Abstract
Our study evaluated the effect of geography, where a patient lives, on the access to curative treatment of prostate cancer. What we found was surprising—rural men diagnosed with localized prostate cancer were just as likely as urban men to receive curative therapy, either radiotherapy or surgery. We chose prostate cancer as our model because of its large population effect—the most common tumor in men. Although the decision to pursue definitive therapy, and which type, for localized prostate cancer is nuanced, the options are well defined and equivalent (therapeutically), which is not necessarily the case with other cancers. As such, prostate cancer might provide the greatest insight into disparities in treatment by geography. Editorial CommentUrologyVol. 81Issue 3PreviewEven with the controversies in prostate cancer screening and treatment that exist,1,2 understanding the disparities to prostate cancer care is extremely important to reducing the burden of cancer in the United States. The report by Cetnar et al presents the results of a study that assessed whether rural residency placed men at a disadvantage for receiving “curative therapy” (ie, surgery or radiotherapy) for a diagnosed prostate cancer in the state of Wisconsin. Full-Text PDF
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