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Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study.

Publication ,  Journal Article
Jenkins, KR; Oyekunle, T; Howard, LE; Wiggins, EK; Freedland, SJ; Allott, EH
Published in: Cancer causes & control : CCC
April 2021

To test for racial differences in associations between family history (FH) of prostate cancer (PC) and prostate cancer aggressiveness in a racially diverse equal access population undergoing prostate biopsy.We prospectively enrolled men undergoing prostate biopsy at the Durham Veterans Administration from 2007 to 2018 and assigned case or control status based on biopsy results. Race and FH of PC were self-reported on questionnaires. Logistic regression was used to test the association between FH and PC diagnosis overall and by tumor aggressiveness [high- (Grade Group 3-5) or low-grade (Grade Group 1-2) vs. no cancer], overall, and stratified by race. Models were adjusted for age and year of consent, race, PSA level, digital rectal exam findings, prostate volume, and previous (negative) biopsy receipt.Of 1,225 men, 323 had a FH of PC and 652 men were diagnosed with PC on biopsy. On multivariable analysis, FH was associated with increased odds of high-grade PC in black (OR 1.85, p = 0.041) and all men (OR 1.56, p = 0.057) and was unrelated to overall or low-grade PC diagnosis, overall, or stratified by race (all p ≥ 0.325). In sensitivity analyses among men without a previous biopsy, results were slightly more pronounced.In this setting of equal access to care, positive FH of PC was associated with increased tumor aggressiveness in black men, but not non-black men undergoing prostate biopsy. Further research is required to tease apart the contribution of genetics from increased PC awareness potentially influencing screening and biopsy rates in men with FH.

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Published In

Cancer causes & control : CCC

DOI

EISSN

1573-7225

ISSN

0957-5243

Publication Date

April 2021

Volume

32

Issue

4

Start / End Page

337 / 346

Related Subject Headings

  • Prostatic Neoplasms
  • Neoplasm Grading
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans
  • Health Services Accessibility
  • Epidemiology
  • Black or African American
  • Biopsy
 

Citation

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Jenkins, K. R., Oyekunle, T., Howard, L. E., Wiggins, E. K., Freedland, S. J., & Allott, E. H. (2021). Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study. Cancer Causes & Control : CCC, 32(4), 337–346. https://doi.org/10.1007/s10552-020-01389-8
Jenkins, Kimberly R., Taofik Oyekunle, Lauren E. Howard, Emily K. Wiggins, Stephen J. Freedland, and Emma H. Allott. “Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study.Cancer Causes & Control : CCC 32, no. 4 (April 2021): 337–46. https://doi.org/10.1007/s10552-020-01389-8.
Jenkins KR, Oyekunle T, Howard LE, Wiggins EK, Freedland SJ, Allott EH. Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study. Cancer causes & control : CCC. 2021 Apr;32(4):337–46.
Jenkins, Kimberly R., et al. “Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study.Cancer Causes & Control : CCC, vol. 32, no. 4, Apr. 2021, pp. 337–46. Epmc, doi:10.1007/s10552-020-01389-8.
Jenkins KR, Oyekunle T, Howard LE, Wiggins EK, Freedland SJ, Allott EH. Family history of prostate cancer and prostate tumor aggressiveness in black and non-black men;results from an equal access biopsy study. Cancer causes & control : CCC. 2021 Apr;32(4):337–346.
Journal cover image

Published In

Cancer causes & control : CCC

DOI

EISSN

1573-7225

ISSN

0957-5243

Publication Date

April 2021

Volume

32

Issue

4

Start / End Page

337 / 346

Related Subject Headings

  • Prostatic Neoplasms
  • Neoplasm Grading
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans
  • Health Services Accessibility
  • Epidemiology
  • Black or African American
  • Biopsy