دورية أكاديمية
Underutilization of Surgical Standard of Care for Insured Men with Invasive Penile Cancer.
| العنوان: | Underutilization of Surgical Standard of Care for Insured Men with Invasive Penile Cancer. |
|---|---|
| المؤلفون: | Chang EK; Department of Urology, University of Washington School of Medicine, Seattle, Washington., Sekar RR; Department of Urology, University of Washington School of Medicine, Seattle, Washington., Holt SK; Department of Urology, University of Washington School of Medicine, Seattle, Washington., Gore JL; Department of Urology, University of Washington School of Medicine, Seattle, Washington., Wright JL; Department of Urology, University of Washington School of Medicine, Seattle, Washington., Nyame YA; Department of Urology, University of Washington School of Medicine, Seattle, Washington. |
| المصدر: | Urology practice [Urol Pract] 2021 May 01; Vol. 8 (3), pp. 348-354. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101635343 Publication Model: Print Cited Medium: Print ISSN: 2352-0779 (Print) Linking ISSN: 23520779 NLM ISO Abbreviation: Urol Pract Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : New York, NY : Wolters Kluwer Original Publication: [New York, NY] : Elsevier Inc., [2014]-[2018] |
| مستخلص: | Purpose: Prior studies of mixed insurance populations have demonstrated poor adherence to surgical standard of care (SOC) for penile cancer. We used data from the Surveillance, Epidemiology and End Results (SEER) cancer registry linked to Medicare to calculate SOC adherence to surgical treatment of penile cancer in insured men over the age of 65, focusing on potential social and racial disparities. Methods: This is an observational analysis of patients with T2-4 penile cancer of any histologic subtype without metastasis in the SEER-Medicare database (2004-2015). SOC was defined as penectomy (partial or radical) with bilateral inguinal lymph node dissection (ILND) based on the National Comprehensive Cancer Network guidelines. We calculated proportions of those receiving SOC and constructed multivariate models to identify factors associated with receiving SOC. Results: A total of 447 men were included. Of these men, 22.1% (99/447) received SOC while 18.8% (84/447) received no treatment at all. Only 23.3% (104/447) had ILND while 80.9% (362/447) underwent total or partial penectomy. Race and socioeconomic status (SES) were not associated with decreased SOC. Increasing age (OR 0.93, 95%CI:0.89-0.96), Charlson Comorbidity Index score ≥ 2 (OR 0.53, 95%CI:0.29-0.97), and T3-T4 disease (OR 0.34, 95%CI:0.18-0.65) were associated with not receiving SOC on adjusted analysis. Conclusions: Rates of SOC are low among insured men 65 years of age or older with invasive penile cancer, regardless of race or SES. This finding is largely driven by low rates of ILND. Strategies are needed to overcome barriers to SOC treatment for men with invasive penile cancer. |
| References: | JAMA Oncol. 2018 May 1;4(5):643-649. (PMID: 29494739) BJU Int. 2010 Aug;106(3):322-8. (PMID: 20553251) Urol Oncol. 2017 Aug;35(8):531.e9-531.e14. (PMID: 28363474) Ann Surg Oncol. 2011 Feb;18(2):439-46. (PMID: 20839061) Scand J Urol Nephrol. 2012 Oct;46(5):319-25. (PMID: 22989150) Urology. 2000 Mar;55(3):387-90. (PMID: 10699616) J Cancer Res Clin Oncol. 2019 Apr;145(4):921-926. (PMID: 30825028) Cancer Epidemiol Biomarkers Prev. 2019 Aug;28(8):1339-1344. (PMID: 31092404) World J Urol. 2019 Aug;37(8):1649-1657. (PMID: 30377813) Cancer. 2010 Jun 15;116(12):2960-6. (PMID: 20564401) Urol Oncol. 2016 Dec;34(12):530.e1-530.e7. (PMID: 27495001) Cancer Control. 2016 Oct;23(4):409-414. (PMID: 27842330) Urol Oncol. 2018 Jan;36(1):14.e17-14.e24. (PMID: 29031418) Urology. 2016 Oct;96:22-28. (PMID: 27402373) World J Surg Oncol. 2016 Apr 27;14:124. (PMID: 27121955) BMC Med. 2015 Sep 30;13:246. (PMID: 26420497) Eur Urol. 2004 Jul;46(1):1-8. (PMID: 15183542) Surgeon. 2015 Aug;13(4):200-6. (PMID: 24559898) Urol Oncol. 2016 Mar;34(3):122.e9-15. (PMID: 26547834) Urol Oncol. 2018 Apr;36(4):159.e7-159.e17. (PMID: 29288008) Sex Transm Infect. 2009 Dec;85(7):527-30. (PMID: 19584061) Ann R Coll Surg Engl. 2012 Apr;94(3):204-9. (PMID: 22507729) |
| معلومات مُعتمدة: | HHSN261201000035C United States CA NCI NIH HHS; HHSN261201000035I United States CA NCI NIH HHS; HHSN261201000034C United States CA NCI NIH HHS; U58 DP003862 United States DP NCCDPHP CDC HHS; VA999999 United States ImVA Intramural VA; HHSN261201000140C United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: healthcare disparities; inguinal lymph node dissection; penectomy; penile cancer; standard of care |
| تواريخ الأحداث: | Date Created: 20210426 Latest Revision: 20240613 |
| رمز التحديث: | 20240613 |
| مُعرف محوري في PubMed: | PMC8063966 |
| DOI: | 10.1097/UPJ.0000000000000214 |
| PMID: | 33898656 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2352-0779 |
|---|---|
| DOI: | 10.1097/UPJ.0000000000000214 |