Racial disparities in the diagnosis, treatment, and outcomes of many urologic diseases
are well-documented. Nationally, Black men are more than twice as likely to die of
prostate cancer as white men, with both higher incidence and worse outcomes after
diagnosis.
1
Bladder cancer survival is also lower, as Black patients present with more advanced
disease and have lower rates of receipt of optimal treatment.
2
,
3
Clearly, a complex interplay between biology, access, patterns of care, and socioeconomic
and cultural factors affects how vulnerable populations with urologic pathologies
fare. The importance of equal access was explored by Riviere et al, who found that
Black patients within the Veterans Affairs healthcare system had, in fact, a slightly
lower prostate cancer-specific mortality compared to their non-Hispanic White counterparts.
4
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References
- SEER Cancer Statistics Review 1975-2015.2018 (Updated September 10Accessed July 26, 2021)
- Racial and socioeconomic disparities in bladder cancer survival: analysis of the California cancer registry.Clin Genitourin Cancer. 2019; 17: e995-e1002https://doi.org/10.1016/j.clgc.2019.05.008
- Sex and racial disparities in the treatment and outcomes of muscle-invasive bladder cancer.Urology. 2021; 151: 154-162https://doi.org/10.1016/j.urology.2020.06.087
- Survival of African American and non-hispanic white men with prostate cancer in an equal-access health care system.Cancer. 2020; 126: 1683-1690https://doi.org/10.1002/cncr.32666
- Time use in clinical encounters: are African-American patients treated differently?.J Natl Med Assoc. 2001; 93: 380-385
- The effects of race and racial concordance on patient-physician communication: a systematic review of the literature.J Racial Ethn Health Disparities. 2018; 5: 117-140https://doi.org/10.1007/s40615-017-0350-4
Article info
Publication history
Accepted:
June 30,
2021
Received:
March 29,
2021
Identification
Copyright
© 2021 Published by Elsevier Inc.
