Asian Americans and prostate cancer: A nationwide population-based analysis
Abstract Introduction It remains largely unknown if there are racial disparities in outcomes of prostate cancer (PCa) for Asian American and Pacific Islanders (PIs) (AAPIs). We examined differences in diagnosis, management, and survival of AAPI ethnic groups, relative to their non-Hispanic White (NH...
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| creator | Chao, Grace F., B.A Krishna, Nandita, B.A Aizer, Ayal A., M.D., M.H.S Dalela, Deepansh, M.D Hanske, Julian, M.D Li, Hanhan, M.D Meyer, Christian P., M.D Kim, Simon P., M.D Mahal, Brandon A., M.D Reznor, Gally, M.S Schmid, Marianne, M.D Choueiri, Toni K., M.D Nguyen, Paul L., M.D O׳Leary, Michael, M.D., M.P.H Trinh, Quoc-Dien, M.D |
| description | Abstract Introduction It remains largely unknown if there are racial disparities in outcomes of prostate cancer (PCa) for Asian American and Pacific Islanders (PIs) (AAPIs). We examined differences in diagnosis, management, and survival of AAPI ethnic groups, relative to their non-Hispanic White (NHW) counterparts. Methods Patients ( n = 891,100) with PCa diagnosed between 1988 and 2010 within the surveillance, epidemiology, and end results database were extracted and stratified by ethnic group: Chinese, Japanese, Filipino, Hawaiian, Korean, Vietnamese, Asian Indian/Pakistani, PI, and Other Asian. The effect of ethnic group on stage at presentation, rates of definitive treatment, and PCa-specific mortality was assessed. The severity at diagnosis was defined as: localized (TxN0M0), regional (TxN1M0), or metastatic (TxNxM1). Results Relative to NHWs, Asian Indian/Pakistani, Filipino, Hawaiian, and PI men had significantly worse outcomes. Filipino (odds ratio [OR] = 1.38, 95% CI: 1.27–1.51), Hawaiian, (OR = 1.70, 95% CI: 1.41–2.04), Asian Indian/Pakistani (OR = 1.37, 95% CI: 1.15–1.64), and PI men (OR = 1.90, 95% CI: 1.46–2.49) were more likely to present with metastatic PCa ( P |
| doi_str_mv | 10.1016/j.urolonc.2015.11.013 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1813628441</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1078143915005657</els_id><sourcerecordid>1813628441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-7fcf0332bafa3990b15120c322f72b28729da3bfe2d74819b9cafaf1a77e0193</originalsourceid><addsrcrecordid>eNqFkctOwzAQRS0EoqXwCaAs2SR47CROWICqipeoxILuLceZSA5pUuwE1L_HoYUFG1Z-6N6ZuWcIOQcaAYX0qo4G2zVdqyNGIYkAIgr8gEwhEzxkcZ4e-jsVWQgxzyfkxLmaUogzgGMyYalgCYuzKXmeO6PaYL5Ga7RqXaDaMtjYzvWqx8D_aLTXwTxoVW-69tOUGGy6zdB8P8NCOSy9RTVbZ9wpOapU4_Bsf87I6v5utXgMly8PT4v5MtQxo30oKl1RzlmhKsXznBaQAKOaM1YJVrBMsLxUvKiQlcLPmxe59soKlBBIIeczcrkr68d8H9D1cm2cxqZRLXaDk5ABT1kWx-ClyU6qfSJnsZIba9bKbiVQOWKUtdxjlCNGCSA9Ru-72LcYijWWv64fbl5wuxOgz_lh0EqnDXpYpbGoe1l25t8WN38q6Ma0fgfNG27R1d1gPVafRjomqXwddzmuEhJKkzQR_AvLAZtl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1813628441</pqid></control><display><type>article</type><title>Asian Americans and prostate cancer: A nationwide population-based analysis</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Chao, Grace F., B.A ; Krishna, Nandita, B.A ; Aizer, Ayal A., M.D., M.H.S ; Dalela, Deepansh, M.D ; Hanske, Julian, M.D ; Li, Hanhan, M.D ; Meyer, Christian P., M.D ; Kim, Simon P., M.D ; Mahal, Brandon A., M.D ; Reznor, Gally, M.S ; Schmid, Marianne, M.D ; Choueiri, Toni K., M.D ; Nguyen, Paul L., M.D ; O׳Leary, Michael, M.D., M.P.H ; Trinh, Quoc-Dien, M.D</creator><creatorcontrib>Chao, Grace F., B.A ; Krishna, Nandita, B.A ; Aizer, Ayal A., M.D., M.H.S ; Dalela, Deepansh, M.D ; Hanske, Julian, M.D ; Li, Hanhan, M.D ; Meyer, Christian P., M.D ; Kim, Simon P., M.D ; Mahal, Brandon A., M.D ; Reznor, Gally, M.S ; Schmid, Marianne, M.D ; Choueiri, Toni K., M.D ; Nguyen, Paul L., M.D ; O׳Leary, Michael, M.D., M.P.H ; Trinh, Quoc-Dien, M.D</creatorcontrib><description>Abstract Introduction It remains largely unknown if there are racial disparities in outcomes of prostate cancer (PCa) for Asian American and Pacific Islanders (PIs) (AAPIs). We examined differences in diagnosis, management, and survival of AAPI ethnic groups, relative to their non-Hispanic White (NHW) counterparts. Methods Patients ( n = 891,100) with PCa diagnosed between 1988 and 2010 within the surveillance, epidemiology, and end results database were extracted and stratified by ethnic group: Chinese, Japanese, Filipino, Hawaiian, Korean, Vietnamese, Asian Indian/Pakistani, PI, and Other Asian. The effect of ethnic group on stage at presentation, rates of definitive treatment, and PCa-specific mortality was assessed. The severity at diagnosis was defined as: localized (TxN0M0), regional (TxN1M0), or metastatic (TxNxM1). Results Relative to NHWs, Asian Indian/Pakistani, Filipino, Hawaiian, and PI men had significantly worse outcomes. Filipino (odds ratio [OR] = 1.38, 95% CI: 1.27–1.51), Hawaiian, (OR = 1.70, 95% CI: 1.41–2.04), Asian Indian/Pakistani (OR = 1.37, 95% CI: 1.15–1.64), and PI men (OR = 1.90, 95% CI: 1.46–2.49) were more likely to present with metastatic PCa ( P <0.001). In patients with localized PCa, Filipino men were less likely to receive definitive treatment (OR = 0.91; 95% CI: 0.84–0.97; P = 0.005). Most AAPI groups had lower rates of PCa death except for Hawaiian (hazard ratio = 1.52; 95% CI: 1.30–1.77; P <0.0001) and PI men (hazard ratio = 1.43; 95% CI: 1.12–1.82; P <0.0001). Conclusions Compared with NHWs, AAPI groups were more likely to present with advanced PCa but had better cancer-specific survival. Conversely, Hawaiian and PI men were at greater risk for PCa-specific mortality. Given the different cancer profiles, our results show that there is a need for disaggregation of AAPI data.</description><identifier>ISSN: 1078-1439</identifier><identifier>EISSN: 1873-2496</identifier><identifier>DOI: 10.1016/j.urolonc.2015.11.013</identifier><identifier>PMID: 26725248</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Asian Americans - statistics & numerical data ; China - ethnology ; Humans ; Japan - ethnology ; Korea - ethnology ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Outcome Assessment (Health Care) - methods ; Outcome Assessment (Health Care) - statistics & numerical data ; Outcomes ; Philippines - ethnology ; Prostate cancer ; Prostatic Neoplasms - diagnosis ; Prostatic Neoplasms - ethnology ; Prostatic Neoplasms - therapy ; Racial disparities ; SEER ; SEER Program - statistics & numerical data ; Severity of Illness Index ; Socioeconomic Factors ; Survival Analysis ; United States ; Urology ; Vietnam - ethnology</subject><ispartof>Urologic oncology, 2016-05, Vol.34 (5), p.233.e7-233.e15</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-7fcf0332bafa3990b15120c322f72b28729da3bfe2d74819b9cafaf1a77e0193</citedby><cites>FETCH-LOGICAL-c420t-7fcf0332bafa3990b15120c322f72b28729da3bfe2d74819b9cafaf1a77e0193</cites><orcidid>0000-0002-1867-8050</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1078143915005657$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26725248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chao, Grace F., B.A</creatorcontrib><creatorcontrib>Krishna, Nandita, B.A</creatorcontrib><creatorcontrib>Aizer, Ayal