MP54-18 SOCIAL VULNERABILITY AND TREATMENT OUTCOMES IN PATIENTS WITH PROSTATE CANCER TREATED WITH RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP54-18 SOCIAL VULNERABILITY AND TREATMENT OUTCOMES IN PATIENTS WITH PROSTATE CANCER TREATED WITH RADICAL PROSTATECTOMY Rishi Sekar, Kassem Faraj, Rodney L. Dunn, and Lindsey Herrel Rishi SekarRishi Sekar More articles by this author , Kassem FarajKassem Faraj More articles by this author , Rodney L. DunnRodney L. Dunn More articles by this author , and Lindsey HerrelLindsey Herrel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003307.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Adverse social determinants of health (SDOH) contribute to poor quality of care across the cancer care continuum in prostate cancer (PCa), however the impact on post-treatment outcomes and longer-term survivorship remains unknown. In this study, we investigate the association of community-level SDOH as measured by the Centers for Disease Control and Prevention Social Vulnerability Index (SVI) with post-prostatectomy outcomes in patients undergoing radical prostatectomy (RP) for PCa. METHODS: We used Medicare claims data to perform a retrospective cohort study of men >65 years with newly diagnosed PCa treated with RP between 2015-2019. SVI was abstracted and linked to each beneficiary at the county-level and categorized into quartiles (i.e., least vulnerable to most vulnerable). 30-day readmission, gastrointestinal (GI) complications, and genitourinary (GU) complications were compared across SVI quartiles. Group comparisons were tested with chi-squared analyses. RESULTS: We identified 26,977 men who underwent RP. Those residing in counties with the most vulnerability had similar rates of 30-day readmissions and GI complications/interventions (p>0.05), but significantly higher rates of GU complications/interventions (p<0.01). In terms of urinary function, these men had higher rates of surgery for incontinence (p<0.01). CONCLUSIONS: In a large cohort of Medicare beneficiaries with newly diagnosed PCa, men residing in higher SVI counties experienced higher rates of GU complications and related surgical interventions after RP and were also more likely to undergo incontinence surgery. Community-level SDOH impact quality of PCa care, including perioperative outcomes, long-term side effects after prostatectomy, and receipt of appropriate interventions. Source of Funding: Prostate Cancer Foundation © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e761 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rishi Sekar More articles by this author Kassem Faraj More articles by this author Rodney L. Dunn More articles by this author Lindsey Herrel More articles by this author Expand All Advertisement PDF downloadLoading ...