PD26-04 RACIAL AND ETHNIC VARIATION IN TIME TO PROSTATE BIOPSY AFTER AN ELEVATED PSA BLOOD LEVEL SCREENING RESULT

You have accessJournal of UrologyProstate Cancer: Detection & Screening VI1 Apr 2016PD26-04 RACIAL AND ETHNIC VARIATION IN TIME TO PROSTATE BIOPSY AFTER AN ELEVATED PSA BLOOD LEVEL SCREENING RESULT Stephanie Reading, Kimberly Porter, Jin-Wen Hsu, Lauren Wallner, Ronald Loo, and Steven Jacobsen Stephanie ReadingStephanie Reading More articles by this author , Kimberly PorterKimberly Porter More articles by this author , Jin-Wen HsuJin-Wen Hsu More articles by this author , Lauren WallnerLauren Wallner More articles by this author , Ronald LooRonald Loo More articles by this author , and Steven JacobsenSteven Jacobsen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.365AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To examine the racial and ethnic variation in time to prostate biopsy after an elevated prostate-specific antigen (PSA) blood level screening result. METHODS Male members of the Kaiser Permanente of Southern California (KPSC) health plan were retrospectively ascertained for inclusion in the present investigation (n=59,506). These men were 45 years of age or older, had no history of prostate cancer or a prostate biopsy, and received at least one elevated PSA blood level screening result between January 1st, 1998 and December 31st, 2007. All participants were passively followed via electronic health records until their time of prostate biopsy, death, membership disenrollment or study conclusion (December 31st, 2008), whichever was the initial event. Cox proportional hazard regression analyses were used to estimate the association between date of elevated PSA blood level draw and date of prostate biopsy adjusting for age, benign prostatic hyperplasia, prostatitis, type 2 diabetes mellitus, hypertension and Charlson comorbidity index score. RESULTS The overall median follow-up time was 2.8 years with approximately 37% of participants receiving a prostate biopsy within the study period. Results from the fully-adjusted cox proportional hazard regression analysis indicated that the non-Hispanic Asian or Pacific Islanders had a slightly shorter time to prostate biopsy after an elevated PSA blood level screening result compared to the non-Hispanic whites (adjusted HR: 1.07, 95% CI: [1.01, 1.13]). However, no other statistically significant differences were identified in the time to prostate biopsy between the other racial and ethnic subgroups and the non-Hispanic whites (see Table 1). CONCLUSIONS These data suggest that within an integrated health care organization, with equal access to care, minimal differences exist between racial and ethnic subgroups in their time to prostate biopsy after an elevated PSA blood level screening result. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e645-e646 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Stephanie Reading More articles by this author Kimberly Porter More articles by this author Jin-Wen Hsu More articles by this author Lauren Wallner More articles by this author Ronald Loo More articles by this author Steven Jacobsen More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...