The impact of race, ethnicity and insurance status on surgery rates for benign prostatic hyperplasia
Urology Jul 28, 2021
Antoine SG, , et al. - This study was carried out to ascertain if patient race/ethnicity are associated with differences in the likelihood of undergoing surgical treatment for lower urinary tract symptoms (LUTS)/benign prostate hyperplasia (BPH). Researchers conducted a multivariable backward stepwise logistic regression to compare odds of undergoing a surgical procedure by race/ethnicity, controlling for patient age, insurance status, comorbidities, and type of medical therapy. The study enrolled a total of 30,466 patients, with White (n=24,443, 80.2%), Hispanic (n=2,715, 8.9%), Black (n=1,245, 4.1%), and other race/ethnicity (2,073, 6.8%) identified within the study population. The results demonstrate that adjusting for age, insurance status, major comorbidities, and type of LUTS medication, men categorized as Black were significantly less likely to undergo surgical treatment for LUTS/BPH than White patients. It is not known whether this difference results from differences in counseling, access, or other bias in therapy. There is a need for efforts to understand and respond to this disparity. There are some limitations including lack of IPSS data, additional comorbidity data, limited geographic area, and retrospective nature.
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