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Study Reveals Disparity In Prostate Cancer Treatment Based On Race

The study, conducted in 2007 and reported in the Journal of Urology earlier this year, was led by Dr. Kathryn E. Richert-Boe, of Kaiser Permanente Northwest in Portland, Oregon. It's objectives were to determine whether differences existed in prostate cancer treatment received by white and African American men at a health maintenance organization where access to medical care (was) theoretically equal for all members and, if so, to determine the reasons for these differences. The study found that African American patients in the early stages of prostate cancer were less likely than white patients to receive aggressive treatment for their disease.

Researchers conducting the study compared the likelihood of treatment with curative intent (TCI) between the two races, adjusting for age, tumor grade, stage, and the presence of comorbid conditions. What the study revealed was that 82 percent of 158 white prostate cancer patients underwent surgical removal of the prostate gland or radiation therapy for their illness; these are considered more aggressive treatments for the disease. Conversely, only 71 percent of 79 African-American patients received the same type of treatment.

The American Cancer Society predicts 34,170 new cancer cases in Texas this year. Of those, 2, 480 are expected to be breast in third place, following lung (9,920 cases expected), and colon/rectum (3,220). Nationally, 26% of new cancer diagnoses 178,480 will be breast, accounting for one-third of all cancers in women. Warnings about environmental toxins, the dangers of inadequate diet and nutrition, and risk factors associated with family history abound. Combined with dismal statistics on the declining number of those able to afford individual health insurance 25.1% in Texas are uninsured it can all seem more than a little overwhelming.

The lifetime risk of being diagnosed with breast cancer is approximately one in eight, or 13.2%. Risk substantially increases with age, genetic tendencies, family history, personal medical history, and obesity. A woman in her thirties has only a 1 in 229 (0.4%) chance of being diagnosed, while a woman in her sixties has a 1 in 26 chance (3.8%). Survival rates for cancer increase with proper screening, early detection, and quality treatment (which, in turn, increases with health insurance coverage). These low percentages overall seem unconcerning, very low, in fact, but when we stop to consider what this means in actual numbers, or the fact we probably know someone affected by the disease, it hits closer to home.

The first and easiest step in breast cancer prevention is knowing what you are up against. This means learning all about the risk factors that may affect you. Family history and genetic make-up are two risk factors women cannot control, but must be aware of when it comes to prevention. If your mother, grandmother or even sister has been diagnosed with breast cancer, your risks go up too.

The choices you make in life also become risk factors. Women who take oral contraceptives could have a greater chance of developing this deadly disease. Having children before the age of thirty can put women at a higher risk for breast cancer. Although some risk factors are easier to control than others, familiarizing oneself with plenty of information will only make fighting cancer easier for you.