Richard M. Hoffman|Frank D. Gilliland|J. William Eley|Linda C. Harlan|Robert A. Stephenson|Stanford Jl|Peter C. Albertson|Ann S. Hamilton|William C. Hunt|Arnold L. Potosky
Racial and Ethnic Differences in Advanced-Stage Prostate Cancer: the Prostate Cancer Outcomes Study
africanamericans twice risk nonhispanic whites presenting advancedstage prostate cancer investigate reasons difference evaluated association raceethnicity advancedstage prostate cancer adjusting demographic socioeconomic clinical pathologic factorsa populationbased cohort 3173 men diagnosed prostate cancer october 1 1994 october 31 1995 analyzed medical record abstracts selfadministered survey questionnaires used obtain information regarding raceethnicity age marital status insurance status educational level household income employment status comorbidity urinary function prostatespecific antigen level tumor grade clinical stage odds ratio advancedstage prostate cancer estimated weighted logistic regression analysis p values twosidedclinically advancedstage prostate cancers detected frequently africanamericans 123 hispanics 105 nonhispanic whites 63 socioeconomic clinical pathologic factors accounted 15 increased relative risk adjusting covariates risk remained statistically significantly increased africanamericans 226 95 confidence interval ci 143 358 hispanics 123 95 ci 073 208traditional socioeconomic clinical pathologic factors accounted increased relative risk presenting advancedstage prostate cancer hispanic africanamerican men