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Disparities in hospitalization outcomes among African-American and White prostate cancer patients.

Publication ,  Journal Article
Naik, G; Akinyemiju, T
Published in: Cancer Epidemiol
February 2017

OBJECTIVES: This paper aims to determine whether racial disparities exist in hospitalization outcomes among African-American and White hospitalized prostate cancer patients in the United States. We evaluated racial differences among matched groups of patients in post-operative complications, hospital length of stay and in-hospital mortality. METHODS: We identified a total of 183,856 men aged 40 years and older with a primary diagnosis of prostate cancer, of which 58,701 underwent prostatectomy, through the Nationwide Inpatient Sample, and matched all African-American patients with White patients on: 1) Demographics, 2) Demographics+Clinical presentation and 3) Demographics+Clinical presentation+Treatment. Multivariable regression analyses were conducted in SAS and estimates were reported with 95% confidence intervals. RESULTS: African-American patients were more likely to be admitted with metastatic disease (24.8%) compared with White patients matched on demographics (17.9%), and demographics+presentation (23.6%). However, 23.9% of African-American patients received surgery compared with 38.2% and 34.2% of Whites matched on demographics and demographics+presentation, respectively. White patients had lower in-hospital mortality compared with African-American patients matched on demographics (OR: 0.72, 95% CI: 0.66-0.79), demographics+presentation (OR: 0.88, 95% CI: 0.81-0.96), but was no longer significantly lower when matched on demographics, presentation and treatment (OR: 0.92, 95% CI: 0.85-1.00). CONCLUSION: There were significant racial differences in outcomes among prostate cancer patients within the inpatient setting, even after accounting for demographic and presentation differences.

Duke Scholars

Published In

Cancer Epidemiol

DOI

EISSN

1877-783X

Publication Date

February 2017

Volume

46

Start / End Page

73 / 79

Location

Netherlands

Related Subject Headings

  • White People
  • Racial Groups
  • Prostatic Neoplasms
  • Oncology & Carcinogenesis
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Healthcare Disparities
  • Black or African American
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Naik, G., & Akinyemiju, T. (2017). Disparities in hospitalization outcomes among African-American and White prostate cancer patients. Cancer Epidemiol, 46, 73–79. https://doi.org/10.1016/j.canep.2016.12.001
Naik, Gurudatta, and Tomi Akinyemiju. “Disparities in hospitalization outcomes among African-American and White prostate cancer patients.Cancer Epidemiol 46 (February 2017): 73–79. https://doi.org/10.1016/j.canep.2016.12.001.
Naik, Gurudatta, and Tomi Akinyemiju. “Disparities in hospitalization outcomes among African-American and White prostate cancer patients.Cancer Epidemiol, vol. 46, Feb. 2017, pp. 73–79. Pubmed, doi:10.1016/j.canep.2016.12.001.
Journal cover image

Published In

Cancer Epidemiol

DOI

EISSN

1877-783X

Publication Date

February 2017

Volume

46

Start / End Page

73 / 79

Location

Netherlands

Related Subject Headings

  • White People
  • Racial Groups
  • Prostatic Neoplasms
  • Oncology & Carcinogenesis
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Healthcare Disparities
  • Black or African American