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Disparities in Penile Cancer
Pranav Sharma1, Kamran Zargar-Shoshtari, Curtis A Pettaway
1Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA. Philippe.Spiess@Moffitt.org.
Penile cancer disproportionately affects Hispanic and African American men, who are diagnosed at younger ages with more advanced disease. Understanding these disparities is crucial for improving cancer care access and outcomes.
Area of Science:
- Oncology
- Epidemiology
- Health Disparities
Background:
- Penile cancer is a rare malignancy with notable racial and socioeconomic disparities in incidence and survival.
- Existing research highlights variations in disease outcomes across different demographic groups.
Purpose of the Study:
- To investigate the epidemiological characteristics and survival outcomes of penile cancer.
- To identify sociodemographic factors influencing penile cancer incidence and mortality.
Main Methods:
- A comprehensive literature search was conducted for population-based studies published between 1990 and 2015.
- Exclusion criteria included case reports and non-English language articles to focus on robust data.
Main Results:
- Higher penile cancer incidence observed in Hispanic and African American men compared to white and Asian men.
- Associated risk factors include lower socioeconomic status, multiple sexual partners, history of STIs, and lack of circumcision with phimosis.
- African American men presented with younger age, higher disease stage, and worse survival rates; mortality increased with age, single marital status, and lower socioeconomic status.
Conclusions:
- Sociodemographic factors significantly impact penile cancer incidence and survival.
- Addressing these disparities through healthcare policy can improve access and minimize inequities in cancer care for all men.
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