You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology and Natural History/Evaluation and Markers1 Apr 20121735 DIFFERENTIAL ADOPTION OF LASER PROSTATECTOMY FOR TREATMENT OF BENIGN PROSTATIC HYPERPLASIA Florian R. Schroeck, John M. Hollingsworth, Samuel R. Kaufman, Rodney L. Dunn, Brent K. Hollenbeck, and John T. Wei Florian R. SchroeckFlorian R. Schroeck Ann Arbor, MI More articles by this author , John M. HollingsworthJohn M. Hollingsworth Ann Arbor, MI More articles by this author , Samuel R. KaufmanSamuel R. Kaufman Ann Arbor, MI More articles by this author , Rodney L. DunnRodney L. Dunn Ann Arbor, MI More articles by this author , Brent K. HollenbeckBrent K. Hollenbeck Ann Arbor, MI More articles by this author , and John T. WeiJohn T. Wei Ann Arbor, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1696AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laser prostatectomy is thought to be less invasive than transurethral resection of the prostate (TURP). However, adopting this new technology requires upfront investments, which may lead to differential adoption in socioeconomically privileged versus disadvantaged regions. We therefore examined whether differences in regional socioeconomic status are related to adoption of laser prostatectomy. METHODS Using the State Ambulatory Surgery and Inpatient Databases for Florida from 2001-2009, we calculated the proportion of hospital service areas (n=114) offering laser prostatectomy or TURP. These data were linked to the Area Resource File to obtain regional characteristics, including a summary score of socioeconomic status. We then used random-effects logistic regression models to identify regional factors associated with offering laser prostatectomy or TURP. We examined the association of socioeconomic score with time trends by incorporating interaction terms into our models. RESULTS Overall, the proportion of regions offering laser prostatectomy increased from 34% to 82% (p<0.01), while the proportion of regions offering TURP decreased from 96% to 86% (p<0.01). Regions were less likely to offer either surgery if they had a higher percentage of African Americans (p<0.01), higher poverty rates (p<0.01), lower household incomes (p≤0.03), less urban population (p<0.01), less educated population (p<0.01), and fewer urologists (p≤0.01). Regions in the highest versus lowest socioeconomic tertile adopted laser prostatectomy more rapidly (p<0.01 for interaction, Figure). There was no association of socioeconomic score with time trends for TURP (p=0.48 for interaction, Figure). CONCLUSIONS Regional availability of laser prostatectomy increased significantly over the last decade. However, socioeconomically disadvantaged regions were less likely to adopt laser prostatectomy, which may lead to disparities in access to this new technology. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e699 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Florian R. Schroeck Ann Arbor, MI More articles by this author John M. Hollingsworth Ann Arbor, MI More articles by this author Samuel R. Kaufman Ann Arbor, MI More articles by this author Rodney L. Dunn Ann Arbor, MI More articles by this author Brent K. Hollenbeck Ann Arbor, MI More articles by this author John T. Wei Ann Arbor, MI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...