Determinants of mortality following a diagnosis of... Catalogue en ligne

Titre :	Determinants of mortality following a diagnosis of prostate cancer in Veterans Affairs and private sector health care systems. (2003)
Auteurs :	Vincent-L FREEMAN ; Ahsan-M AROZULLAH ; Ramon DURAZC-ARVIZU ; Lashon-C KEYS
Type de document :	Article
Dans :	American journal of public health (vol. 93, n° 10, 2003)
Pagination :	1706-1712
Langues:	Anglais
Mots-clés :	Cancer ; Prostate ; Pronostic ; Mortalité ; Homme ; Appareil urinaire [pathologie]
Résumé :	[BDSP. Notice produite par INIST-CNRS IlxR0xeS. Diffusion soumise à autorisation]. Objectives : We compared patterns of mortality among men with prostate cancer at 2 Department of Veterans Affairs (VA) and 2 private-sector hospitals in the Chicago area. Methods : Mortality rates for 864 cases diagnosed between 1986 and 1990 were estimated using Cox proportional hazards models that incorporated age ; income ; cancer stage, differentiation, and treatments ; and baseline comorbicity. Results : Race tended to associate with all-cause mortality irrespective of health care setting (Blacks vs Whites ; hazard rate ratio [HRR]=1.68 [95% confidence interval (CI)=1.06,2.67] ; P<. 001 in the private sector ; HRR=1.50 [95% CI=0.94,2.38] ; P=088 in the VA). However, comorbidity determined risk in the VA, whereas age and income predicted risk in the private sector. Conclusions : Determinants of all-cause mortality in men with prostate cancer vary according to health care setting.

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