You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy IV1 Apr 2017MP47-12 IMPACT OF PROXIMITY TO NCI- AND NCCN-DESIGNATED CANCER CENTERS ON OUTCOMES FOR PATIENTS WITH PROSTATE CANCER UNDERGOING RADICAL PROSTATECTOMY Cameron Ghaffary, Zhigang Duan, Brian Chapin, Tamer Dafashy, Christopher Kosareck, Karim Chamie, Simon Kim, Thomas Ahlering, John Davis, Sharon Giordano, and Stephen Williams Cameron GhaffaryCameron Ghaffary More articles by this author , Zhigang DuanZhigang Duan More articles by this author , Brian ChapinBrian Chapin More articles by this author , Tamer DafashyTamer Dafashy More articles by this author , Christopher KosareckChristopher Kosareck More articles by this author , Karim ChamieKarim Chamie More articles by this author , Simon KimSimon Kim More articles by this author , Thomas AhleringThomas Ahlering More articles by this author , John DavisJohn Davis More articles by this author , Sharon GiordanoSharon Giordano More articles by this author , and Stephen WilliamsStephen Williams More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1472AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES National Cancer Institute (NCI) and National Comprehensive Cancer Network (NCCN)-designated cancer centers (CCs) offer patients state-of-the-art treatment. We sought to identify whether proximity to NCI/NCCN CCs was associated with survival outcomes for prostate cancer patients who undergo radical prostatectomy (RP). METHODS A total of 12,478 total patients diagnosed with clinical stage T1 or T2 prostate cancer between 2004–2011 using linked Surveillance, Epidemiology, and End Results (SEER)-Medicare data were included. Multivariable regression analyses were used to quantify overall survival and use of secondary therapies for RP patients according to proximity to NCI/NCCN CCs. Cox proportional hazards models were used to quantify the association between survival outcomes and access to NCI/NCCN CCs RESULTS Patients with proximity to =2 NCI centers and those diagnosed in 2011 enjoyed a statistically significant overall survival advantage when compared to no access to an NCI center (Hazard Ratio (HR) 0.72; 95% confidence interval (CI) 0.57–0.92, p<0.01). Proximity to an NCCN CC, when compared with men who did not have access, was associated with improved overall survival (HR 0.76; 95% CI 0.61–0.95, p=0.015). There was no significant difference in use of secondary therapies according to NCI or NCCN access. CONCLUSIONS Patients who undergo RP with access to an NCI/NCCN CCs experienced improved overall survival with no significant difference in utilization of secondary therapies. Given the need for improved health quality measures in cancer care, these findings may support health policy implementation and regionalization of care to these centers. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e632-e633 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Cameron Ghaffary More articles by this author Zhigang Duan More articles by this author Brian Chapin More articles by this author Tamer Dafashy More articles by this author Christopher Kosareck More articles by this author Karim Chamie More articles by this author Simon Kim More articles by this author Thomas Ahlering More articles by this author John Davis More articles by this author Sharon Giordano More articles by this author Stephen Williams More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...