Black/white differences in non-treatment of bladder cancer patients and implications for survival.
Analysis of 20,764 White and 882 Black bladder cancer patients diagnosed during 1978-85 indicates that Black patients were more likely than White patients to go untreated following diagnosis after adjustment for age- and stage-at-diagnosis, sex, and tumor histology (OR = 1.80, 95% CI = 1.33, 2.43). Treatment status was found to be a significant predictor of five-year survival after adjustment (treated/untreated odds ratio = 3.16, 95% CI = 2.08, 4.79). Results suggest that differences in initial therapy may contribute to the survival differential between Black and White bladder cancer patients.
Mayer
W J
WJ
Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, MD 20892.
McWhorter
W P
WP
D001741:Black or African American; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D014481:United States; D001749:Urinary Bladder Neoplasms / Q000208:ethnology* / Q000401:mortality / Q000628:therapy; D044465:White People