Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men
Abstract Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients wi...
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| Veröffentlicht in: | Urologic oncology 2014-05, Vol.32 (4), p.419-425 |
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| creator | Collingwood, Shemille A., B.S McBride, Russell B., M.P.H., Ph.D Leapman, Michael, M.D Hobbs, Adele R., M.S Kwon, Young Suk, B.S Stensland, Kristian D., B.S Schwartz, Rebecca M., Ph.D Pollard, Matthew E., M.D Samadi, David B., M.D |
| description | Abstract Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients with PCa. We investigated the relationships between clinicopathologic variables across racial and socioeconomic lines following robotic-assisted laparoscopic prostatectomy. Materials and methods We assessed treatment decisional regret using a validated questionnaire in a total of 484 white and 72 AA patients with PCa who were followed up for a median of 16.6 months post–robotic-assisted laparoscopic prostatectomy. Socioeconomic status (SES) information was aggregated from 2010 US census zip code data. Perioperative clinicopathologic characteristics and functional outcomes were compared between groups. Univariate and multivariate regression analyses were used to evaluate the influence of race, aggregate SES, and other clinical and demographic characteristics on decisional regret. Results The majority (87.7%) of the population was not regretful of their decision to undergo treatment. However, a greater proportion of AA vs. white patients were regretful (20.6% vs. 11.2%, respectively; P = 0.03). AA and white men were similar on all functional, clinical, and pathologic features with the exception of younger age among AA men (56 vs. 60 y, respectively; P |
| doi_str_mv | 10.1016/j.urolonc.2013.10.011 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1519846920</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1078143913004535</els_id><sourcerecordid>1519846920</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-2a48dbf1eada781e1474ba87ec21faf67abb82b3e9e520f455d7cf3317a3d2e33</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi1ERUvhJ4By5JLFYzvr5AKq2gKVKnEAztbEGbdeknixnUr773G0CwcunObV6J2vZxh7A3wDHLbvd5slhjHMdiM4yJLbcIBn7AJaLWuhuu3zorlua1CyO2cvU9pxDqoFeMHOhVIAuoMLRjdkffJhxrGK9BApV-gyxSqGPmRva0zJp0xDNeIeY0g27L2t9kVlzGRzmA6VT9Wjf3gsVX6urlz0Fkuc6Cgmml-xM4djoteneMl-fLr9fv2lvv_6-e766r62SvBcC1Tt0DsgHFC3QKC06rHVZAU4dFuNfd-KXlJHjeBONc2grZMSNMpBkJSX7N2xb9nv10Ipm8knS-OIM4UlGWiga9W2E7xYm6PVllNSJGf20U8YDwa4WQmbnTkRNivhNV0Il7q3pxFLP9Hwt-oP0mL4eDRQOfTJUzTJepotDT4WXmYI_r8jPvzTwY5-LizHn3SgtAtLLO8q15gkDDff1jevXwbJuWpkI38DOmOmkg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1519846920</pqid></control><display><type>article</type><title>Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Collingwood, Shemille A., B.S ; McBride, Russell B., M.P.H., Ph.D ; Leapman, Michael, M.D ; Hobbs, Adele R., M.S ; Kwon, Young Suk, B.S ; Stensland, Kristian D., B.S ; Schwartz, Rebecca M., Ph.D ; Pollard, Matthew E., M.D ; Samadi, David B., M.D</creator><creatorcontrib>Collingwood, Shemille A., B.S ; McBride, Russell B., M.P.H., Ph.D ; Leapman, Michael, M.D ; Hobbs, Adele R., M.S ; Kwon, Young Suk, B.S ; Stensland, Kristian D., B.S ; Schwartz, Rebecca M., Ph.D ; Pollard, Matthew E., M.D ; Samadi, David B., M.D</creatorcontrib><description>Abstract Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients with PCa. We investigated the relationships between clinicopathologic variables across racial and socioeconomic lines following robotic-assisted laparoscopic prostatectomy. Materials and methods We assessed treatment decisional regret using a validated questionnaire in a total of 484 white and 72 AA patients with PCa who were followed up for a median of 16.6 months post–robotic-assisted laparoscopic prostatectomy. Socioeconomic status (SES) information was aggregated from 2010 US census zip code data. Perioperative clinicopathologic characteristics and functional outcomes were compared between groups. Univariate and multivariate regression analyses were used to evaluate the influence of race, aggregate SES, and other clinical and demographic characteristics on decisional regret. Results The majority (87.7%) of the population was not regretful of their decision to undergo treatment. However, a greater proportion of AA vs. white patients were regretful (20.6% vs. 11.2%, respectively; P = 0.03). AA and white men were similar on all functional, clinical, and pathologic features with the exception of younger age among AA men (56 vs. 60 y, respectively; P <0.001). Although there were significant differences in SES by race ( P <0.001), regret did not differ by SES (β =−1.53; P = 0.15). Race, postoperative sexual dysfunction, pad usage, and length of hospital stay, however, were significantly associated with decisional regret. Conclusions AA men were more regretful than white men, after adjusting for clinicopathologic characteristics and postoperative functional outcomes.