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  1. Removal of the financial barrier to health care : does it impact on prostate cancer at presentation and survival ? A comparative study between black and white men in a veterans affairs system.

    Article - En anglais

    Objectives

    African-American men are known to have a higher incidence and mortality rate from prostate cancer than American-Caucasian men.

    It is also known that African Americans have a higher incidence of advanced stage disease at diagnosis.

    One hypothesis for the latter is a delay in diagnosis due to lack of financial access to health care.

    Because eligibility for medical care in Veterans Affairs Medical Centers (VAMCs) is similar for both black and white patients, less disparity of stage at diagnosis, and therefore survival between blacks and whites, would be expected.

    Methods

    Cases for this study included only those histologically confirmed, newly diagnosed prostate cancers at the Allen Park VAMC in Wayne County, Michigan, between 1973 and 1992.

    Trained Surveillance, Epidemiology, and End Result (SEER) abstractors determined the stage at diagnosis, according to SEER criteria.

    Data analyses include descriptive statistics and survival analysis.

    Mots-clés Pascal : Adénocarcinome, Prostate, Système santé, Economie santé, Etats Unis, Amérique du Nord, Amérique, Traitement, Mortalité, Adulte, Homme, Mâle, Ethnie, Etude comparative, Tumeur maligne, Appareil urinaire pathologie, Appareil génital mâle pathologie, Prostate pathologie

    Mots-clés Pascal anglais : Adenocarcinoma, Prostate, Health system, Health economy, United States, North America, America, Treatment, Mortality, Adult, Human, Male, Ethnic group, Comparative study, Malignant tumor, Urinary system disease, Male genital diseases, Prostate disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0052711

    Code Inist : 002B14D02. Création : 199608.