Racial variation in the pattern and quality of care for prostate cancer in the USA: mind the gap
Article first published online: 14 JUN 2010
© 2010 THE AUTHORS. JOURNAL COMPILATION © 2010 BJU INTERNATIONAL
Volume 106, Issue 3, pages 322–328, August 2010
How to Cite
Barocas, D. A. and Penson, D. F. (2010), Racial variation in the pattern and quality of care for prostate cancer in the USA: mind the gap. BJU International, 106: 322–328. doi: 10.1111/j.1464-410X.2010.09467.x
- Issue published online: 13 JUL 2010
- Article first published online: 14 JUN 2010
- Accepted for publication 22 April 2010
- prostate cancer;
- racial disparities;
- quality of care;
- pattern of care
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To review the literature on racial variation in the pattern of care (PoC) and quality of care (QoC) for prostate cancer, as there are known racial disparities in the incidence and outcomes of prostate cancer. While there are some biological explanations for these differences, they do not completely explain the variation. Differences in the appropriateness and QoC delivered to men of different racial groups may contribute to disparities in outcome.
We searched the USA National Library of Medicine PubMed system for articles pertaining to quality indicators in prostate cancer and racial disparities in QoC for prostate cancer.
While standards for appropriate treatment are not clearly defined, racial variation in the PoC has been reported in several studies, suggesting that African-American men may receive less aggressive treatment. There are validated QoC indicators in prostate cancer, and researchers have begun to evaluate racial variation in adherence to these quality indicators. Further quality comparisons, particularly in structural measures, may need to be performed to fully evaluate differences in QoC.
There is mounting evidence for racial variation in the PoC and QoC for prostate cancer, which may contribute to observed differences in outcome. While some of the sources of racial variation in quality and outcome have been identified through the development of evidence-based guidelines and validated quality indicators, opportunities exist to identify, study and attempt to resolve other components of the quality gap.