Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12273
Title: Rural residency and prostate cancer specific mortality: results from the Victorian Radical Prostatectomy Register.
Authors: Papa, Nathan P;Lawrentschuk, Nathan L ;Muller, David;MacInnis, Robert;Ta, Anthony D;Severi, Gianluca;Millar, Jeremy L;Syme, Rodney;Giles, Graham G;Bolton, Damien M
Affiliation: Austin Hospital, Victoria; Cancer Epidemiology Centre, Cancer Council Victoria.
Issue Date: 24-Jun-2014
Citation: Australian and New Zealand Journal of Public Health 2014; 38(5): 449-54
Abstract: To present long-term survival data from the Victorian Radical Prostatectomy Register (VRPR), 1995-2000, and analyse the effect of rural residence on survival.Men who underwent open radical prostatectomy (RP) in Victoria from 1995 to 2000 were recorded in a population register co-ordinated by the Victorian Cancer Registry and Cancer Council Victoria. Baseline clinical, pathological and demographic information such as location were recorded and linked to mortality and recurrence data. Men who had neoadjuvant therapy or missing data for socioeconomic status (SES), tumour grade and stage were excluded leaving 1984 patients in the analyses (92.1% of total register).Follow-up concluded in 2009 with 238 deaths observed, of which 77 were prostate cancer (PCa) specific. Cox and competing risk regressions were used for analysis. Living in a rural area was associated with higher odds of PCa specific mortality after RP (trend p<0.001) and a higher hazard of PCa death, the discrepancy rising up to four-fold (SHR=4.09, p=0.004) with increasing remoteness of residence. This effect is apparent after adjustment for SES, age, private or public hospital treatment, PSA level and tumour-specific factors.Rural men in Victoria have a shorter time to PCa death following definitive treatment, even after adjustment for SES and adverse tumour characteristics.Rural men are faring worse than their urban counterparts following the same cancer treatment.
Internal ID Number: 24962513
URI: http://ahro.austin.org.au/austinjspui/handle/1/12273
DOI: 10.1111/1753-6405.12210
URL: http://www.ncbi.nlm.nih.gov/pubmed/24962513
Type: Journal Article
Subjects: population study
prostate cancer
rural health
Appears in Collections:Journal articles

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