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Can PROMs improve racial equity in outcomes after prostatectomy?

An Author Correction to this article was published on 22 December 2022

This article has been updated

Growing evidence suggests that urinary and sexual functional outcomes after radical prostatectomy for prostate cancer differ based on race, with Black men experiencing worse outcomes. Alongside efforts to improve quality and equity, incorporating patient-reported outcomes measures into patient care could improve equity in treatment outcomes for men with prostate cancer.

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Fig. 1: Model of using PROMs to inform personalized care.

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References

  1. Parry, M. G. et al. Determinants of variation in radical local treatment for men with high-risk localised or locally advanced prostate cancer in England. Prostate Cancer Prostatic Dis. https://doi.org/10.1038/s41391-021-00439-9 (2021).

    Article  PubMed  Google Scholar 

  2. Sanda, M. G. et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N. Engl. J. Med. 358, 1250–1261 (2008).

    Article  CAS  PubMed  Google Scholar 

  3. Koelker, M. Racial differences in patient-reported outcomes among men treated with radical prostatectomy for prostate cancer. 6th Annual PROMs Summit “Propelling Equity Through PROMs”. Mass General Brigham https://cpd.partners.org/content/proms-summit-propelling-equity-through-proms (2022).

  4. Flanagin, A. et al. Updated guidance on the reporting of race and ethnicity in medical and science journals. JAMA 326, 621–627 (2021).

    Article  PubMed  Google Scholar 

  5. Cole, A. P. et al. Geographic variability, time trends and association of preoperative magnetic resonance imaging with surgical outcomes for elderly United States men with prostate cancer: a Surveillance, Epidemiology, and End Results-Medicare analysis. J. Urol. 208, 609–617 (2022).

    Article  PubMed  Google Scholar 

  6. Kim, S. P. et al. Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. J. Urol. 189, 514–520 (2013).

    Article  PubMed  Google Scholar 

  7. Loeb, S. et al. Racial concordance and trust in health communications: a randomized trial of videos about prostate cancer [abstract]. J. Clin. Oncol. 40 (Suppl. 16), 5014 (2022).

    Article  Google Scholar 

  8. Kilbridge, K. L. et al. Lack of comprehension of common prostate cancer terms in an underserved population. J. Clin. Oncol. 27, 2015–2021 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Gross, M. D., Al Hussein Al Awamlh, B. & Hu, J. C. Assessing treatment-related toxicity using administrative data, patient-reported outcomes, or physician-graded toxicity: where is the truth? Semin. Radiat. Oncol. 29, 333–337 (2019).

    Article  PubMed  Google Scholar 

  10. Snyder, C., Brundage, M., Rivera, Y. M. & Wu, A. W. A PRO-cision medicine methods toolkit to address the challenges of personalizing cancer care using patient-reported outcomes: introduction to the supplement. Med. Care 57, S1–S7 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Alexander P. Cole.

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Competing interests

A.P.C. declares research funding from the American Cancer Society and Pfizer Global Medical Grants. C.M.M. declares funding from Prostate Cancer UK, Movember, the Medical Research Council, Cancer Research UK and the National Institute of Health Research (NIHR); receives fees for HIFU proctoring from SonaCare; has received speaker fees from Astellas and Janssen; and receives research support for photodynamic therapy from Spectracure. M.K. and J.M. declare no competing interests.

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Survey: https://www.guysandstthomas.nhs.uk/news/dedicated-group-champions-black-men-prostate-cancer

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Cole, A.P., Koelker, M., Makanjuola, J. et al. Can PROMs improve racial equity in outcomes after prostatectomy?. Nat Rev Urol 20, 125–126 (2023). https://doi.org/10.1038/s41585-022-00682-2

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