Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal

  • Mário Pereira-Lourenço Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Duarte Vieira e Brito | duartevbrito@hotmail.com Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal. https://orcid.org/0000-0002-7960-774X
  • João Pedro Peralta Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Ricardo Godinho Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Paulo Conceiçao Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Mário Reis Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Carlos Rabaça Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.
  • Amílcar Sismeiro Urology Department, Instituto Português de Oncologia Francisco Gentil, Coimbra, Portugal.

Abstract

Introduction: Patients with localized prostate cancer (PCa) are active participants in the choice of treatment.
Objectives: To access the effects of social and demographic factors in the choice of treatment in cases of localized PCa, in a Portuguese population.
Methods: Identification of all patients with the diagnosis of localized PCa in the last four years in an oncological centre. Evaluation of the effects of sociodemographic factors (age, profession, literacy, marital status, district and number of inhabitants of the place of residence) in the choice of treatment.
Results: 300 patients with localized PCa were evaluated: 17.3% (n = 52) opted for radical prostatectomy (RP); 39,3% had (n = 118) external radiotherapy; brachytherapy in 29.3% (n = 88) and other options (active surveillance, cryotherapy and hormonal therapy) in 14.1% (n = 42). In relation to surgical treatment (RP) the following results were obtained: a) > 70 years: 3.9% (n = 5); ≤ 70 years: 27.5% (n = 47), p < 0.001; b) primary sector: 10.3% (n = 3); secondary sector: 16.2% (n = 27); tertiary sector: 24.1% (n = 21); quaternary sector: 8.3% (n = 1), p = 0.296; c) marital status married: 17.9% (n = 47); single: 0% (n = 0); divorced: 25.0% (n = 5); widow: 0% (n = 0), p = 0.734; d) residency in a city: 14.1% (n = 13); city > 4000 habitants: 22.7% (n = 15); city ≤ 4000 habitants: 16.9% (n = 24), p = 0.701. Using multinomial regression with age (p = 0.001), district (p = 0.035), marital status (p = 0.027) and profession (0.179), this model explained 17.2%-28.4% of therapeutic choices (p < 0.001).
Conclusions: The main socioeconomical factor that influence treatment choice was age. Unmarried patients over 70 years choose less radical prostatectomy. Other sociodemographic factors have minor influence in the choice of the treatment.

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Published
2020-04-06
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Section
Original Papers - Oncology
Keywords:
Localized prostate cancer, Treatment, Sociodemographic factors, Portugal
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How to Cite
Pereira-Lourenço, M., Vieira e Brito, D., Peralta, J., Godinho, R., Conceiçao, P., Reis, M., Rabaça, C., & Sismeiro, A. (2020). Influence of sociodemographic factors on treatment’s choice for localized prostate cancer in Portugal. Archivio Italiano Di Urologia E Andrologia, 92(1), 45-49. https://doi.org/10.4081/aiua.2020.1.45