Black Men Experience More Treatment Regret With Prostate Cancer

FRIDAY, Dec. 4, 2020 — African-American men with prostate cancer suffer worse decisional regret than non-African-American men, according to a study published online Nov. 23 in The Journal of Urology.

Molly E. DeWitt-Foy, M.D., from the Cleveland Clinic, and colleagues assessed sources of regret with a focus on racial disparities among 1,112 patients with localized prostate cancer treated at the Cleveland Clinic between 2010 and 2016. The analysis included survey responses from 378 participants.

The researchers found that African-American men had worse decisional regret than non-African-American men, even when adjusting for relevant covariates (odds ratio, 2.46). Medical mistrust and masculinity scores on the Prostate Cancer Beliefs Questionnaire were higher for African-American men. Both of these scores predicted worse decisional regret independent of race (odds ratios, 1.415 and 1.350, respectively).

“This novel survey may facilitate identifying targets to reduce racial disparities in prostate cancer,” the authors write.

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