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Published on: March 6, 2018
Disparities With Systemic Therapies for Black Men Having Advanced Prostate Cancer: Where Do We Stand?
Jun Gong1, Daniel M Kim1, Amanda M De Hoedt2
1Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
Racial disparities in prostate cancer treatment outcomes are narrowing for Black men with metastatic disease. Evidence suggests similar or better outcomes with systemic therapies when access to care is equitable.
Area of Science:
- Oncology
- Health Disparities Research
- Cancer Treatment Outcomes
Background:
- Prostate cancer disproportionately affects Black men, with documented disparities impacting survival.
- Historically, Black men with prostate cancer have faced poorer outcomes compared to White men.
- Multilevel disparities contribute significantly to these survival differences.
Purpose of the Study:
- To review trends in racial disparities for systemic therapy outcomes in Black men with metastatic prostate cancer.
- To compare outcomes between Black and White men receiving systemic therapy for advanced prostate cancer.
- To investigate the impact of equitable health care access on treatment outcomes.
Main Methods:
- Review of real-world registry data.
- Analysis of prospective clinical trials.
- Focus on studies with standardized health care delivery and follow-up.
Main Results:
- Growing evidence indicates Black men may achieve similar or superior outcomes with systemic therapies compared to White men in metastatic prostate cancer.
- Prospective studies and clinical trials corroborate these findings, particularly in settings with standardized care.
- Equitable access to health care and follow-up appears to mitigate outcome disparities.
Conclusions:
- Nonbiological factors are critical drivers of racial disparities in advanced prostate cancer.
- Addressing barriers to health care access and delivery is essential.
- Increasing participation in clinical trials is key to overcoming systemic therapy outcome disparities for Black men.
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