" @default.
• W4234486057 created "2022-05-12" @default.
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• W4234486057 date "2013-10-01" @default.
• W4234486057 modified "2023-10-17" @default.
• W4234486057 title "Demographic Determinants of Mortality in Prostate Cancer Patients at a Diverse Academic Medical Center" @default.
• W4234486057 doi "https://doi.org/10.1016/j.ijrobp.2013.06.1523" @default.
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