The Effect of Race and Rural Residence on Prostate Cancer Treatment Choice Among Men in Georgia - 20/08/11
, Michael Goodman a, Jonathan Liff a, Colleen Diiorio a, Susan Butler a, Phil Roberts b, Judith L. Smith c, Donatus Ekwueme c, Ingrid J. Hall c
Reprint requests: Kyle Steenland, M.D., Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, Ga 30322Résumé |
Objective |
To analyze differences for prostate cancer by race and in rural areas.
Methods |
We studied 516 men younger than 75 years old with incident prostate cancer during 2005-08 in 33 counties in Southwest Georgia (SWGA), a rural area of 700,000 (40% African American). Treatment data were abstracted from medical records, and interviews conducted with 314 men. We also compared treatments in SWGA vs. Atlanta in 2005.
Results |
External radiation plus brachytherapy was the most common treatment in SWGA (31%), followed by external radiation alone (27%), and surgery (18%). Patients in SWGA had higher odds of external radiation vs. surgery than men in Atlanta (OR 2.66, 95% CI 1.85-3.81). African Americans had higher odds of choosing treatment other than surgery, compared with whites (OR 2.04, 95% CI 1.57-2.63), more so in SWGA (OR 3.51, 95% CI 1.92-6.41) than Atlanta (OR 1.76, 95% CI 1.32-2.35) (P = .05). Poor communication with their physician was reported by 13% of men in SWGA, more among African Americans than whites (OR 3.95, 95% CI 1.52-10.30), and more among those who had no treatment vs. some treatment (OR 5.77, 95% CI 1.88-11.46).
Conclusions |
In both rural and urban Georgia, white men with prostate cancer had surgery more frequently than African Americans, although data suggest this may be caused more by income differences than race. Rural patients as opposed to urban patients were more likely to receive external radiation and less likely to receive brachytherapy alone or surgery. Poor communication with a physician, particularly prevalent among African Americans, was associated with choosing no treatment in SWGA.
Le texte complet de cet article est disponible en PDF.Plan
| This publication was supported by Cooperative Agreement. Number SIP 25-04 (grant 3 U48 DP000043-01S1) from the Centers for Disease Control and Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. |
Vol 77 - N° 3
P. 581-587 - mars 2011 Retour au numéro
Article précédent
- Prevalence and Correlates of Sexual Dysfunction Among Women With Bladder Pain Syndrome/Interstitial Cystitis
- Laura M. Bogart, Marika J. Suttorp, Marc N. Elliott, J. Quentin Clemens, Sandra H. Berry
- Factors That Influence Patient Enrollment in Active Surveillance for Low-risk Prostate Cancer
- Michael A. Gorin, Cynthia T. Soloway, Ahmed Eldefrawy, Mark S. Soloway
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?