Navigation Links
Quality of care, other issues may cause worse results in black prostate cancer surgery patients

DETROIT Black prostate cancer patients may not be getting the same quality of care as white patients, according to a first-of-its-kind study by researchers at Henry Ford Hospital who found racial disparities in the results of surgery to remove diseased prostates.

While it is possible that anatomical differences or tumor characteristics may explain why the results of radical prostatectomy are not as good for African Americans as for white patients undergoing the same procedure, the study concluded that "surgeons, administrators and policymakers need to implement measures to address these disparities."

The new research findings, based on population samples from throughout the U.S., will be presented this week at the American Urological Association's Annual Meeting in Atlanta.

Quoc-Dien Trinh, M.D., a Fellow at Henry Ford Hospital's Vattikuti Urology Institute and lead author of the study, says that while no one before has reported racial disparities in the results of cancer surgery, earlier studies have found similar differences in other areas of medical treatment and care.

"Again, research raises a serious issue in the difference between Caucasian and African American patients, and we're trying to understand why it is happening," Dr. Trinh says.

"Is it a biological issue? African American patients might present with worse disease, therefore surgery and treatment are more difficult. For some cancers, like pancreatic, if you have worse disease, the surgery is harder. But that's doubtful with prostate cancer. It shouldn't be the case."

Dr. Trinh also notes that it is possible that African American patients have an anatomical difference the form of their pelvis that makes their surgeries harder, and there are studies to support that. "It's not controversial, just related to bone structure. And it might, big question mark, might make surgery harder," he says.

"But if it's not anatomy or a disease aggressiveness issue then why do Caucasians have a better outcome than African American patients? While this study does not go into those specific issues, it raises the question."

Using the most recent available data from the Nationwide Inpatient Sample (NIS), Dr. Trinh and his fellow researchers identified 7,408 African American and 51,319 white prostate cancer patients who underwent radical prostatectomy (RP) between 2001 and 2007. In RP, the entire cancerous prostate and some surrounding tissue are surgically removed.

They then compared the surgery's immediate and short-term outcome, according to race, in five areas: rates of blood transfusions, complications during and after surgery, prolonged hospital stay, and in-hospital death. They found that compared to their white counterparts, African American patients had:

  • Significantly higher rates of blood transfusions, 9 percent compared to 6 percent
  • More complications during surgery, 1.7 percent compared to 1.3 percent
  • Higher rates of overall complications after surgery, 13 percent vs. 10.3 percent
  • Longer hospital stays (more than the median 3 days), 28.7 percent vs. 20.9 percent
  • No differences for in-hospital mortality rates

Trinh says because of limitations on available data, there is no way to know exactly why these disparities exist yet. "Is it physician and patient interaction, types of insurance, how these patients are perceived? It's hard to know," he says.

"I'd say that it's a little bit of everything worse disease, presentation, anatomy that makes surgery harder. But it's also a question of quality of care for ethnic minorities, especially in the American health care system. And that needs to be raised."


Contact: Krista Hopson
Henry Ford Health System

Related medicine news :

1. Cedars-Sinai stroke team earns award for improving regions quality of care
2. U.S. Health Care Spending High, But Quality Lags: Report
3. US spends far more for health care than 12 industrialized nations, but quality varies
4. Analysis Finds Clinical Trials Often Small, of Poor Quality
5. Moffitt Cancer Center researchers: Quality of life as important as quantity of life
6. Air Quality Improving in Many U.S. Cities: Report
7. Letting go can boost quality of life
8. International breast health global summit will focus on supportive care and quality of life
9. Exercise improves quality of life during breast cancer treatment
10. Out-of-hand tree nut consumption associated with better diet quality in children and adults
11. Wellesley study shows income inequality a key factor in high US teen births
Post Your Comments:
(Date:11/25/2015)... ... November 25, 2015 , ... ... preparing the perfect dish and pleasing the palates of attendees is of the ... a dish to a seasonal get-together, give these recipes a try this holiday ...
(Date:11/25/2015)... ... November 26, 2015 , ... ... European Union (EU), ANDI Pan African Centres of Excellence, and public R&D institutions, ... (UNON) for the opening of the 5th African Network for Drugs and Diagnostics ...
(Date:11/25/2015)... ... November 25, 2015 , ... Dental professionals who would ... OH , are invited to attend Dr. Mark Iacobelli’s Advanced Implant Mentoring (AIM) CE ... Cleveland, OH. , As the co-founders of Advanced Implant Mentoring (AIM), Dr. Iacobelli ...
(Date:11/25/2015)... ... November 25, 2015 , ... Smiles by Stevens is pleased ... moderate facial wrinkling. While many patients are aware of the benefits of Botox® in ... delivers to those suffering with discomfort, soreness, and pain as a result of Jaw ...
(Date:11/25/2015)... (PRWEB) , ... November 25, 2015 , ... “While riding ... an inventor, from Bronx, N.Y. “I thought there had to be a convenient and ... the PROTECTOR. , The PROTECTOR enables disabled individuals to safely travel during cold or ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... ) has ... Future Horizons and Growth Strategies in the ... Shares, Country Segment Forecasts, Competitive Intelligence, Emerging ... --> ) has announced the ... and Growth Strategies in the French Drugs ...
(Date:11/26/2015)... November 26, 2015 ... universitetssjukhus ser potential att använda SyMRI för ... för patienter med multipel skleros (MS) ... med SyntheticMR AB för att kunna använda ... sjukhuset. Med SyMRI kan man generera flera ...
(Date:11/26/2015)... India , November 26, 2015 ... --> adds ... Report" and "Investigation Report on China ... and 2021 forecasts data and information ... . ...
Breaking Medicine Technology: