Evidence map›Paper›PMID 22902011›Full record

ArticleThe Journal of urology2012

Racial variation in the quality of surgical care for prostate cancer.

Daniel A Barocas, Darryl T Gray, Jay H Fowke, Nathaniel D Mercaldo, Jeffrey D Blume, Sam S Chang, Michael S Cookson, Joseph A Smith, David F Penson

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of urology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04683510 (Increasing Recruitment of Underrepresented Cancer Survivors With Awareness Enhancing Interventions), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04683510 nacompletednot on this mapstarted 2021, after this paper: background citation

Increasing Recruitment of Underrepresented Cancer Survivors With Awareness Enhancing Interventions

TypeinterventionalSponsorUniversity of TennesseeRan2021 to 2025Enrolled4,451ConditionsResearch AwarenessArmsNavigation - Study Specific - Researcher Voice, Navigation - Study Specific - Cancer Survivor Voice, Navigation - Research General - Researcher Voice, Navigation - Research General - Cancer Survivor Voice, Brochure - Study Specific - Researcher Voice
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Prostate cancer in men of African origin.Nature reviews. Urology · 2016
    Review
  7. Observational
  8. Article
  9. Pediatric inpatient hospital resource use for congenital heart defects.Birth defects research. Part A, Clinical and molecular teratology · 2014
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daniel A BarocasDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA. dan.barocas@vanderbilt.edu
Darryl T Gray
Jay H Fowke
Nathaniel D Mercaldo
Jeffrey D Blume
Sam S Chang
Michael S Cookson
Joseph A Smith
David F Penson

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Vanderbilt Environmental Health Science Scholars ProgramK12ES015855 · NIEHS · VANDERBILT UNIVERSITY · PI BROWN, NANCY J. · 2007 to 2011
$3.5M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) TL1TL1RR024978 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$1.3M
NCRR NIH HHS KL2 RR024977NCRR NIH HHS TL1 RR024978NCRR NIH HHS UL1 RR024975NIEHS NIH HHS K12 ES015855NIEHS NIH HHS K12 ES15855
6 · The paper itself

Abstract

purposeDifference in the quality of care may contribute to the less optimal prostate cancer treatment outcomes among black men compared with white men. We determined whether a racial quality of care gap exists in surgical care for prostate cancer, as evidenced by racial variation in the use of high volume surgeons and facilities, and in the quality of certain outcome measures of care. MATERIALS AND

methodsWe performed cross-sectional and cohort analyses of administrative data from the Healthcare Cost and Utilization Project all-payer State Inpatient Databases, encompassing all nonfederal hospitals in Florida, Maryland and New York State from 1996 to 2007. Included in analysis were men 18 years old or older with a diagnosis of prostate cancer who underwent radical prostatectomy. We compared the use of surgeons and/or hospitals in the top quartile of annual volume for this procedure, inpatient blood transfusion, complications, mortality and length of stay between black and white patients.

resultsOf 105,972 patients 81,112 (76.5%) were white, 14,006 (13.2%) were black, 6,999 (6.6%) were Hispanic and 3,855 (3.6%) were all other. In mixed effects multivariate models, black men had markedly lower use of high volume hospitals (OR 0.73, 95% CI 0.70-0.76) and surgeons (OR 0.67, 95% CI 0.64-0.70) compared to white men. Black men also had higher odds of blood transfusion (OR 1.08, 95% CI 1.01-1.14), longer length of stay (OR 1.07, 95% CI 1.06-1.07) and inpatient mortality (OR 1.73, 95% CI 1.02-2.92).

conclusionsUsing an all-payer data set, we identified concerning potential quality of care gaps between black and white men undergoing radical prostatectomy for prostate cancer.

Indexed as

Black or African AmericanHispanic or LatinoWhite PeopleCohort StudiesCross-Sectional StudiesHumansMaleMiddle AgedProstatic NeoplasmsQuality of Health Care

Identifiers

PMID22902011
PMCPMC3770766

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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.