A., M.D., M.H.S</creatorcontrib><creatorcontrib>Dalela, Deepansh, M.D</creatorcontrib><creatorcontrib>Hanske, Julian, M.D</creatorcontrib><creatorcontrib>Li, Hanhan, M.D</creatorcontrib><creatorcontrib>Meyer, Christian P., M.D</creatorcontrib><creatorcontrib>Kim, Simon P., M.D</creatorcontrib><creatorcontrib>Mahal, Brandon A., M.D</creatorcontrib><creatorcontrib>Reznor, Gally, M.S</creatorcontrib><creatorcontrib>Schmid, Marianne, M.D</creatorcontrib><creatorcontrib>Choueiri, Toni K., M.D</creatorcontrib><creatorcontrib>Nguyen, Paul L., M.D</creatorcontrib><creatorcontrib>O׳Leary, Michael, M.D., M.P.H</creatorcontrib><creatorcontrib>Trinh, Quoc-Dien, M.D</creatorcontrib><title>Asian Americans and prostate cancer: A nationwide population-based analysis</title><title>Urologic oncology</title><addtitle>Urol Oncol</addtitle><description>Abstract Introduction It remains largely unknown if there are racial disparities in outcomes of prostate cancer (PCa) for Asian American and Pacific Islanders (PIs) (AAPIs). We examined differences in diagnosis, management, and survival of AAPI ethnic groups, relative to their non-Hispanic White (NHW) counterparts. Methods Patients ( n = 891,100) with PCa diagnosed between 1988 and 2010 within the surveillance, epidemiology, and end results database were extracted and stratified by ethnic group: Chinese, Japanese, Filipino, Hawaiian, Korean, Vietnamese, Asian Indian/Pakistani, PI, and Other Asian. The effect of ethnic group on stage at presentation, rates of definitive treatment, and PCa-specific mortality was assessed. The severity at diagnosis was defined as: localized (TxN0M0), regional (TxN1M0), or metastatic (TxNxM1). Results Relative to NHWs, Asian Indian/Pakistani, Filipino, Hawaiian, and PI men had significantly worse outcomes. Filipino (odds ratio [OR] = 1.38, 95% CI: 1.27–1.51), Hawaiian, (OR = 1.70, 95% CI: 1.41–2.04), Asian Indian/Pakistani (OR = 1.37, 95% CI: 1.15–1.64), and PI men (OR = 1.90, 95% CI: 1.46–2.49) were more likely to present with metastatic PCa ( P <0.001). In patients with localized PCa, Filipino men were less likely to receive definitive treatment (OR = 0.91; 95% CI: 0.84–0.97; P = 0.005). Most AAPI groups had lower rates of PCa death except for Hawaiian (hazard ratio = 1.52; 95% CI: 1.30–1.77; P <0.0001) and PI men (hazard ratio = 1.43; 95% CI: 1.12–1.82; P <0.0001). Conclusions Compared with NHWs, AAPI groups were more likely to present with advanced PCa but had better cancer-specific survival. Conversely, Hawaiian and PI men were at greater risk for PCa-specific mortality. Given the different cancer profiles, our results show that there is a need for disaggregation of AAPI data.</description><subject>Aged</subject><subject>Asian Americans - statistics & numerical data</subject><subject>China - ethnology</subject><subject>Humans</subject><subject>Japan - ethnology</subject><subject>Korea - ethnology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Outcomes</subject><subject>Philippines - ethnology</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Prostatic Neoplasms - ethnology</subject><subject>Prostatic Neoplasms - therapy</subject><subject>Racial disparities</subject><subject>SEER</subject><subject>SEER Program - statistics & numerical data</subject><subject>Severity of Illness Index</subject><subject>Socioeconomic Factors</subject><subject>Survival Analysis</subject><subject>United States</subject><subject>Urology</subject><subject>Vietnam - ethnology</subject><issn>1078-1439</issn><issn>1873-2496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctOwzAQRS0EoqXwCaAs2SR47CROWICqipeoxILuLceZSA5pUuwE1L_HoYUFG1Z-6N6ZuWcIOQcaAYX0qo4G2zVdqyNGIYkAIgr8gEwhEzxkcZ4e-jsVWQgxzyfkxLmaUogzgGMyYalgCYuzKXmeO6PaYL5Ga7RqXaDaMtjYzvWqx8D_aLTXwTxoVW-69tOUGGy6zdB8P8NCOSy9RTVbZ9wpOapU4_Bsf87I6v5utXgMly8PT4v5MtQxo30oKl1RzlmhKsXznBaQAKOaM1YJVrBMsLxUvKiQlcLPmxe59soKlBBIIeczcrkr68d8H9D1cm2cxqZRLXaDk5ABT1kWx-ClyU6qfSJnsZIba9bKbiVQOWKUtdxjlCNGCSA9Ru-72LcYijWWv64fbl5wuxOgz_lh0EqnDXpYpbGoe1l25t8WN38q6Ma0fgfNG27R1d1gPVafRjomqXwddzmuEhJKkzQR_AvLAZtl</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Chao, Grace F., B.A</creator><creator>Krishna, Nandita, B.A</creator><creator>Aizer, Ayal A., M.D., M.H.S</creator><creator>Dalela, Deepansh, M.D</creator><creator>Hanske, Julian, M.D</creator><creator>Li, Hanhan, M.D</creator><creator>Meyer, Christian P., M.D</creator><creator>Kim, Simon P., M.D</creator><creator>Mahal, Brandon A., M.D</creator><creator>Reznor, Gally, M.S</creator><creator>Schmid, Marianne, M.D</creator><creator>Choueiri, Toni K., M.D</creator><creator>Nguyen, Paul L., M.D</creator><creator>O׳Leary, Michael, M.D., M.P.H</creator><creator>Trinh, Quoc-Dien, 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><orcidid>https://orcid.org/0000-0002-1867-8050</orcidid></search><sort><creationdate>20160501</creationdate><title>Asian Americans and prostate cancer: A nationwide population-based analysis</title><author>Chao, Grace F., B.A ; Krishna, Nandita, B.A ; Aizer, Ayal A., M.D., M.H.S ; Dalela, Deepansh, M.D ; Hanske, Julian, M.D ; Li, Hanhan, M.D ; Meyer, Christian P., M.D ; Kim, Simon P., M.D ; Mahal, Brandon A., M.D ; Reznor, Gally, M.S ; Schmid, Marianne, M.D ; Choueiri, Toni K., M.D ; Nguyen, Paul L., M.D ; O׳Leary, Michael, M.D., M.P.H ; Trinh, Quoc-Dien, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-7fcf0332bafa3990b15120c322f72b28729da3bfe2d74819b9cafaf1a77e0193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Asian Americans - statistics & numerical data</topic><topic>China - ethnology</topic><topic>Humans</topic><topic>Japan - ethnology</topic><topic>Korea - ethnology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Outcomes</topic><topic>Philippines - ethnology</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Prostatic Neoplasms - ethnology</topic><topic>Prostatic Neoplasms - therapy</topic><topic>Racial disparities</topic><topic>SEER</topic><topic>SEER Program - statistics & numerical data</topic><topic>Severity of Illness Index</topic><topic>Socioeconomic Factors</topic><topic>Survival Analysis</topic><topic>United States</topic><topic>Urology</topic><topic>Vietnam - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chao, Grace F., B.A</creatorcontrib><creatorcontrib>Krishna, Nandita, B.A</creatorcontrib><creatorcontrib>Aizer, Ayal A., M.D., M.H.S</creatorcontrib><creatorcontrib>Dalela, Deepansh, M.D</creatorcontrib><creatorcontrib>Hanske, Julian, M.D</creatorcontrib><creatorcontrib>Li, Hanhan, M.D</creatorcontrib><creatorcontrib>Meyer, Christian P., M.D</creatorcontrib><creatorcontrib>Kim, Simon P., M.D</creatorcontrib><creatorcontrib>Mahal, Brandon A., M.D</creatorcontrib><creatorcontrib>Reznor, Gally, M.S</creatorcontrib><creatorcontrib>Schmid, Marianne, M.D</creatorcontrib><creatorcontrib>Choueiri, Toni K., M.D</creatorcontrib><creatorcontrib>Nguyen, Paul L., M.D</creatorcontrib><creatorcontrib>O׳Leary, Michael, M.D., M.P.H</creatorcontrib><creatorcontrib>Trinh, Quoc-Dien, 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>Chao, Grace F., B.A</au><au>Krishna, Nandita, B.A</au><au>Aizer, Ayal