Effect of race and socioeconomic status on surgical margins and biochemical outcomes in an equal-access health care setting: Results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database

David I. Chu, Daniel M. Moreira, Leah Gerber, Joseph C. Presti, William J. Aronson, Martha K. Terris, Christopher J. Kane, Christopher Amling, Stephen J. Freedland

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

BACKGROUND: The impact of race and socioeconomic status (SES) in prostate cancer (CaP) outcomes has been well-studied, but controversy remains. The associations of race/SES with intermediate CaP outcomes, including positive surgical margin (PSM) and biochemical recurrence (BCR), were explored in an equal-access setting. METHODS: Data were retrospectively collected from 2502 men in the Shared Equal Access Regional Cancer Hospitals (SEARCH) database who underwent radical prostatectomy from 1989 to 2010. SES (income, education, employment, and poverty) was estimated from linkage of home ZIP code to census data. Logistic regression with adjustment for pre- and postoperative covariates estimated risk for associations between race/SES and pathologic outcomes. Cox proportional hazards models estimated risk for associations between race/SES and time to BCR. RESULTS: Black men were more likely to have lower SES than white men (P

Original languageEnglish (US)
Pages (from-to)4999-5007
Number of pages9
JournalCancer
Volume118
Issue number20
DOIs
StatePublished - Oct 15 2012

Fingerprint

Cancer Care Facilities
Social Class
Databases
Delivery of Health Care
Recurrence
Censuses
Poverty
Prostatectomy
Proportional Hazards Models
Margins of Excision
Prostatic Neoplasms
Logistic Models
Education

Keywords

  • biochemical recurrence
  • equal access
  • positive surgical margin
  • prostate cancer
  • race
  • socioeconomic status

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Effect of race and socioeconomic status on surgical margins and biochemical outcomes in an equal-access health care setting : Results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database. / Chu, David I.; Moreira, Daniel M.; Gerber, Leah; Presti, Joseph C.; Aronson, William J.; Terris, Martha K.; Kane, Christopher J.; Amling, Christopher; Freedland, Stephen J.

In: Cancer, Vol. 118, No. 20, 15.10.2012, p. 4999-5007.

Research output: Contribution to journalArticle

Chu, David I. ; Moreira, Daniel M. ; Gerber, Leah ; Presti, Joseph C. ; Aronson, William J. ; Terris, Martha K. ; Kane, Christopher J. ; Amling, Christopher ; Freedland, Stephen J. / Effect of race and socioeconomic status on surgical margins and biochemical outcomes in an equal-access health care setting : Results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database. In: Cancer. 2012 ; Vol. 118, No. 20. pp. 4999-5007.
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