ArticleCancer2011
Hospital racial composition and the treatment of localized prostate cancer.
Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Real-world analyses of major adverse cardiovascular events and mortality risk after androgen deprivation therapy initiation in black vs. white prostate cancer patients.Prostate cancer and prostatic diseases · 2025Article
- Active Surveillance for Prostate Cancer: Are We Failing Latino Patients at a Large Safety Net Hospital?Clinical genitourinary cancer · 2018Article
- Methods for Measuring Racial Differences in Hospitals Outcomes Attributable to Disparities in Use of High-Quality Hospital Care.Health services research · 2017Article
- Understanding age and race disparities in the application of sentinel lymph node biopsy in breast cancer.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2016Article
- Racial/ethnic differences in the relative risk of receipt of specific treatment among men with prostate cancer.Urologic oncology · 2016Article
- Health Care Segregation, Physician Recommendation, and Racial Disparities in BRCA1/2 Testing Among Women With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016Article
- Examining Causes of Racial Disparities in General Surgical Mortality: Hospital Quality Versus Patient Risk.Medical care · 2015Article
- Gonadotropin-releasing hormone agonist overuse: urologists' response to reimbursement and characteristics associated with persistent overuse.Prostate cancer and prostatic diseases · 2015Article
- Multilevel Factors Associated With Overall Mortality for Men Diagnosed With Prostate Cancer in Florida.American journal of men's health · 2014Article
- Physician social networks and variation in rates of complications after radical prostatectomy.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2014Article
- Physician social networks and variation in prostate cancer treatment in three cities.Health services research · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundRacial differences in the treatment of men with localized prostate cancer remain poorly understood. This study examines whether hospital racial composition is associated with the type of treatment black and white men receive.
methodsThe authors performed a retrospective cohort study of men in Surveillance, Epidemiology, and End Results-Medicare diagnosed with localized prostate cancer from 1995 to 2005 linked to hospital and census data. A total of 134,291 men were assigned to the hospital where they received care. Generalized estimating equations were used to determine whether hospital racial composition was associated with the receipt of definitive therapy and type of treatment.
resultsBlack men were less likely to receive radiation and/or prostatectomy compared with white men (55.5% vs 63.7%, P < .001) and, among those who received definitive therapy, were less likely to undergo prostatectomy (27.5% vs 31.9%, P < .001). The percentage of black men who received their care at hospitals with a high proportion of black patients was 48.0%, compared with only 5.2% of white patients who received care in this subset of hospitals. Men were significantly less likely to receive definitive treatment (odds ratio, 0.81; 95% confidence interval, 0.74-0.90) in hospitals with a high proportion of black patients compared with men seen at hospitals with fewer black patients. The association between hospital racial composition and treatment did not significantly differ by patient race.
conclusionsHospital racial composition is consistently associated with the care that men receive for localized prostate cancer. Better understanding of the factors that determine where men receive care is an important component in reducing variation in treatment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.