Racial/Ethnic Differences in Treatment Discussed, Preferred, and Received for Prostate Cancer in a Tri-Ethnic Population

This study was conducted to explore whether racial/ethnic differences exist in treatment discussed, preferred, and ultimately received for localized prostate cancer (PCa) as epidemiological data are scant on this issue. The authors recruited 640 localized PCa patients from the Texas Medical Center,...

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Bibliographic Details
Published in:	American journal of men's health 2012-05, Vol.6 (3), p.249-257
Main Authors:	Hosain, G. M. Monawar, Sanderson, Maureen, Du, Xianglin L., Chan, Wenyaw, Strom, Sara S.
Format:	Article
Language:	eng
Subjects:	African Americans - statistics & numerical data Age Factors Aged Cultural differences Decision Making European Continental Ancestry Group - statistics & numerical data Hispanic Americans - statistics & numerical data Humans Interviews as Topic Male Middle Aged Odds Ratio Patient Care Planning Patient Preference Professional-Patient Relations Prostate cancer Prostatectomy Prostatic Neoplasms - ethnology Prostatic Neoplasms - therapy Radiation therapy Radiotherapy Surgery Texas Watchful Waiting
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Summary:	This study was conducted to explore whether racial/ethnic differences exist in treatment discussed, preferred, and ultimately received for localized prostate cancer (PCa) as epidemiological data are scant on this issue. The authors recruited 640 localized PCa patients from the Texas Medical Center, Houston, Texas, between 1996 and 2004. The authors used a structured questionnaire to collect data through personal interviews. Three main treatment modalities for localized PCa, consisting of surgery, radiation therapy, and watchful waiting, were considered for this study. It was found that health professionals were less likely to discuss surgery (odds ratio [OR] = 0.35, 95% confidence interval [CI] = 0.18-0.68) and watchful waiting (OR = 0.53, 95% CI = 0.34-0.83) with Hispanics than Whites. However, African Americans were less likely to receive watchful waiting (OR = 0.22, 95% CI = 0.05-0.93). They were more likely to prefer (OR = 1.23, 95% CI = 0.78-1.94) and receive (OR = 1.27, 95% CI = 0.87-1.86) radiation therapy, although they did not achieve statistical significance (p < .05). Higher age was associated with lower likelihood of discussing, preferring, and receiving surgical treatment. Higher Gleason sum was associated with lower likelihood of discussing treatment. A comparison of concordances between treatment preferred by patients and what was actually received, in general, showed a higher agreement for surgery and radiation therapy. More exploration needs to be done in other settings to confirm these findings.
ISSN:	1557-9883 1557-9891