</description><identifier>ISSN: 1078-1439</identifier><identifier>EISSN: 1873-2496</identifier><identifier>DOI: 10.1016/j.urolonc.2013.10.011</identifier><identifier>PMID: 24411791</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; African Americans - psychology ; Aged ; Decision Making ; Emotions ; European Continental Ancestry Group - psychology ; Follow-Up Studies ; Humans ; Laparoscopy - psychology ; Male ; Middle Aged ; Neoplasm Grading ; Neoplasm Staging ; Prognosis ; Prostate ; Prostatectomy ; Prostatectomy - psychology ; Prostatic Neoplasms - psychology ; Prostatic Neoplasms - surgery ; Quality of Life ; Race ; Robotics ; Socioeconomic status ; Surveys and Questionnaires ; Urology</subject><ispartof>Urologic oncology, 2014-05, Vol.32 (4), p.419-425</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>2013 Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-2a48dbf1eada781e1474ba87ec21faf67abb82b3e9e520f455d7cf3317a3d2e33</citedby><cites>FETCH-LOGICAL-c420t-2a48dbf1eada781e1474ba87ec21faf67abb82b3e9e520f455d7cf3317a3d2e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urolonc.2013.10.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24411791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collingwood, Shemille A., B.S</creatorcontrib><creatorcontrib>McBride, Russell B., M.P.H., Ph.D</creatorcontrib><creatorcontrib>Leapman, Michael, M.D</creatorcontrib><creatorcontrib>Hobbs, Adele R., M.S</creatorcontrib><creatorcontrib>Kwon, Young Suk, B.S</creatorcontrib><creatorcontrib>Stensland, Kristian D., B.S</creatorcontrib><creatorcontrib>Schwartz, Rebecca M., Ph.D</creatorcontrib><creatorcontrib>Pollard, Matthew E., M.D</creatorcontrib><creatorcontrib>Samadi, David B., M.D</creatorcontrib><title>Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men</title><title>Urologic oncology</title><addtitle>Urol Oncol</addtitle><description>Abstract Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients with PCa. We investigated the relationships between clinicopathologic variables across racial and socioeconomic lines following robotic-assisted laparoscopic prostatectomy. Materials and methods We assessed treatment decisional regret using a validated questionnaire in a total of 484 white and 72 AA patients with PCa who were followed up for a median of 16.6 months post–robotic-assisted laparoscopic prostatectomy. Socioeconomic status (SES) information was aggregated from 2010 US census zip code data. Perioperative clinicopathologic characteristics and functional outcomes were compared between groups. Univariate and multivariate regression analyses were used to evaluate the influence of race, aggregate SES, and other clinical and demographic characteristics on decisional regret. Results The majority (87.7%) of the population was not regretful of their decision to undergo treatment. However, a greater proportion of AA vs. white patients were regretful (20.6% vs. 11.2%, respectively; P = 0.03). AA and white men were similar on all functional, clinical, and pathologic features with the exception of younger age among AA men (56 vs. 60 y, respectively; P <0.001). Although there were significant differences in SES by race ( P <0.001), regret did not differ by SES (β =−1.53; P = 0.15). Race, postoperative sexual dysfunction, pad usage, and length of hospital stay, however, were significantly associated with decisional regret. Conclusions AA men were more regretful than white men, after adjusting for clinicopathologic characteristics and postoperative functional outcomes.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>Aged</subject><subject>Decision Making</subject><subject>Emotions</subject><subject>European Continental Ancestry Group - psychology</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparoscopy - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Staging</subject><subject>Prognosis</subject><subject>Prostate</subject><subject>Prostatectomy</subject><subject>Prostatectomy - psychology</subject><subject>Prostatic Neoplasms - psychology</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Quality of Life</subject><subject>Race</subject><subject>Robotics</subject><subject>Socioeconomic status</subject><subject>Surveys and Questionnaires</subject><subject>Urology</subject><issn>1078-1439</issn><issn>1873-2496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERUvhJ4By5JLFYzvr5AKq2gKVKnEAztbEGbdeknixnUr773G0CwcunObV6J2vZxh7A3wDHLbvd5slhjHMdiM4yJLbcIBn7AJaLWuhuu3zorlua1CyO2cvU9pxDqoFeMHOhVIAuoMLRjdkffJhxrGK9BApV-gyxSqGPmRva0zJp0xDNeIeY0g27L2t9kVlzGRzmA6VT9Wjf3gsVX6urlz0Fkuc6Cgmml-xM4djoteneMl-fLr9fv2lvv_6-e766r62SvBcC1Tt0DsgHFC3QKC06rHVZAU4dFuNfd-KXlJHjeBONc2grZMSNMpBkJSX7N2xb9nv10Ipm8knS-OIM4UlGWiga9W2E7xYm6PVllNSJGf20U8YDwa4WQmbnTkRNivhNV0Il7q3pxFLP9Hwt-oP0mL4eDRQOfTJUzTJepotDT4WXmYI_r8jPvzTwY5-LizHn3SgtAtLLO8q15gkDDff1jevXwbJuWpkI38DOmOmkg</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Collingwood, Shemille A., B.S</creator><creator>McBride, Russell B., M.P.H., Ph.D</creator><creator>Leapman, Michael, M.D</creator><creator>Hobbs, Adele R., M.S</creator><creator>Kwon, Young Suk, B.S</creator><creator>Stensland, Kristian D., B.S</creator><creator>Schwartz, Rebecca M., Ph.D</creator><creator>Pollard, Matthew E., M.D</creator><creator>Samadi, David B., M.