Racial disparity in the utilization of multiparametric MRI-ultrasound fusion biopsy for the detection of prostate cancer
Autor: | Krishnanath Gaitonde, Monzer Haj-Hamed, Ilana Bergelson, Connor Hoge, Sadhna Verma, Abhinav Sidana, Sean Maynor, Daniel J. Lama |
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Rok vydání: | 2020 |
Předmět: |
Image-Guided Biopsy
Male Cancer Research medicine.medical_specialty Urology 030232 urology & nephrology Black People Logistic regression White People 03 medical and health sciences Prostate cancer 0302 clinical medicine Racism Internal medicine Biopsy Medicine Humans Family history Healthcare Disparities Multiparametric Magnetic Resonance Imaging Aged Retrospective Studies Ultrasonography medicine.diagnostic_test business.industry Incidence (epidemiology) Ultrasound Prostatic Neoplasms Magnetic resonance imaging Middle Aged Prostate-Specific Antigen medicine.disease United States Oncology 030220 oncology & carcinogenesis Cohort Kallikreins Neoplasm Grading business |
Zdroj: | Prostate cancer and prostatic diseases. 23(4) |
ISSN: | 1476-5608 |
Popis: | Black men have significantly higher incidence and are up to three times more likely to die of prostate cancer (PCa) than White men. Multiparametric magnetic resonance imaging-ultrasound fusion biopsy (FBx) has emerged as a promising modality for the detection of PCa. The goal of our study is to identify differences in utilization of FBx between Black and White men presenting with suspicion of PCa. We performed a retrospective review of Black and White men who presented with suspicion of PCa and required biopsy from January 2014 to December 2018. Multivariate logistic regression analysis was done to study the influence of race on the utilization of FBx. Six hundred nineteen (Black: 182, White: 437) men were included in the study. Forty-one out of 182 (22.5%) Black men underwent FBx compared with 225/437 (51.5%) of White men (P |
Databáze: | OpenAIRE |
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