br Conclusion br In the current study we showed low
In the current study, we showed low SES to be an independent predictor of adverse prostate cancer pathology in a DAPT of AA men treated with RP for clinically localized prostate cancer. By
Clinical Genitourinary Cancer Month 2019 - 5
Poverty and Adverse Prostate Cancer Pathology
using a study design that included patients within a single racial demographic ethnicity, the confounding effects of race on prostate cancer risk were eliminated. These data suggest that impoverished men might be more likely to benefit from early prostate cancer detection and treatment. Community outreach, education, and screening efforts should therefore target low-income men for early intervention.
Clinical Practice Points
African American men are disproportionately affected by aggressive prostate cancer.
We retrospectively reviewed data from 2 institutions for AA men who underwent RP and tested for associations between SES and adverse prostate cancer pathology after RP.
Men of low SES had significantly higher PSA values and CAPRA-S scores, more advanced pathologic stage, and higher rates of SVI, positive surgical margins, and adverse pathology. These findings suggest that impoverished populations might benefit from more intensive screening and early, aggressive treatment of prostatic malignancies.
The authors have stated that they have no conflicts of interest.
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