Variation in the Diagnostic Evaluation among Persons with Hematuria: Influence of Gender, Race and Risk Factors for Bladder Cancer

作者: Jacob T. Ark , JoAnn R. Alvarez , Tatsuki Koyama , Jeffrey C. Bassett , William J. Blot

DOI: 10.1016/J.JURO.2017.06.083

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摘要: Purpose: We sought to determine whether race, gender and number of bladder cancer risk factors are significant predictors hematuria evaluation.Materials Methods: used self-reported data from SCCS (Southern Community Cohort Study) linked Medicare claims data. Evaluation subjects diagnosed with incident was considered complete if imaging cystoscopy were performed within 180 days diagnosis. Exposures interest for cancer.Results: Of the 1,412 patients evaluation in 261 (18%). On our adjusted analyses African American less likely than Caucasian undergo any aspect evaluation, including urology referral (OR 0.72, 95% CI 0.56–0.93), 0.67, 0.50–0.89) 0.75, 0.59–0.95). Women men be referred a urologist 0.59, 0.46–0.76). Also, although all 2 or 3 had 31% higher odds (O...

参考文章(19)
Daniel A. Barocas, JoAnn Alvarez, Tatsuki Koyama, Christopher B. Anderson, Darryl T. Gray, Jay H. Fowke, Chaochen You, Sam S. Chang, Michael S. Cookson, Joseph A. Smith, David F. Penson, Racial variation in the quality of surgical care for bladder cancer. Cancer. ,vol. 120, pp. 1018- 1025 ,(2014) , 10.1002/CNCR.28520
Keren Elias, Robert S. Svatek, Samir Gupta, Richard Ho, Yair Lotan, High-risk patients with hematuria are not evaluated according to guideline recommendations. Cancer. ,vol. 116, pp. 2954- 2959 ,(2010) , 10.1002/CNCR.25048
John A. Fracchia, Joseph Motta, Lawrence S. Miller, Noel A. Armenakas, G. BerrySchumann, Richard A. Greenberg, Evaluation of asymptomatic microhematuria Urology. ,vol. 46, pp. 484- 489 ,(1995) , 10.1016/S0090-4295(99)80259-3
George R. Prout, Margaret N. Wesley, Peter G. McCarron, Vivien W. Chen, Raymond S. Greenberg, Robert M. Mayberry, Brenda K. Edwards, Survival experience of black patients and white patients with bladder carcinoma Cancer. ,vol. 100, pp. 621- 630 ,(2004) , 10.1002/CNCR.11942
Rodney Davis, J. Stephen Jones, Daniel A. Barocas, Erik P. Castle, Erich K. Lang, Raymond J. Leveillee, Edward M. Messing, Scott D. Miller, Andrew C. Peterson, Thomas M.T. Turk, William Weitzel, Diagnosis, Evaluation and Follow-Up of Asymptomatic Microhematuria (AMH) in Adults: AUA Guideline The Journal of Urology. ,vol. 188, pp. 2473- 2481 ,(2012) , 10.1016/J.JURO.2012.09.078
James M. Sutton, Evaluation of Hematuria in Adults JAMA: The Journal of the American Medical Association. ,vol. 263, pp. 2475- 2480 ,(1990) , 10.1001/JAMA.1990.03440180081037
David N. Mohr, Asymptomatic Microhematuria and Urologic Disease JAMA. ,vol. 256, pp. 224- 229 ,(1986) , 10.1001/JAMA.1986.03380020086028
Beth A. Virnig, Nancy N. Baxter, Elizabeth B. Habermann, Roger D. Feldman, Cathy J. Bradley, A Matter Of Race: Early-Versus Late-Stage Cancer Diagnosis Health Affairs. ,vol. 28, pp. 160- 168 ,(2009) , 10.1377/HLTHAFF.28.1.160
Jeffrey C. Bassett, JoAnn Alvarez, Tatsuki Koyama, Matthew Resnick, Chaochen You, Shenghua Ni, David F. Penson, Daniel A. Barocas, Gender, Race, and Variation in the Evaluation of Microscopic Hematuria Among Medicare Beneficiaries Journal of General Internal Medicine. ,vol. 30, pp. 440- 447 ,(2015) , 10.1007/S11606-014-3116-2
Cheryl T. Lee, Rodney L. Dunn, Candice Williams, Willie Underwood, Racial Disparity in Bladder Cancer: Trends in Tumor Presentation at Diagnosis The Journal of Urology. ,vol. 176, pp. 927- 934 ,(2006) , 10.1016/J.JURO.2006.04.074