<\/b><\/p>\n
<\/b><\/p>\n
MONDAY, Jan. 27, 2020 (HealthDay News) — For men diagnosed with prostate cancer in the Veterans Affairs health system, African-Americans (AAs) do not present with more advanced disease or have worse outcomes compared with non-Hispanic whites (NHWs), according to a study published online Jan. 27 in Cancer<\/i>.<\/p>\n
Paul Riviere, from the University of California at San Diego in La Jolla, and colleagues assembled a cohort of 60,035 men (30.3 percent AA and 69.7 percent NHW) from a database of veterans diagnosed with prostate cancer between 2000 and 2015.<\/p>\n
The researchers found that AA men were more likely to live in regions with a lower median income and lower high school graduation rates compared with NHW men. AA men were younger and had a higher prostate-specific antigen level at the time of diagnosis, but they were less likely to have Gleason score 8 to 10 disease (18.8 versus 19.7 percent), a clinical T classification \u22653 (2.2 versus 2.9 percent), or distant metastatic disease (2.7 versus 3.1 percent) than NHW men. AA men had a lower 10-year prostate cancer-specific mortality rate (4.4 versus 5.1 percent); this finding was confirmed in a multivariable competing-risk analysis (subdistribution hazard ratio, 0.85).<\/p>\n
“These results suggest that poorer outcomes for African-American men with prostate cancer may not be a foregone conclusion,” a coauthor said in a statement. “With smart public policy choices, we may be able to reduce or even eliminate disparities and achieve equal outcomes for all men with prostate cancer.”<\/p>\n
Several authors disclosed financial ties to biopharmaceutical, medical technology, and consulting companies.<\/p>\n
Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n