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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.

Citation:

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.