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Quality of care, other issues may cause worse results in black prostate cancer surgery patients
Date:5/15/2012

ressiveness 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."


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Contact: Krista Hopson
khopson1@hfhs.org
313-874-7207
Henry Ford Health System
Source:Eurekalert

Page: 1 2

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