| Titre : | Stage at diagnosis and survival in a multiethnic cohort of prostate cancer patients. (2003) |
| Auteurs : | Ingrid OAKLEY-GIRVAN ; Anna FELBERG ; Richard-P GALLAGHER ; Laurence-N KOLONEL ; Alice-S WHITTEMORE ; Anna-H. Wu ; Stanford University. School of Medicine. Stanford. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 93, n° 10, 2003) |
| Pagination : | 1753-1759 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Prostate ; Homme ; Ethnie ; Diagnostic ; Survie ; Pronostic ; Appareil urinaire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xC23eh. Diffusion soumise à autorisation]. Objectives : We evaluated the effects of socioeconomic status and comorbidity on stage of disease and survival among 1,509 population-based prostate cancer patients. Methods : We applied logistic regression and Cox proportional hazards regression to data from Whites, African Americans, and Asian Americans who were diagnosed from 1987 to 1991. Results : Patients with existing comorbid conditions were less likely than those without these conditions to be diagnosed with advanced cancer. Compared with Whites, African Americans (odds ratio (OR]=1.5 ; 95% confidence interval [CI]=1.1,2.2) and foreign-born Asian Americans (OR=1.6 ; 95% CI=1.0,2.4) were more likely to be diagnosed with advanced cancer. Among men with localized disease, prostate cancer death rates were higher for African Americans than for Whites (death rate ratio=2.3 ; 95% CI=1.2,4.7). Conclusions : These findings support the need for further investigation of factors that affect access to and use of health care among African Americans and Asian Americans. |
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