Men of Higher Socioeconomic Status Have Improved Outcomes After Radical Prostatectomy for Localized Prostate Cancer

摘要: OBJECTIVE We sought to evaluate the impact of socioeconomic status (SES) on likelihood undergoing radical prostatectomy (RP) or external beam radiation therapy (XRT) and ensuing effect cancer-specific survival (CSS) after treatment for men with low-risk prostate cancer. METHODS Using California Cancer Registry database, we identified 123,953 diagnosed localized, Gleason ≤7 cancer from 1996 2005. Patients were separated into quintiles based stratified by race, age, year diagnosis, treatment. Logistic regression Kaplan-Meier analyses used determine RP XRT survival. RESULTS In final cohort, 39,234 patients (31.7%) 42,431 (34.3%) underwent as initial therapy. Men lower SES less likely undergo XRT. in lowest twice die (HR 1.99, 95% CI 1.28-3.09, P = .002) than highest SES. This difference was even more profound when adjusted race 2.20, 1.38-3.50, .001). Similarly, who also approximately 2.24, 1.71-2.94, <.001) SES, regardless race. CONCLUSIONS are management localized After XRT, have a decreased compared higher