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Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system.

Publication ,  Journal Article
Tarman, GJ; Kane, CJ; Moul, JW; Thrasher, JB; Foley, JP; Wilhite, D; Riffenburgh, RH; Amling, CL
Published in: Urology
December 20, 2000

OBJECTIVES: To analyze the relationships among socioeconomic status (SES), race, and the clinical parameters of patients undergoing radical prostatectomy (RP) in an equal access health care system. METHODS: The Department of Defense Center for Prostate Disease Research longitudinal prostate cancer database from multiple military institutions was used to analyze the clinical, pathologic, and outcome data of 1058 patients with localized (Stage T2c or lower) prostate cancer and a preoperative prostate-specific antigen (PSA) level of 20 ng/mL or less who underwent RP between January 1987 and December 1997. Military rank (officer versus enlisted) was used as a surrogate measure of SES. RESULTS: The percentage of patients with pathologic Gleason grade 7 or greater prostate cancer was higher in enlisted (45%) than in officer (37%) patients (P = 0. 021). However, no difference was found between these groups with respect to pathologic stage or biochemical recurrence rates. African Americans presented at a younger age (P = 0.003), with a higher pretreatment PSA level (P = 0.001), and demonstrated higher biochemical recurrence rates than other ethnic groups (P = 0.037). The Cox proportional hazards analysis showed that a lower SES (P = 0.010) but not African American race (P = 0.696) was an independent predictor of a higher grade (Gleason grade 7 or higher) cancer. However, biochemical progression was more common in African American men (P = 0.035) and was not related to SES (P = 0.883). CONCLUSIONS: In an equal access health care system, patients of lower SES presented with higher grade prostate cancer at the time of RP. However, only African American race predicted biochemical progression after RP.

Duke Scholars

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

December 20, 2000

Volume

56

Issue

6

Start / End Page

1016 / 1020

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Social Class
  • Racial Groups
  • Prostatic Neoplasms
  • Prostatectomy
  • Prostate-Specific Antigen
  • Prostate
  • Military Personnel
  • Male
 

Citation

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Tarman, G. J., Kane, C. J., Moul, J. W., Thrasher, J. B., Foley, J. P., Wilhite, D., … Amling, C. L. (2000). Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system. Urology, 56(6), 1016–1020. https://doi.org/10.1016/s0090-4295(00)00808-6
Tarman, G. J., C. J. Kane, J. W. Moul, J. B. Thrasher, J. P. Foley, D. Wilhite, R. H. Riffenburgh, and C. L. Amling. “Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system.Urology 56, no. 6 (December 20, 2000): 1016–20. https://doi.org/10.1016/s0090-4295(00)00808-6.
Tarman GJ, Kane CJ, Moul JW, Thrasher JB, Foley JP, Wilhite D, et al. Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system. Urology. 2000 Dec 20;56(6):1016–20.
Tarman, G. J., et al. “Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system.Urology, vol. 56, no. 6, Dec. 2000, pp. 1016–20. Pubmed, doi:10.1016/s0090-4295(00)00808-6.
Tarman GJ, Kane CJ, Moul JW, Thrasher JB, Foley JP, Wilhite D, Riffenburgh RH, Amling CL. Impact of socioeconomic status and race on clinical parameters of patients undergoing radical prostatectomy in an equal access health care system. Urology. 2000 Dec 20;56(6):1016–1020.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

December 20, 2000

Volume

56

Issue

6

Start / End Page

1016 / 1020

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Social Class
  • Racial Groups
  • Prostatic Neoplasms
  • Prostatectomy
  • Prostate-Specific Antigen
  • Prostate
  • Military Personnel
  • Male