title: Racial disparities in survival after diagnosis of prostate cancer in Kentucky, 2001-2010.
abstract: Whether the African American race remains a significant predictor of poorer prostate cancer survival after adjusting for other sociodemographic and treatment-related factors remains unclear. We examined whether disparities in survival among 18,900 African American and Caucasian men diagnosed with prostate cancer in Kentucky remained after adjusting for health insurance (payor source), cancer treatment, cancer stage at diagnosis, prostate-specific antigen (PSA) level, smoking status, and Appalachian region. After adjusting for these predictors, African American men living in Kentucky had poorer prostate cancer survival after 5 years (hazard ratio [HR] = 1.33; 95% confidence interval = 1.11, 1.59) and 10 years (HR = 1.39; 95% CI = 1.18, 1.28) of follow-up, and for the entire follow-up period (HR = 1.41; 95% CI = 1.26, 1.65) compared to their Caucasian counterparts. Thus, health insurance status, cancer treatment, cancer stage at diagnosis, PSA level at diagnosis, smoking status, and geographic location did not explain the racial gap in survival in Kentucky.
authors: University of South Carolina, Arnold School of Public Health, Department of Epidemiology and Biostatistics, Columbia, SC 29208, USA. ANTWI@email.sc.edu
authors: Samuel
authors: S
authors: Antwi
authors: Thomas C
authors: TC
authors: Tucker
authors: Ann L
authors: AL
authors: Coker
authors: Steve T
authors: ST
authors: Fleming
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D018572:Disease-Free Survival; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D053208:Kaplan-Meier Estimate; D007629:Kentucky; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D016016:Proportional Hazards Models; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000401:mortality* / Q000628:therapy; D063505:Racism; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D012959:Socioeconomic Factors; D016019:Survival Analysis; D044465:White People / Q000706:statistics & numerical data
keywords: Blacks; disparities; oncology; prostate cancer; race; survival