Pd61-02 Racial Differences in Recommendation Against Prostate Cancer Surgery in the United States: A Registry-Based Comparative Analysis

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy IV (PD61)1 May 2024PD61-02 RACIAL DIFFERENCES IN RECOMMENDATION AGAINST PROSTATE CANCER SURGERY IN THE UNITED STATES: A REGISTRY-BASED COMPARATIVE ANALYSIS Dejan K. Filipas, Edoardo Beatrici, Yu-Jen Chen, Charlotte Humke, Benjamin V. Stone, Daniel R. Stelzl, Malte W. Vetterlein, Stuart R. Lipsitz, Thomas Seisen, and Quoc-Dien Trinh Dejan K. FilipasDejan K. Filipas , Edoardo BeatriciEdoardo Beatrici , Yu-Jen ChenYu-Jen Chen , Charlotte HumkeCharlotte Humke , Benjamin V. StoneBenjamin V. Stone , Daniel R. StelzlDaniel R. Stelzl , Malte W. VetterleinMalte W. Vetterlein , Stuart R. LipsitzStuart R. Lipsitz , Thomas SeisenThomas Seisen , and Quoc-Dien TrinhQuoc-Dien Trinh View All Author Informationhttps://doi.org/10.1097/01.JU.0001009352.31737.3d.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite numerous studies investigating systemic barriers to healthcare, the role of patient race in recommendation against cancer surgery remains understudied. This study examines racial differences in recommendation against prostate cancer surgery. METHODS: We conducted a registry-based cohort study utilizing data from the Surveillance, Epidemiology, and End Results (SEER) database and the American College of Surgeons National Cancer Database (NCDB), focusing on 2010-2020. A cohort of adult patients diagnosed with localized intermediate and high-risk prostate cancer according to the D´amico classification was studied, adjusting for clinical, demographic, and socioeconomic variables. Recommendations against prostate cancer surgery was the outcome of interest. RESULTS: Our analysis included 507,543 prostate cancer patients from the NCDB, along with 153,505 prostate cancer patients from the SEER database. Findings showed that Non-Hispanic Black patients had higher odds of receiving a recommendation against surgery than Non-Hispanic White patients within NCDB (adjusted odds ratio (aOR) 1.75 [95% CI 1.65-1.85]) and within SEER (aOR 2.18 [95%CI 1.98-2.40]), all p<0.001. Moreover, older age and a higher comorbidity burden were associated with increased odds of recommendation against surgery, all p<0.001. CONCLUSIONS: This study underscores racial differences in recommendation against prostate cancer surgery. Understanding these disparities can inform efforts to improve the quality and equity of cancer care. Underlying factors contributing to these disparities. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1279 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Dejan K. Filipas More articles by this author Edoardo Beatrici More articles by this author Yu-Jen Chen More articles by this author Charlotte Humke More articles by this author Benjamin V. Stone More articles by this author Daniel R. Stelzl More articles by this author Malte W. Vetterlein More articles by this author Stuart R. Lipsitz More articles by this author Thomas Seisen More articles by this author Quoc-Dien Trinh More articles by this author Expand All Advertisement PDF downloadLoading ...