Mp70-04 Factors Associated With Prolonged Time Interval Between Mri and Mri-Fusion Targeted Prostate Biopsy: A Disparity in Cancer Care

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes III (MP70)1 May 2024MP70-04 FACTORS ASSOCIATED WITH PROLONGED TIME INTERVAL BETWEEN MRI AND MRI-FUSION TARGETED PROSTATE BIOPSY: A DISPARITY IN CANCER CARE Austin Coale, Zachary S. Feuer, Samuel L. Tate, Dylane N. Davis, Marc A. Bjurlin, Eric M. Wallen, David C. Johnson, Angela B. Smith, Matthew E. Nielsen, and Hung-Jui Tan Austin CoaleAustin Coale , Zachary S. FeuerZachary S. Feuer , Samuel L. TateSamuel L. Tate , Dylane N. DavisDylane N. Davis , Marc A. BjurlinMarc A. Bjurlin , Eric M. WallenEric M. Wallen , David C. JohnsonDavid C. Johnson , Angela B. SmithAngela B. Smith , Matthew E. NielsenMatthew E. Nielsen , and Hung-Jui TanHung-Jui Tan View All Author Informationhttps://doi.org/10.1097/01.JU.0001008796.84999.75.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Delay in diagnostic workup represents a form of healthcare disparity. Factors such as race, insurance and socioeconomic status have been associated with poor outcomes for men with prostate cancer. The objective in this study was to assess sociodemographic factors associated with a prolonged time interval between MRI and MRI-fusion targeted biopsy (MRI-TB). METHODS: All men undergoing initial MRI and MRI-TB between 2016-2023 were included. Men with incomplete data, no pre-biopsy MRI, or a prior diagnosis of prostate cancer were excluded. Data regarding zip codes, race, insurance status, marital status were extracted. Driving distance to the medical center was calculated using straight line distance between zip codes, categorized as <12.5, 12.5-50 and >50 miles. A prolonged time interval was defined as >3rd quartile in time elapsed between MRI and MRI-TB. Univariate regression analysis was performed to calculate odds ratios for prolonged time interval. RESULTS: There were 535 men included in the study cohort, of which 378 (70.0%) men identified as Caucasian and 115 (21.0%) men identified as African American (AA). Results are summarized (Table 1). Regarding insurance status, 154 (28.1%) had Medicare only, 158 (28.8%) had private insurance, and 156 (28.5%) had multiple insurance plans. Most men (73.7%) were married. Median driving distance was 29.0 miles (IQR 12.0-64.8). Median time from MRI to MRI-TB was 48 days (IQR 31-74). In univariate analysis, driving distance >50 miles and AA race were associated with prolonged interval between MRI and MRI-TB (Table 1). Insurance and marital status were not associated with prolonged interval. Notably, AA race was associated with increased driving distance from the medical center (OR 1.76, p=0.032). CONCLUSIONS: Driving distance and AA race were associated with prolonged time interval between MRI and MRI-TB, a delay in prostate cancer diagnosis representing a disparity in care. Interestingly, AA race was associated with increased driving distance from the medical center, representing a possible confounder. Providing access to diagnostic imaging services closer to a patient's home may improve this delay in care but must be weighed against the potential risk of variability in imaging technique/quality. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1129 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Austin Coale More articles by this author Zachary S. Feuer More articles by this author Samuel L. Tate More articles by this author Dylane N. Davis More articles by this author Marc A. Bjurlin More articles by this author Eric M. Wallen More articles by this author David C. Johnson More articles by this author Angela B. Smith More articles by this author Matthew E. Nielsen More articles by this author Hung-Jui Tan More articles by this author Expand All Advertisement PDF downloadLoading ...