caa a22 4500 445316179 CHVBK 20180317142648.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10552-011-9836-2 doi (NATIONALLICENCE)springer-10.1007/s10552-011-9836-2 Social and clinical predictors of prostate cancer treatment decisions among men in South Carolina [Elektronische Daten] [Sara Wagner, Bettina Drake, Keith Elder, James Hébert] Objective: To assess social and clinical influences of prostate cancer treatment decisions among white and black men in the Midlands of South Carolina. Methods: We linked data collected on treatment decision making in men diagnosed with prostate cancer from 1996 through 2002 with clinical and sociodemographic factors collected routinely by the South Carolina Central Cancer Registry (SCCCR). Unconditional logistic regression was used to assess social and clinical influences on treatment decision. Results: A total of 435 men were evaluated. Men of both races who chose surgery (versus radiation) were more likely to be influenced by their physician and by family/friends. Black men who chose surgery also were ~5 times more likely to make independent decisions (i.e., rather than be influenced by their doctor). White men who chose surgery were twice as likely to be influenced by the desire for cure and less likely to consider the side effects of impotence (odds ratio (OR)=0.40; 95% confidence interval (CI): 0.18, 0.88) and incontinence (OR=0.27; 95% CI: 0.12, 0.63); by contrast, there was a suggestion of an opposite effect in black men, whose decision regarding surgery tended to be more strongly influenced by these side effects. Conclusion: Results suggest that both clinical and social predictors play an important role for men in choosing a prostate cancer treatment, but these influences may differ by race. Springer Science+Business Media B.V., 2011 Prostatic neoplasms nationallicence Minority health nationallicence Decision making nationallicence CI : Confidence interval nationallicence OR : Odds ratio nationallicence PSA : Prostate-specific antigen nationallicence SCCCR : South Carolina Central Cancer Registry nationallicence Wagner Sara Department of Epidemiology and Biostatistics, College of Public Health, Paul D. Coverdell Center for Biomedical and Health Sciences, University of Georgia, 500 D.W. Brooks Drive, 30602-7396, Athens, GA, USA aut Drake Bettina Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA aut Elder Keith School of Public Health, Department of Health Management and Policy, Saint Louis University, St. Louis, MO, USA aut Hébert James Arnold School of Public Health, Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA aut Cancer Causes & Control Springer Netherlands 22/11(2011-11-01), 1597-1606 0957-5243 22:11<1597 2011 22 10552 https://doi.org/10.1007/s10552-011-9836-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10552-011-9836-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wagner Sara Department of Epidemiology and Biostatistics, College of Public Health, Paul D. Coverdell Center for Biomedical and Health Sciences, University of Georgia, 500 D.W. Brooks Drive, 30602-7396, Athens, GA, USA aut NATIONALLICENCE 700 1- Drake Bettina Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA aut NATIONALLICENCE 700 1- Elder Keith School of Public Health, Department of Health Management and Policy, Saint Louis University, St. Louis, MO, USA aut NATIONALLICENCE 700 1- Hébert James Arnold School of Public Health, Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Springer Netherlands 22/11(2011-11-01), 1597-1606 0957-5243 22:11<1597 2011 22 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer