Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr;35(4):647-659.
doi: 10.1007/s10552-023-01834-4. Epub 2023 Nov 25.

Association of race/ethnicity and patient care experiences with receipt of definitive treatment among prostate cancer survivors: a SEER-CAHPS study

Ambrish A Pandit  1 , Michael T Halpern  2 , Laura E Gressler  1 , Mohamed Kamel  3   4 , Nalin Payakachat  1 , Chenghui Li  5
Affiliations

Association of race/ethnicity and patient care experiences with receipt of definitive treatment among prostate cancer survivors: a SEER-CAHPS study

Ambrish A Pandit et al. Cancer Causes Control. 2024 Apr.

Abstract

Purpose: This study aimed to evaluate the association of race/ethnicity, patient care experiences (PCEs), and receipt of definitive treatment and treatment modality among older adults in the United States (US) with localized prostate cancer (PCa).

Methods: Using Surveillance, Epidemiology and End Results dataset linked to Medicare Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS) for 2007-2015, we identified men aged ≥ 65 years who completed a CAHPS survey within one year before and one year after PCa diagnosis. Associations of race/ethnicity (non-Hispanic White (NHW), non-Hispanic Black (NHB), Hispanic, non-Hispanic Asian (NHA), and other) and of interactions between race/ethnicity and PCEs (getting needed care, getting care quickly, doctor communication, and care coordination) with the receipt of definitive PCa treatment and treatment modality within 3 and 6 months of diagnosis were examined using logistic regressions.

Results: Among 1,438 PCa survivors, no racial/ethnic disparities in the receipt of definitive treatment were identified. However, NHB patients were less likely to receive surgery (vs. radiation) within 3 and 6 months of PCa diagnosis than NHW patients (OR 0.397, p = 0.006 and OR 0.419, p = 0.005), respectively. Among NHA patients, a 1-point higher score for getting care quickly was associated with lower odds (OR 0.981, p = 0.043) of receiving definitive treatment within 3 months of PCa diagnosis, whereas among NHB patients, a 1-point higher score for doctor communication was associated with higher odds (OR 1.023, p = 0.039) of receiving definitive treatment within 6 months of PCa diagnosis.

Discussion: We observed differential associations between PCEs and receipt of definitive treatment based on patient race/ethnicity. Further research is needed to explore these associations.

Keywords: CAHPS; Care experiences; Communication; Disparities; Prostate cancer (PCa); SEER.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest

The authors have no conflicts of interests to declare. CL received research support for unrelated projects sponsored by University of Utah/AstraZeneca.

Similar articles

See all similar articles

References

    1. Surveillance Epidemiology and End Results (SEER). (2021). Prostate Cancer - Cancer Stat Facts. Retrieved October 4, 2022, from https://seer.cancer.gov/statfacts/html/prost.html
    1. Arcangeli S, Pinzi V, & Arcangeli G (2012). Epidemiology of prostate cancer and treatment remarks. World Journal of Radiology, 4(6), 241. 10.4329/WJR.V4.I6.241 - DOI - PMC - PubMed
    1. D’Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, … Wein A (1998). Biochemical Outcome After Radical Prostatectomy, External Beam Radiation Therapy, or Interstitial Radiation Therapy for Clinically Localized Prostate Cancer. JAMA, 280(11), 969–974. 10.1001/JAMA.280.11.969 - DOI - PubMed
    1. National Cancer Institute. (2021). Prostate Cancer Treatment (PDQ®)–Health Professional Version - National Cancer Institute. Retrieved September 2, 2021, from https://www.cancer.gov/types/prostate/hp/prostate-treatment-pdq
    1. American Urological Association (AUA) / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO), & American Urological Association. (2017). Prostate Cancer: Clinically Localized Guideline - American Urological Association. Retrieved September 2, 2021, from https://www.auanet.org/guidelines/guidelines/prostate-cancer-clinically-...

LinkOut - more resources