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
. 2015:2015:829439.
doi: 10.1155/2015/829439. Epub 2015 Apr 20.

Prostate cancer patients' refusal of cancer-directed surgery: a statewide analysis

K M Islam  1 , Jiajun Wen  1
Affiliations

Prostate cancer patients' refusal of cancer-directed surgery: a statewide analysis

K M Islam et al. Prostate Cancer. 2015.

Abstract

Introduction. Prostate cancer is the most common cancer among men in USA. The surgical outcomes of prostate cancer remain inconsistent. Barriers such as socioeconomic factors may play a role in patients' decision of refusing recommended cancer-directed surgery. Methods. The Nebraska Cancer Registry data was used to calculate the proportion of prostate cancer patients recommended the cancer-directed surgery and the surgery refusal rate. Multivariate logistic regression was applied to analyze the socioeconomic indicators that were related to the refusal of surgery. Results. From 1995 to 2012, 14,876 prostate cancer patients were recommended to undergo the cancer-directed surgery in Nebraska, and 576 of them refused the surgery. The overall refusal rate of surgery was 3.9% over the 18 years. Patients with early-stage prostate cancer were more likely to refuse the surgery. Patients who were Black, single, or covered by Medicaid/Medicare had increased odds of refusing the surgery. Conclusion. Socioeconomic factors were related to the refusal of recommended surgical treatment for prostate cancer. Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The annual proportion of prostate cancer patients recommended the cancer-directed surgery and the annual surgery refusal rate.
Figure 2
Figure 2
The annual proportion of early-stage/late-stage prostate cancer patients recommended the cancer-directed surgery.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. US Cancer Statistics Working Group. United States Cancer Statistics: 1999–2011 Incidence and Mortality Web-Based Report. Atlanta, Ga, USA: Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2014.
    1. Surveillance Epidemiology and End Results Program. Cancer of the Prostate—SEER Stat Fact Sheets. Surveillance Epidemiology and End Results Program; 2015. http://seer.cancer.gov/statfacts/html/prost.html.
    1. National Cancer Institute. Prostate Cancer Treatment (PDQ) 2015. http://www.cancer.gov/cancertopics/pdq/treatment/prostate/HealthProfessi....
    1. Adolfsson J., Steineck G., Whitmore W. F., Jr. Recent results of management of palpable clinically localized prostate cancer. Cancer. 1993;72(2):310–322. doi: 10.1002/1097-0142(19930715)72:2<310::AID-CNCR2820720203>3.0.CO;2-T. - DOI - PubMed
    1. Moon T. D., Brawer M. K., Wilt T. J. Prostate Intervention Versus Observation Trial (PIVOT): a randomized trial comparing radical prostatectomy with palliative expectant management for treatment of clinically localized prostate cancer. PIVOT Planning Committee. Journal of the National Cancer Institute. Monographs. 1994;(19):69–71. - PubMed

LinkOut - more resources