Lifestyle and sociodemographic factors associated with treatment choice of clinically localized prostate cancer in an equal access healthcare system

Prostate Cancer Prostatic Dis. 2022 Sep;25(3):593-595. doi: 10.1038/s41391-022-00551-4. Epub 2022 May 26.

Abstract

Sociodemographic and lifestyle factors may play a role in determining whether patients with clinically localized prostate cancer (PC) are managed with active surveillance (AS), radical prostatectomy (RP), or radiation therapy (RT); however, these relationships have not been well examined. In a cross-sectional study conducted within an equal access healthcare system, multivariable adjusted regression analysis revealed that living with a spouse or partner was associated with a 65% lower chance of being managed by RT (P = 0.001) and 57% lower risk of being managed by AS (P = 0.042) compared with RP. No other sociodemographic or lifestyle factors were independently associated with treatment modality.

MeSH terms

  • Cross-Sectional Studies
  • Delivery of Health Care
  • Humans
  • Life Style
  • Male
  • Prostatectomy
  • Prostatic Neoplasms* / diagnosis
  • Prostatic Neoplasms* / epidemiology
  • Prostatic Neoplasms* / therapy
  • Sociodemographic Factors