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men</title><author>Collingwood, Shemille A., B.S ; McBride, Russell B., M.P.H., Ph.D ; Leapman, Michael, M.D ; Hobbs, Adele R., M.S ; Kwon, Young Suk, B.S ; Stensland, Kristian D., B.S ; Schwartz, Rebecca M., Ph.D ; Pollard, Matthew E., M.D ; Samadi, David B., M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-2a48dbf1eada781e1474ba87ec21faf67abb82b3e9e520f455d7cf3317a3d2e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>African Americans - psychology</topic><topic>Aged</topic><topic>Decision Making</topic><topic>Emotions</topic><topic>European Continental Ancestry Group - psychology</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparoscopy - psychology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Staging</topic><topic>Prognosis</topic><topic>Prostate</topic><topic>Prostatectomy</topic><topic>Prostatectomy - psychology</topic><topic>Prostatic Neoplasms - psychology</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Quality of Life</topic><topic>Race</topic><topic>Robotics</topic><topic>Socioeconomic status</topic><topic>Surveys and Questionnaires</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Collingwood, Shemille A., B.S</creatorcontrib><creatorcontrib>McBride, Russell B., M.P.H., Ph.D</creatorcontrib><creatorcontrib>Leapman, Michael, M.D</creatorcontrib><creatorcontrib>Hobbs, Adele R., M.S</creatorcontrib><creatorcontrib>Kwon, Young Suk, B.S</creatorcontrib><creatorcontrib>Stensland, Kristian D., B.S</creatorcontrib><creatorcontrib>Schwartz, Rebecca M., Ph.D</creatorcontrib><creatorcontrib>Pollard, Matthew E., M.D</creatorcontrib><creatorcontrib>Samadi, David B., M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologic oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Collingwood, Shemille A., B.S</au><au>McBride, Russell B., M.P.H., Ph.D</au><au>Leapman, Michael, M.D</au><au>Hobbs, Adele R., M.S</au><au>Kwon, Young Suk, B.S</au><au>Stensland, Kristian D., B.S</au><au>Schwartz, Rebecca M., Ph.D</au><au>Pollard, Matthew E., M.D</au><au>Samadi, David B., M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men</atitle><jtitle>Urologic oncology</jtitle><addtitle>Urol Oncol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>32</volume><issue>4</issue><spage>419</spage><epage>425</epage><pages>419-425</pages><issn>1078-1439</issn><eissn>1873-2496</eissn><abstract>Abstract Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients with PCa. We investigated the relationships between clinicopathologic variables across racial and socioeconomic lines following robotic-assisted laparoscopic prostatectomy. Materials and methods We assessed treatment decisional regret using a validated questionnaire in a total of 484 white and 72 AA patients with PCa who were followed up for a median of 16.6 months post–robotic-assisted laparoscopic prostatectomy. Socioeconomic status (SES) information was aggregated from 2010 US census zip code data. Perioperative clinicopathologic characteristics and functional outcomes were compared between groups. Univariate and multivariate regression analyses were used to evaluate the influence of race, aggregate SES, and other clinical and demographic characteristics on decisional regret. Results The majority (87.7%) of the population was not regretful of their decision to undergo treatment. However, a greater proportion of AA vs. white patients were regretful (20.6% vs. 11.2%, respectively; P = 0.03). AA and white men were similar on all functional, clinical, and pathologic features with the exception of younger age among AA men (56 vs. 60 y, respectively; P <0.001). Although there were significant differences in SES by race ( P <0.001), regret did not differ by SES (β =−1.53; P = 0.15). Race, postoperative sexual dysfunction, pad usage, and length of hospital stay, however, were significantly associated with decisional regret. Conclusions AA men were more regretful than white men, after adjusting for clinicopathologic characteristics and postoperative functional outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24411791</pmid><doi>10.1016/j.urolonc.2013.10.011</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult African Americans - psychology Aged Decision Making Emotions European Continental Ancestry Group - psychology Follow-Up Studies Humans Laparoscopy - psychology Male Middle Aged Neoplasm Grading Neoplasm Staging Prognosis Prostate Prostatectomy Prostatectomy - psychology Prostatic Neoplasms - psychology Prostatic Neoplasms - surgery Quality of Life Race Robotics Socioeconomic status Surveys and Questionnaires Urology |
| title | Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men |
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