| Popis: |
Objectives To analyze the level of access to healthcare, social and geographical factors that could predispose a negative surgical outcome and higher mortality rate in patients with penile cancer. Methods This is a retrospective cohort study. The study population (n = 93) are adult male patients with a diagnosis of penile cancer. Fisher’s exact test was performed to determine the association between the level of healthcare, social and geographical factors, and the outcomes for penile cancer. Results Patients without primary care access had a higher likeliness of having lymphovascular invasion at the time of diagnosis (OR = 37.5, P P = .005), a lack of high-school diploma or equivalent (OR = 3.8, P = .049) and a higher likelihood of referral from a provincial hospital (OR = 10.1, P P P = 0.003), and a high school diploma (OR = 7.9, P = 0.004). Conclusions The lack of access to primary care is strongly associated with vascular invasion at diagnosis, lower educational level, a referral from provincial zones, and a higher mortality rate at 24 months. Patients who did not have access to primary and tertiary care, a high school diploma, and were referred from the province were more likely to have a total resection of the penis. |
