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Microarray-based Identification of Individual HERV Loci Expression: Application to Biomarker Discovery in Prostate Cancer
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Sociodemographic Factors Associated With Tissue-based Genomic Testing for Prostate Cancer.

Gabriela M Diaz1, Nethusan Sivanesan1, Sebastien Strachan2

  • 1Yale School of Medicine, Department of Urology, New Haven, CT.

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|December 18, 2025
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Summary
This summary is machine-generated.

Genomic classifier testing for prostate cancer is less common in socially disadvantaged areas and among Hispanic patients. These findings reveal demographic disparities in accessing advanced risk assessment tools.

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Area of Science:

  • Oncology
  • Health Services Research
  • Genomics

Background:

  • Genomic classifiers (GC) aid in risk stratification for localized prostate cancer (PCa).
  • Factors influencing GC adoption in PCa management are not well understood.
  • Personalized treatment decisions for PCa can be enhanced by GC testing.

Purpose of the Study:

  • To investigate the association between sociodemographic factors and GC testing for localized PCa.
  • To identify patient and area-level predictors of GC utilization in PCa care.

Main Methods:

  • Retrospective analysis of localized PCa patients (2012-2022) who received genomic testing.
  • Inclusion of clinical, Area Deprivation Index (ADI), and health insurance data.
  • Logistic regression models to assess the relationship between ADI and GC test receipt.

Main Results:

  • 40.1% of 2103 eligible patients underwent GC testing.
  • Higher GC testing rates were observed in less deprived areas (40.9%) versus most deprived (34.6%).
  • Increased area deprivation, Hispanic ethnicity, and younger age were linked to lower GC test odds.

Conclusions:

  • Genomic testing utilization for PCa is lower in socioeconomically disadvantaged populations and Hispanic patients.
  • Demographic variations in the use of discretionary PCa risk assessment tools are evident.
  • Addressing disparities in GC testing access is crucial for equitable PCa management.