Karen E. Hoffman|Ming Hui Chen|Rinaa S. Punglia|Clair J. Beard|Anthony V. D’Amico
Influence of Year of Diagnosis, Patient Age, and Sociodemographic Status on Recommending Adjuvant Radiation Treatment for Stage I Testicular Seminoma
Brigham and Women's Hospital|Harvard University|Dana-Farber Cancer Institute|University of Connecticut|Brigham and Women's Hospital|Harvard University|Dana-Farber Cancer Institute|University of Connecticut|Brigham and Women's Hospital|Harvard University|Dana-Farber Cancer Institute|University of Connecticut|Brigham and Women's Hospital|Harvard University|University of Connecticut|Dana-Farber Cancer Institute|Brigham and Women's Hospital|Harvard University|Dana-Farber Cancer Institute|University of Connecticut
purpose adjuvant radiation therapy art stage seminoma cause adverse late effects alternative postorchiectomy management strategies developed study evaluated art trends united states impact clinical sociodemographic factors art recommendations methods men diagnosed stage seminoma 1990 2004 3125 identified using surveillance epidemiology end results cancer registry multivariable logistic regression analysis performed assess whether significant association diagnosis year diagnosis age race county education level region tumor size tumor category recommendation art results significant association p lt 001 later year diagnosis decrease art recommendation compared men diagnosed 1990 1994 men diagnosed 1995 1999 2000 2004 less likely art adjusted odds ratio 063 95 ci 048 084 049 95 ci 037 063 respectively also significant association p lt 001 county education level art recommendation men residing counties highest education level likely receive art men residing counties lowest education level 212 95 ci 159 282 also men older 30 years likely receive art men age 30 younger 126 95 ci 103 155 conclusion art recommendations stage seminoma declining men less educated regions youngest men less likely receive recommendation art