Racial inequities in the quality of surgical care among Medicare beneficiaries with localized prostate cancer.

ABSTRACT:

Background

US Black men are twice as likely to die from prostate cancer as men of other races. Lower quality care may contribute to this higher death rate.

Methods

Sociodemographic and clinical data were obtained for men in Surveillance, Epidemiology, and End Results-Medicare diagnosed with clinically localized prostate cancer (cT1-4N0/xM0/x) and managed primarily by radical prostatectomy (2005-2015). Surgical volume was determined for facility and surgeon. Relationships between race, surgeon and/or facility volume, and characteristics of treating facility with survival (all-cause and cancer-specific) were assessed using multivariable Cox regression and competing risk analysis.

Results

Black men represented 6.7% (n = 2123) of 31,478 cohort. They were younger at diagno

SUBMITTER: Nyame YA 

PROVIDER: S-EPMC10312213 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature