Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal
Introduction: Patients with localized prostate cancer (PCa) are active participants in the choice of treatment. Objectives: To access the effects of social and demographic factors in the choice of treatment in cases of localized PCa, in a Portuguese population. Methods: Identification of all patie...
| Main Authors: | , , , , , , , |
|---|---|
| 格式: | 文件 |
| 语言: | English |
| 出版: |
PAGEPress Publications
2020-04-01
|
| 丛编: | Archivio Italiano di Urologia e Andrologia |
| 主题: | |
| 在线阅读: | https://www.pagepressjournals.org/index.php/aiua/article/view/8571 |
| _version_ | 1828429914279247872 |
|---|---|
| author | Mário Pereira-Lourenço Duarte Vieira e Brito João Pedro Peralta Ricardo Godinho Paulo Conceiçao Mário Reis Carlos Rabaça Amílcar Sismeiro |
| author_facet | Mário Pereira-Lourenço Duarte Vieira e Brito João Pedro Peralta Ricardo Godinho Paulo Conceiçao Mário Reis Carlos Rabaça Amílcar Sismeiro |
| author_sort | Mário Pereira-Lourenço |
| collection | DOAJ |
| description | Introduction: Patients with localized prostate cancer (PCa) are active participants in the choice of treatment.
Objectives: To access the effects of social and demographic factors in the choice of treatment in cases of localized PCa, in a Portuguese population.
Methods: Identification of all patients with the diagnosis of localized PCa in the last four years in an oncological centre. Evaluation of the effects of sociodemographic factors (age, profession, literacy, marital status, district and number of inhabitants of the place of residence) in the choice of treatment.
Results: 300 patients with localized PCa were evaluated: 17.3% (n = 52) opted for radical prostatectomy (RP); 39,3% had (n = 118) external radiotherapy; brachytherapy in 29.3% (n = 88) and other options (active surveillance, cryotherapy and hormonal therapy) in 14.1% (n = 42). In relation to surgical treatment (RP) the following results were obtained: a) > 70 years: 3.9% (n = 5); ≤ 70 years: 27.5% (n = 47), p < 0.001; b) primary sector: 10.3% (n = 3); secondary sector: 16.2% (n = 27); tertiary sector: 24.1% (n = 21); quaternary sector: 8.3% (n = 1), p = 0.296; c) marital status married: 17.9% (n = 47); single: 0% (n = 0); divorced: 25.0% (n = 5); widow: 0% (n = 0), p = 0.734; d) residency in a city: 14.1% (n = 13); city > 4000 habitants: 22.7% (n = 15); city ≤ 4000 habitants: 16.9% (n = 24), p = 0.701. Using multinomial regression with age (p = 0.001), district (p = 0.035), marital status (p = 0.027) and profession (0.179), this model explained 17.2%-28.4% of therapeutic choices (p < 0.001).
Conclusions: The main socioeconomical factor that influence treatment choice was age. Unmarried patients over 70 years choose less radical prostatectomy. Other sociodemographic factors have minor influence in the choice of the treatment. |
| first_indexed | 2024-12-10T17:41:02Z |
| format | Article |
| id | doaj.art-1b2ef5df46314dc8af611f5f6e8047a3 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-10T17:41:02Z |
| publishDate | 2020-04-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-1b2ef5df46314dc8af611f5f6e8047a32022-12-22T01:39:22ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972020-04-0192110.4081/aiua.2020.1.45Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in PortugalMário Pereira-Lourenço0Duarte Vieira e Brito1João Pedro Peralta2Ricardo Godinho3Paulo Conceiçao4Mário Reis5Carlos Rabaça6Amílcar Sismeiro7Urology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraUrology Department, Instituto Português de Oncologia Francisco Gentil, CoimbraIntroduction: Patients with localized prostate cancer (PCa) are active participants in the choice of treatment. Objectives: To access the effects of social and demographic factors in the choice of treatment in cases of localized PCa, in a Portuguese population. Methods: Identification of all patients with the diagnosis of localized PCa in the last four years in an oncological centre. Evaluation of the effects of sociodemographic factors (age, profession, literacy, marital status, district and number of inhabitants of the place of residence) in the choice of treatment. Results: 300 patients with localized PCa were evaluated: 17.3% (n = 52) opted for radical prostatectomy (RP); 39,3% had (n = 118) external radiotherapy; brachytherapy in 29.3% (n = 88) and other options (active surveillance, cryotherapy and hormonal therapy) in 14.1% (n = 42). In relation to surgical treatment (RP) the following results were obtained: a) > 70 years: 3.9% (n = 5); ≤ 70 years: 27.5% (n = 47), p < 0.001; b) primary sector: 10.3% (n = 3); secondary sector: 16.2% (n = 27); tertiary sector: 24.1% (n = 21); quaternary sector: 8.3% (n = 1), p = 0.296; c) marital status married: 17.9% (n = 47); single: 0% (n = 0); divorced: 25.0% (n = 5); widow: 0% (n = 0), p = 0.734; d) residency in a city: 14.1% (n = 13); city > 4000 habitants: 22.7% (n = 15); city ≤ 4000 habitants: 16.9% (n = 24), p = 0.701. Using multinomial regression with age (p = 0.001), district (p = 0.035), marital status (p = 0.027) and profession (0.179), this model explained 17.2%-28.4% of therapeutic choices (p < 0.001). Conclusions: The main socioeconomical factor that influence treatment choice was age. Unmarried patients over 70 years choose less radical prostatectomy. Other sociodemographic factors have minor influence in the choice of the treatment.https://www.pagepressjournals.org/index.php/aiua/article/view/8571Localized prostate cancerTreatmentSociodemographic factorsPortugal |
| spellingShingle | Mário Pereira-Lourenço Duarte Vieira e Brito João Pedro Peralta Ricardo Godinho Paulo Conceiçao Mário Reis Carlos Rabaça Amílcar Sismeiro Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal Archivio Italiano di Urologia e Andrologia Localized prostate cancer Treatment Sociodemographic factors Portugal |
| title | Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal |
| title_full | Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal |
| title_fullStr | Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal |
| title_full_unstemmed | Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal |
| title_short | Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal |
| title_sort | influence of sociodemographic factors on treatment s choice for localized prostate cancer in portugal |
| topic | Localized prostate cancer Treatment Sociodemographic factors Portugal |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/8571 |
| work_keys_str_mv | AT mariopereiralourenco influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT duartevieiraebrito influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT joaopedroperalta influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT ricardogodinho influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT pauloconceicao influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT marioreis influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT carlosrabaca influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal AT amilcarsismeiro influenceofsociodemographicfactorsontreatmentschoiceforlocalizedprostatecancerinportugal |