Document Type
Article
Publication Date
Spring 2-8-2023
Keywords
health care disparities, prostate cancer, prostate specific antigen, cancer screening, continuity of patient care
Abstract
Using de-identified reports from the Statewide Planning and Research Cooperative System (SPARCS) data, this descriptive study will identify the impact of socioeconomic status (SES) metrics on the follow-up prostate cancer screening care within 3 years of index prostate cancer screening test in NYS. The socioeconomic status metrics will be subclassified into race, insurance, and ethnicity and each of these sub-components will be evaluated for its impact on the follow-up cancer screening care. The exclusion criteria for this study includes patients records with unknown age, age <55 or >75, previous history of prostate cancer or radical prostatectomy, previous prostate biopsy, female sex, lives outside NYS, unknown or missing data on race, ethnicity, or insurance status, or multi-ethnic patients. For the included patients, initial prostate cancer screening, follow-up screening, characteristics (e.g., age, SES), and risk profiles will be evaluated. Moreover, patients diagnosed with prostate cancer or receiving prostatectomy will be reported. Additionally, the following hypotheses will be tested: H(0): Among patients with a baseline PSA test, socioeconomic status (SES) metrics (i.e., vulnerability based upon race/insurance/ethnicity) may pose as barriers to follow-up prostate cancer screening care within 3 years of index prostate cancer screening test (e.g., Vulnerability = V = Black, Hispanic, and Self-pay Insurance) o H(0): Among patients with a baseline PSA test, race does not impact the likelihood of follow-up prostate cancer screening care within 3 years of index prostate cancer screening test (e.g., R-FC) o H(0): Among patients with a baseline PSA test, insurance does not impact the likelihood of follow-up prostate cancer screening care within 3 years of index prostate cancer screening test (e.g., I-FC) o H(0): Among patients with a baseline PSA test, ethnicity does not impact the likelihood of follow-up prostate cancer screening care within 3 years of index prostate cancer screening test (e.g., E-FC)
Recommended Citation
Greenspan, Seth; Chandra, Mansi; Joo, Hyun Woo; Sapir, Netanel; Gorman, Jonathan; Yang, Jie; Li, Xiaoning; Cavale, Barghav; Fierro, Allegra; Shroyer, Annie Laurie Laurie; and Fitzgerald, John P., "PROTOCOL: New York State Race, Ethnicity, and Insurance Disparities in Follow-up Prostate Cancer Screening" (2023). Department of Urology Faculty Publications. 3.
https://commons.library.stonybrook.edu/dou-articles/3
Included in
Health Policy Commons, Oncology Commons, Preventive Medicine Commons, Social Justice Commons, Surgery Commons, Urology Commons
Comments
There are two files posted: 1) the study protocol and 2) the study's written IRB exemption as "not human subjects" research.