Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Racial Disparities in Prostate Cancer Treatment
J Oncol Pract; ePub 2017 Dec 1; Bickell, et al
While prostate cancer treatment rates are high, there still appear to be racial disparities, according to a study involving nearly 650 men. Participants included black (n=359) and white (n=282) men with Gleason scores ≥7 diagnosed between 2006 and 2013 at 2 urban hospitals. Investigators looked at treatment underuse rate, and interviewed physicians to determine the reasons for such underuse. Among the results:
- Overall, 4% of patient experienced treatment underuse.
- 92% of those undertreated were black.
- 8 in every 10 instances of underuse were attributed to system failures where recommended treatment was not given.
- 38% of these men continued receiving hospital care.
- All men experiencing system failures were black.
The authors noted that institutions are not fully using health information technology capabilities to reduce disparities in care.
Bickell N, Lin J, Abramson S, et al. Racial disparities in clinically significant prostate cancer treatment: The potential health information technology offers. [Published online ahead of print December 1, 2017]. J Oncol Pract. doi:10.1200/JOP.2017. .025957.
