Gender and Geographic Influence on the Racial Disparity in Bladder Cancer Mortality in the US

Underwood, Willie; Dunn, Rodney L.; Williams, Candice; Lee, Cheryl T.

doi:10.1016/j.jamcollsurg.2005.09.009

Cited by 64 publications

(40 citation statements)

References 10 publications

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“…1 About 75% of patients with bladder cancer are men and the reasons for this are not well understood but may relate to gender differences in smoking, 2,3 occupational exposures, 2,4 or hormonal factors. 5 While several studies suggest that women with bladder cancer may have inferior outcomes to men, [6][7][8][9] this has not been observed consistently. 10 Women are more likely to have a delay in diagnosis, 11 present with more advanced disease, 8 and may have more biologically aggressive disease.…”

Section: Introductionmentioning

confidence: 99%

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Patafio¹,

Wei²,

Booth³

2015

CUAJ

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Introduction: The incidence of bladder cancer varies by gender. Whether differences exist between women and men in extent of disease, treatment, and outcome is not well-described. We evaluate gender differences in bladder cancer using a population-based cohort. Methods: Electronic records of treatment were linked to the population-based Ontario Cancer Registry to identify all patients with bladder cancer treated with cystectomy or radical radiotherapy (RT) in Ontario between 1994 and 2008. We compare extent of disease at time of cystectomy, treatment, and outcomes between women and men. Results: In total, 5259 patients with bladder cancer were treated with cystectomy or radical RT; of these, 25% (n = 1296) were women. There was no gender difference in the proportion of patients treated with cystectomy (75% of women [974/1296] Among the 2944 patients with muscle-invasive urothelial carcinoma treated with cystectomy, use of neoadjuvant (5% vs. 4%, p = 0.419) and adjuvant chemotherapy (18% vs. 20%, p = 0.190) did not differ significantly between genders. Five-year cancer-specific survival and overall survival of the full cohort did not differ between women and men (38% vs. 39%, p = 0.522; 33% vs. 33%, p = 0.795).Conclusions: This population-based cohort did not demonstrate any substantial differences in extent of disease, treatment, or outcome between women and men treated with cystectomy or radical RT for bladder cancer.

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Section: Introductionmentioning

confidence: 99%

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Patafio¹,

Wei²,

Booth³

2015

CUAJ

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“…[4][5][6] Although much of the difference in survival has been attributed to higher stage at presentation in blacks, 5,6 this disparity persists between whites and blacks with similar stage, grade and treatment. 7 Research regarding bladder cancer outcomes in other ethnic groups, such as Hispanics and Asian/Pacific Islanders (APIs), is limited.…”

Section: Introductionmentioning

confidence: 99%

Ethnic Differences in Bladder Cancer Survival

Yee¹,

Lowrance²,

Herr³

et al. 2009

Journal of Urology

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Objectives-Racial disparities in bladder cancer outcomes have been documented with poorer survival observed among blacks. Bladder cancer outcomes in other ethnic minority groups are less well described. We examined trends in bladder cancer survival among whites, blacks, Hispanics, and Asian/Pacific Islanders in the US over a 30-year period. Results-Blacks presented with higher stage disease than whites, Hispanics and Asian/Pacific Islanders, although a trend toward earlier stage presentation was observed in all groups over time. Five-year disease-specific survival was consistently worse for blacks than for other ethnic groups, even when stratified by stage and grade. Five-year disease-specific survival was 82.8% in whites compared with 70.2% in blacks, 80.7% in Hispanics and 81.9% in Asian/Pacific Islanders. There was a persistent disease-specific survival disadvantage in black patients over time which was not seen in the other ethnic groups. Methods-FromConclusions-Ethnic disparities in bladder cancer survival persist between whites and blacks, while survival in other ethnic minority groups appears similar to that of whites. Further study of access to care, quality of care and treatment decision making among black patients is needed to better understand these disparities.

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“…Studies [10][11]27] have identified low socio-economic status as a reason for inequity in access to cancer care but the study participants talked about inequity issue from a relatively different angle. First of all patients of urinary bladder carcinoma are comparatively older than other carcinoma patients.…”

Section: Discussionmentioning

confidence: 99%

“…Literature reviews reviled inadequacy of staffs and infrastructure [5][6], prolonged waiting time [7][8][9] and inequity in cancer care [10][11] as the major barriers in access to care for urinary bladder carcinoma patients. The gaps identified in the literature in service provision were ineffective support system [12][13] and financial inconvenience [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Understanding Professionals' Perspectives on Access to Care for Patients with Carcinoma of the Urinary Bladder in Scotland: A Qualitative Study

Habib¹

2016

AJHR

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Urinary bladder carcinoma is the most frequently occurring cancer of the urinary tract. Like any other types of cancer the diagnosis, treatment and overall management of urinary bladder cancer is not only expensive but also time consuming. During all these procedures, patients face several barriers while accessing care. The physicians and healthcare administrative or policy makers have the opportunity to closely observe patients' situation or their view towards existing policy and support system. Objective of this study is to explore professionals' perspective on access to care for patients with urinary bladder carcinoma in Scotland in order to identify recent progresses and difficulties faced by patients at different stages of management of the disease. Semi structured interview approach was chosen for its suitability for exploring attitudes, values, beliefs and motives. A total of twelve participants were interviewed. All the twelve participants were chosen through purposive sampling. A phenomenological approach was used to explore perspectives of these twelve professionals having experience of treating patients with urinary bladder carcinoma. All the participants despite of the differences in their views have identified backlog and/or long standing waiting list, lack of patient centered care and shortage of infrastructure, as major barriers in access to care for urinary bladder carcinoma patients. The major gaps identified were inefficiencies of the system and lack of focus on bladder cancer. According to the participants' financial deficiency, systemic complication, age group and socioeconomic status of patients are the biggest challenges to overcome these barriers. Professionals gave their opinion for increasing the capacity of the service by establishing bladder cancer care centers and also employing skilled workforce in accordance to the patient number in these centers.

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Gender and Geographic Influence on the Racial Disparity in Bladder Cancer Mortality in the US

Cited by 64 publications

References 10 publications

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Ethnic Differences in Bladder Cancer Survival

Understanding Professionals' Perspectives on Access to Care for Patients with Carcinoma of the Urinary Bladder in Scotland: A Qualitative Study

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Gender and Geographic Influence on the Racial Disparity in Bladder Cancer Mortality in the US

Cited by 64 publications

References 10 publications

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Is there a gender effect in bladder cancer? A population-based study of practice and outcomes

Ethnic Differences in Bladder Cancer Survival

Understanding Professionals&apos; Perspectives on Access to Care for Patients with Carcinoma of the Urinary Bladder in Scotland: A Qualitative Study

Contact Info

Product

Resources

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Understanding Professionals' Perspectives on Access to Care for Patients with Carcinoma of the Urinary Bladder in Scotland: A Qualitative Study