Patterns of Primary Surgical Procedures Among Men Admitted to Texas Hospitals with a Diagnosis of Prostate Cancer




Galdiano, Rosemary


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Galdiano, Rosemary, Patterns of primary surgical procedures among men admitted to Texas hospitals with a diagnosis of prostate cancer. Master of Public Health (Epidemiology), December 2001, 28 pp., 3 tables, 4 illustrations, references, 21 titles. Data for the Texas Health Care Information Council was analyzed to identify the patterns of surgical procedures among men admitted to 114 Texas hospitals with a diagnosis of prostate cancer in 1999; and to determine whether these patterns varied by race and age. In all, 4,608 cases were compared for differences between age, race and type of surgical procedure using Pearson’s chi-square test. Frequencies were tabulated for age, race, length of stay, type of surgery, and type of insurance. Radical prostatectomy and transurethral resection of the prostate are the most common procedures performed. Black and Hispanic men less than 45 years old were more likely to receive radical prostatectomy than whites. Transurethral resection of the prostate (TURP) is most commonly performed in men 75 years and older with higher proportions among black and Hispanic men. Younger men (ageyears) who received TURP were more likely to be white. White men between the ages of 45 and 84 were more likely to receive perineal prostatectomy. These findings identified patterns of treatment with defined differences between age and race.