Black men less likely to get the best prostate cancer treatment

Robert Preidt. By
healthday reporter

TUESDAY, June 29, 2021 (HealthDay News) — Black US military veteran with offensive prostate cancer Who will benefit from surgery? radiation Despite equal access to health care, men of other races are less likely to receive those treatments, a new study has found.

“Despite great advances in prostate cancer care over the past few decades, racial disparity in care remains, and much remains to be done to understand why this is happening and how we can finally close the gap. What can we do,” said senior investigator Dr. Urologic Surgeon at NYU Langone’s Perlmutter Cancer Center in New York City. Daniil Makarov.

For the study, researchers analyzed the medical records of more than 35,000 men treated for prostate cancer by the US Veterans Health Administration from 2011 to 2017. Most were over 60 and had no other serious health problems.

The investigators found that black patients were 5% more likely to receive radiation or surgery than other patients, and that patients of all races were 40% more likely to benefit from treatment than those who did not need them. was.

But black men most likely to benefit from surgery or radiation (those with aggressive prostate cancer who were otherwise healthy) were 11% less likely to receive treatment than other men of similar age and cancer severity, researchers report from NYU News. said in the release.

The findings were published online June 29 in the journal cancer.

Dr Joseph Ravenel, co-investigator of the study said, “Our study shows that for reasons that remain unclear, black men who need treatment may be choosing against the most beneficial prostate cancer treatments (which are often more aggressive). may, or that ‘high-benefit treatments are not being administered to them as aggressively as it is to non-Black patients.

Ravenel, who is associate dean of diversity affairs and inclusion at NYU Langone, noted that previous studies have found that some black men may be more concerned about the side effects of aggressive treatment than non-black patients, including: risk is also involved incontinence and impotence.

“Our findings strongly indicate that patients and clinicians should discuss fears, values ​​and preferences when considering all relevant treatment options for prostate cancer,” Makarov said.

The study also confirmed previous research showing that black men were more likely to be diagnosed with prostate cancer two years earlier than men of other races – and more likely to be diagnosed with more aggressive cancers.

Earlier research suggests that Black American prostate cancer patients are three times more likely to die from the disease than non-Black patients.

more information

The American Cancer Society has more prostate cancer.

Source: NYU Langone Health, news release, June 29, 2021


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