A., M.D., M.H.S</au><au>Dalela, Deepansh, M.D</au><au>Hanske, Julian, M.D</au><au>Li, Hanhan, M.D</au><au>Meyer, Christian P., M.D</au><au>Kim, Simon P., M.D</au><au>Mahal, Brandon A., M.D</au><au>Reznor, Gally, M.S</au><au>Schmid, Marianne, M.D</au><au>Choueiri, Toni K., M.D</au><au>Nguyen, Paul L., M.D</au><au>O׳Leary, Michael, M.D., M.P.H</au><au>Trinh, Quoc-Dien, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asian Americans and prostate cancer: A nationwide population-based analysis</atitle><jtitle>Urologic oncology</jtitle><addtitle>Urol Oncol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>34</volume><issue>5</issue><spage>233.e7</spage><epage>233.e15</epage><pages>233.e7-233.e15</pages><issn>1078-1439</issn><eissn>1873-2496</eissn><abstract>Abstract Introduction It remains largely unknown if there are racial disparities in outcomes of prostate cancer (PCa) for Asian American and Pacific Islanders (PIs) (AAPIs). We examined differences in diagnosis, management, and survival of AAPI ethnic groups, relative to their non-Hispanic White (NHW) counterparts. Methods Patients ( n = 891,100) with PCa diagnosed between 1988 and 2010 within the surveillance, epidemiology, and end results database were extracted and stratified by ethnic group: Chinese, Japanese, Filipino, Hawaiian, Korean, Vietnamese, Asian Indian/Pakistani, PI, and Other Asian. The effect of ethnic group on stage at presentation, rates of definitive treatment, and PCa-specific mortality was assessed. The severity at diagnosis was defined as: localized (TxN0M0), regional (TxN1M0), or metastatic (TxNxM1). Results Relative to NHWs, Asian Indian/Pakistani, Filipino, Hawaiian, and PI men had significantly worse outcomes. Filipino (odds ratio [OR] = 1.38, 95% CI: 1.27–1.51), Hawaiian, (OR = 1.70, 95% CI: 1.41–2.04), Asian Indian/Pakistani (OR = 1.37, 95% CI: 1.15–1.64), and PI men (OR = 1.90, 95% CI: 1.46–2.49) were more likely to present with metastatic PCa ( P <0.001). In patients with localized PCa, Filipino men were less likely to receive definitive treatment (OR = 0.91; 95% CI: 0.84–0.97; P = 0.005). Most AAPI groups had lower rates of PCa death except for Hawaiian (hazard ratio = 1.52; 95% CI: 1.30–1.77; P <0.0001) and PI men (hazard ratio = 1.43; 95% CI: 1.12–1.82; P <0.0001). Conclusions Compared with NHWs, AAPI groups were more likely to present with advanced PCa but had better cancer-specific survival. Conversely, Hawaiian and PI men were at greater risk for PCa-specific mortality. Given the different cancer profiles, our results show that there is a need for disaggregation of AAPI data.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26725248</pmid><doi>10.1016/j.urolonc.2015.11.013</doi><orcidid>https://orcid.org/0000-0002-1867-8050</orcidid></addata></record> |
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| subjects | Aged Asian Americans - statistics & numerical data China - ethnology Humans Japan - ethnology Korea - ethnology Logistic Models Male Middle Aged Multivariate Analysis Outcome Assessment (Health Care) - methods Outcome Assessment (Health Care) - statistics & numerical data Outcomes Philippines - ethnology Prostate cancer Prostatic Neoplasms - diagnosis Prostatic Neoplasms - ethnology Prostatic Neoplasms - therapy Racial disparities SEER SEER Program - statistics & numerical data Severity of Illness Index Socioeconomic Factors Survival Analysis United States Urology Vietnam - ethnology |
| title | Asian Americans and prostate cancer: A nationwide population-based analysis |
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