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Prostate cancer patients' refusal of cancer-directed surgery: a statewide analysis.

Islam KM, Wen J - Prostate Cancer (2015)

Bottom Line: Introduction.Conclusion.Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA.

ABSTRACT
Introduction. Prostate cancer is the most common cancer among men in USA. The surgical outcomes of prostate cancer remain inconsistent. Barriers such as socioeconomic factors may play a role in patients' decision of refusing recommended cancer-directed surgery. Methods. The Nebraska Cancer Registry data was used to calculate the proportion of prostate cancer patients recommended the cancer-directed surgery and the surgery refusal rate. Multivariate logistic regression was applied to analyze the socioeconomic indicators that were related to the refusal of surgery. Results. From 1995 to 2012, 14,876 prostate cancer patients were recommended to undergo the cancer-directed surgery in Nebraska, and 576 of them refused the surgery. The overall refusal rate of surgery was 3.9% over the 18 years. Patients with early-stage prostate cancer were more likely to refuse the surgery. Patients who were Black, single, or covered by Medicaid/Medicare had increased odds of refusing the surgery. Conclusion. Socioeconomic factors were related to the refusal of recommended surgical treatment for prostate cancer. Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being.

No MeSH data available.


Related in: MedlinePlus

The annual proportion of prostate cancer patients recommended the cancer-directed surgery and the annual surgery refusal rate.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4418003&req=5

fig1: The annual proportion of prostate cancer patients recommended the cancer-directed surgery and the annual surgery refusal rate.

Mentions: We calculated the following descriptive statistics over year: the annual proportions of prostate cancer patients recommended the cancer-directed surgery (the number of patients recommended surgery in that year/total number of prostate cancer patients in that year), the annual surgery refusal rates (the number of patients refused recommended surgery in that year/total number of patients recommended the surgery in that year), and the annual proportions of early-stage/late-stage patients recommended the surgery (the number of early-stage or late-stage patients recommended surgery in that year/total number of early-stage or late-stage prostate cancer patients in that year) and we illustrated the statistics in Figures 1 and 2.


Prostate cancer patients' refusal of cancer-directed surgery: a statewide analysis.

Islam KM, Wen J - Prostate Cancer (2015)

The annual proportion of prostate cancer patients recommended the cancer-directed surgery and the annual surgery refusal rate.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4418003&req=5

fig1: The annual proportion of prostate cancer patients recommended the cancer-directed surgery and the annual surgery refusal rate.
Mentions: We calculated the following descriptive statistics over year: the annual proportions of prostate cancer patients recommended the cancer-directed surgery (the number of patients recommended surgery in that year/total number of prostate cancer patients in that year), the annual surgery refusal rates (the number of patients refused recommended surgery in that year/total number of patients recommended the surgery in that year), and the annual proportions of early-stage/late-stage patients recommended the surgery (the number of early-stage or late-stage patients recommended surgery in that year/total number of early-stage or late-stage prostate cancer patients in that year) and we illustrated the statistics in Figures 1 and 2.

Bottom Line: Introduction.Conclusion.Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA.

ABSTRACT
Introduction. Prostate cancer is the most common cancer among men in USA. The surgical outcomes of prostate cancer remain inconsistent. Barriers such as socioeconomic factors may play a role in patients' decision of refusing recommended cancer-directed surgery. Methods. The Nebraska Cancer Registry data was used to calculate the proportion of prostate cancer patients recommended the cancer-directed surgery and the surgery refusal rate. Multivariate logistic regression was applied to analyze the socioeconomic indicators that were related to the refusal of surgery. Results. From 1995 to 2012, 14,876 prostate cancer patients were recommended to undergo the cancer-directed surgery in Nebraska, and 576 of them refused the surgery. The overall refusal rate of surgery was 3.9% over the 18 years. Patients with early-stage prostate cancer were more likely to refuse the surgery. Patients who were Black, single, or covered by Medicaid/Medicare had increased odds of refusing the surgery. Conclusion. Socioeconomic factors were related to the refusal of recommended surgical treatment for prostate cancer. Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being.

No MeSH data available.


Related in: MedlinePlus