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Survival of African American and non-Hispanic white men with prostate cancer in an equal-access health care system

Cancer Jan 31, 2020

Riviere P, Luterstein E, Kumar A, et al. - Given that mortality attributable to prostate cancer (PC) among African American (AA) men in the general US population is more than twice as likely than that in non-Hispanic white (NHW) men, so, researchers investigated whether this disparity would be attenuated as a result of receiving care through the Veterans Affairs (VA) health system, an equal-access medical system. They examined a cohort of 60,035 men, including 18,201 AA men [30.3%] and 41,834 NHW men [69.7%], who received a diagnosis of PC between 2000 and 2015, from a longitudinal, centralized database. Younger age and a higher prostate-specific antigen level were seen in AA men at the time of diagnosis, but these individuals were less likely to have Gleason score 8 to 10 disease, a clinical T classification ≥ 3, or distant metastatic disease. Seemingly, presentation with more advanced disease or worse outcomes were not observed in AA men diagnosed with PC in the VA health system, vs NHW men, in contrast to national trends, indicating that access to care is a crucial determinant of racial equity.
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