Navigation Links
Study confirms prostate cancer is treated differently at county vs. private hospitals

Researchers at Moores Cancer Center at the University of California, San Diego and colleagues have found that prostate cancer treatments varied significantly between county hospitals and private providers. Patients treated in county hospitals are more likely to undergo surgery while patients treated in private facilities tend to receive radiation or hormone therapy. These findings were published online by the journal Cancer on January 25.

"The study examined the factors that drive treatment choices for patients with prostate cancer" said J. Kellogg Parsons, MD, MHS, principal investigator and urologic oncologist at Moores UCSD Cancer Center. "We found that decisions are significantly influenced by the type of health care facility where they receive care."

Surgery, radiation and hormone therapy are the most common treatments for localized prostate cancer. Each is associated with different risks and benefits with no consensus as to the most effective form of treatment, though life expectancy, other illnesses, cancer severity and patient preferences may account in part for treatment choices. Parsons and colleagues at UCLA compared the types of treatments prostate cancer patients received from public and private hospitals as part of a California public assistance program. The researchers analyzed the care provided to 559 men enrolled in a state-funded program for low-income patients known as Improving Access, Counseling and Treatment for Californians with Prostate Cancer (IMPACT).

Between 2001 and 2006, 56 percent of the study participants received treatment from county hospitals and 44 percent received care from private facilities. While tumor characteristics were similar in each group, patients treated in private facilities were more likely than those treated in county hospitals to be white and less likely to undergo surgery. Specifically, patients treated in private facilities were nearly two-and-a-half times more likely than those treated in county hospitals to receive radiation and more than four-and-a-half times more likely to initially receive hormone therapy instead of surgery.

While the reasons for these differences in treatment decisions are not known, the type of doctor that patients see may play a role, according to Parsons. At county hospitals, patients were initially under the care of urologists, while the initial providers at private facilities represented urologists, radiation oncologists, and medical oncologists.

"The fact that prostate cancer patients are treated differently based on the type of hospital has implications for health policy, quality of care and equality of careparticularly because public hospitals are funded by city and state governments to provide health care for underserved, poor populations," said Parsons.

After skin malignancies, prostate cancer is the most commonly diagnosed cancer, and the second leading cause of cancer death among U.S. men.


Contact: Jackie Carr
University of California - San Diego

Related medicine news :

1. New Study Reveals Protein Produced by Spleen Reduces Risk of Deadly Lung Infection
2. Driven to distraction: New study shows driving hinders talking
3. CSHL study identifies potential way to reverse cancer cell metabolism and tumor growth
4. Study shows genital herpes virus reactivates widely throughout genital tract
5. Study finds face masks and hand hygiene can help limit influenzas spread
6. New study shows TGen spin-off boosts Scottsdale economy
7. Herpes medication does not reduce risk of HIV transmission, UW-led international study finds
8. Mouse Study May Advance Multiple Sclerosis Research
9. Employer Satisfaction With Health Insurers Is Declining, Finds PricewaterhouseCoopers Study
10. Employer Satisfaction with Health Insurers is Declining, Finds PricewaterhouseCoopers Study
11. Study Questions Need for Emergency Appendectomies
Post Your Comments:
Related Image:
Study confirms prostate cancer is treated differently at county vs. private hospitals
(Date:11/30/2015)... ... 30, 2015 , ... GKhair & Tibolli team members and artists were excited ... on November 8th and 9th at the Puerto Rico Convention Center, San Juan Puerto ... and top of the line fashion journalists. The San Juan Beauty Show carries immense ...
(Date:11/30/2015)... ... November 30, 2015 , ... Winscribe ... at the Radiological Society of North America (RSNA) 2015 conference. , Leading ... cutting-edge dictation and speech-enabled documentation software, announced their partnership today at RSNA ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... announces the Unstoppable Swappables, a household invention that provides an economical and easy ... a year and is growing at 2.6%," says Scott Cooper, CEO and Creative ...
(Date:11/29/2015)... ... November 29, 2015 , ... ... Institute of Ultrasound in Medicine! , AIUM ultrasound practice accreditation is a ... or exceed nationally recognized standards in the performance and interpretation of diagnostic ...
(Date:11/29/2015)... Ca (PRWEB) , ... November 29, 2015 , ... Khanna ... American Board of Ophthalmology on November 25th 2015. Peer Certification by the ... field of his specialty. Certification in Ophthalmology is first obtained after the completion of ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 26, 2015 Un nuevo enfoque ... para el cáncer avanzado.   --> ... fotodinámica de Bremachlorin para el cáncer avanzado.   ... inmunoterapia con la terapia fotodinámica de Bremachlorin para el ... . --> Clinical Cancer Research . ...
(Date:11/26/2015)... 26, 2015 --> ... SyMRI to find optimal contrast weighting of MRI for ... has signed a research agreement with SyntheticMR in order to ... SyMRI, it is possible to generate multiple contrast images from ... patient has left, thus making it possible to both fine ...
(Date:11/26/2015)... , November 26, 2015 ... of the "2016 Future Horizons and ... Abuse Testing Market: Supplier Shares, Country Segment ... to their offering. --> ... "2016 Future Horizons and Growth Strategies ...
Breaking Medicine Technology: