Racial Disparities among Men Undergoing Anatomic Restoration with Urologic Prosthetics

McAbee, Kara E.; Rasper, Alison M.; Colaco, Marc; Terlecki, Ryan

doi:10.1016/j.jamcollsurg.2017.07.480

Cited by 1 publication

(2 citation statements)

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“…Gupta et al, 8 reported similar findings, showing Black men received fewer UI corrective procedures compared to White men (2.1% vs 4.3%, p = 0.001). In another study, McAbee et al 9 reported that an overwhelmingly higher proportion of AUS and male sling insertions recorded within a single‐surgeon's database were performed on White men (9% vs. 87.2%, p = 0.018). While the racial disparities in receipt of ED and UI surgical care are puzzling, they remain substantial and have been observed outside the context of PCa diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, the cost of the surgical treatment options for UI has a potential to perpetuate existing racial and socioeconomic disparities in receipt and time to initiation of therapy. 7 However, while a few previous studies have reported the impact of race, 8 , 9 no study has investigated both disparity trends in men with post‐PCa treatment UI. We hypothesized that Black men and men of lower income groups would be less likely to receive ED and UI surgical care compared to White men and those of higher income groups.…”

Section: Introductionmentioning

confidence: 99%

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Racial and socioeconomic disparities in surgical care for post‐prostate cancer treatment complications: A nationwide Medicare‐based analysis

Adesanya,

Rojanasarot,

McGovern

et al. 2024

BJUI Compass

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ObjectivesTo investigate the racial and socioeconomic (income) differences in receipt of and time to surgical care for urinary incontinence (UI) and erectile dysfunction (ED) occurring post‐radical prostatectomy (RP) and/or radiation therapy (RT).Materials and MethodsUtilizing the Medicare Standard Analytical Files (SAF), a retrospective cohort study was performed on data of patients diagnosed with prostate cancer (PCa) from 2015 to 2021. Patients who underwent RP and/or RT and who subsequently developed UI and/or ED were grouped into four cohorts: RP‐ED, RP‐UI, RT‐ED and RT‐UI. County‐level median household income was cross‐referenced with SAF county codes, classified into income quartiles, and used as a proxy for patient income status. The rate of surgical care was compared between groups using two‐sample t‐test and log‐rank test. Cox proportional hazards modelling was used to determine covariate‐adjusted impact of race on time to surgical care.ResultsThe rate of surgical care was 6.8, 3.61 3.07, and 1.54 per 100 person‐years for the RP‐UI, RT‐UI, RP‐ED, and RT‐ED cohorts, respectively. Cox proportional ‘time‐to‐surgical care’ regression analysis revealed that Black men were statistically more likely to receive ED surgical care (RP‐ED AHR:1.79, 95% CI:1.49–2.17; RT‐ED AHR:1.50, 95% CI:1.11–2.01), but less likely to receive UI surgical care (RP‐UI AHR:0.80, 95% CI:0.67–0.96) than White men, in all cohorts except RT‐UI. Surgical care was highest among Q1 (lowest income quartile) patients in all cohorts except RT‐UI.ConclusionsSurgical care for post‐PCa treatment complications is low, and significantly impacted by racial and socioeconomic (income) differences. Prospective studies investigating the basis of these results would be insightful.

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Section: Discussionmentioning

confidence: 99%