OBJECTIVES: We compared patterns of mortality among men with prostate cancer at 2 Department of Veterans Affairs (VA) and 2 private-sector hospitals in the Chicago area. METHODS: Mortality rates for 864 cases diagnosed between 1986 and 1990 were estimated using Cox proportional hazards models that incorporated age; income; cancer stage, differentiation, and treatments; and baseline comorbidity. RESULTS: Race tended to associate with all-cause mortality irrespective of health care setting (Blacks vs Whites: hazard rate ratio [HRR] = 1.68 [95% confidence interval (CI) = 1.06, 2.67]; P <.001 in the private sector; HRR = 1.50 [95% CI = 0.94, 2.38]; P =.088 in the VA). However, comorbidity determined risk in the VA, whereas age and income predicted risk in the private sector. CONCLUSIONS: Determinants of all-cause mortality in men with prostate cancer vary according to health care setting.
OBJECTIVES: We compared patterns of mortality among men with prostate cancer at 2 Department of Veterans Affairs (VA) and 2 private-sector hospitals in the Chicago area. METHODS: Mortality rates for 864 cases diagnosed between 1986 and 1990 were estimated using Cox proportional hazards models that incorporated age; income; cancer stage, differentiation, and treatments; and baseline comorbidity. RESULTS: Race tended to associate with all-cause mortality irrespective of health care setting (Blacks vs Whites: hazard rate ratio [HRR] = 1.68 [95% confidence interval (CI) = 1.06, 2.67]; P <.001 in the private sector; HRR = 1.50 [95% CI = 0.94, 2.38]; P =.088 in the VA). However, comorbidity determined risk in the VA, whereas age and income predicted risk in the private sector. CONCLUSIONS: Determinants of all-cause mortality in men with prostate cancer vary according to health care setting.
Entities:
Keywords:
Empirical Approach; Health Care and Public Health
Authors: K L Kahn; M L Pearson; E R Harrison; K A Desmond; W H Rogers; L V Rubenstein; R H Brook; E B Keeler Journal: JAMA Date: 1994-04-20 Impact factor: 56.272
Authors: Kim Peterson; Johanna Anderson; Erin Boundy; Lauren Ferguson; Ellen McCleery; Kallie Waldrip Journal: Am J Public Health Date: 2018-03 Impact factor: 9.308
Authors: Daniel A Barocas; Darryl T Gray; Jay H Fowke; Nathaniel D Mercaldo; Jeffrey D Blume; Sam S Chang; Michael S Cookson; Joseph A Smith; David F Penson Journal: J Urol Date: 2012-08-16 Impact factor: 7.450
Authors: Maria J Schymura; Amy R Kahn; Robert R German; Mei-Chin Hsieh; Rosemary D Cress; Jack L Finch; John P Fulton; Tiefu Shen; Erik Stuckart Journal: BMC Cancer Date: 2010-04-19 Impact factor: 4.430
Authors: Cleo A Samuel; Mary Beth Landrum; Barbara J McNeil; Samuel R Bozeman; Christina D Williams; Nancy L Keating Journal: Am J Public Health Date: 2014-09 Impact factor: 9.308
Authors: Kevin G Volpp; Roslyn Stone; Judith R Lave; Ashish K Jha; Mark Pauly; Heather Klusaritz; Huanyu Chen; Liyi Cen; Nancy Brucker; Daniel Polsky Journal: Health Serv Res Date: 2007-08 Impact factor: 3.402
Authors: Tisheeka Graham-Steed; Edward Uchio; Carolyn K Wells; Mihaela Aslan; John Ko; John Concato Journal: Am J Med Date: 2013-12 Impact factor: 4.965