Ozan Yurdakul, Altug Tuncel, Melanie R Hassler, Katharina Oberneder, David V Gamez, Mesut Remzi
{"title":"A retrospective cross-sectional study on district-based socioeconomic status and prostate cancer diagnosis.","authors":"Ozan Yurdakul, Altug Tuncel, Melanie R Hassler, Katharina Oberneder, David V Gamez, Mesut Remzi","doi":"10.1007/s00508-024-02449-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Socioeconomic disparities have been linked to delayed prostate cancer diagnosis and poorer outcomes in various countries. This study aims to evaluate the socioeconomic disparities in prostate cancer diagnostics in Vienna, Austria, by examining initial prostate-specific antigen values and age at diagnosis across different districts and nationalities.</p><p><strong>Methods: </strong>This retrospective study included 1356 prostate cancer patients treated at the Medical University of Vienna between 2012 and 2022. Influence of residential districts and nationalities of the patients on the initial prostate-specific antigen (iPSA) value and on the age at diagnosis were analyzed. Patient data, including iPSA values, residential districts, and nationalities, were retrieved from the hospital's internal documentation system. The information on average income of residential districts was obtained from the City of Vienna's municipality data. Nationalities were grouped into EU and non-EU categories. Statistical analyses, including linear regression and t‑tests, were performed to examine the relationship between iPSA values, age at diagnosis, and socioeconomic variables. Linear regression was used to analyze the relationship between district income and both iPSA values and age at diagnosis.</p><p><strong>Results: </strong>The study found no significant differences in iPSA values and age at diagnosis between patients from higher income and lower income districts. Additionally, there were no significant differences among individual districts or between EU and non-EU nationals.</p><p><strong>Conclusion: </strong>The findings suggest that the Austrian healthcare system provides equitable access to prostate cancer diagnostics across different socioeconomic groups.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wiener Klinische Wochenschrift","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00508-024-02449-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Socioeconomic disparities have been linked to delayed prostate cancer diagnosis and poorer outcomes in various countries. This study aims to evaluate the socioeconomic disparities in prostate cancer diagnostics in Vienna, Austria, by examining initial prostate-specific antigen values and age at diagnosis across different districts and nationalities.
Methods: This retrospective study included 1356 prostate cancer patients treated at the Medical University of Vienna between 2012 and 2022. Influence of residential districts and nationalities of the patients on the initial prostate-specific antigen (iPSA) value and on the age at diagnosis were analyzed. Patient data, including iPSA values, residential districts, and nationalities, were retrieved from the hospital's internal documentation system. The information on average income of residential districts was obtained from the City of Vienna's municipality data. Nationalities were grouped into EU and non-EU categories. Statistical analyses, including linear regression and t‑tests, were performed to examine the relationship between iPSA values, age at diagnosis, and socioeconomic variables. Linear regression was used to analyze the relationship between district income and both iPSA values and age at diagnosis.
Results: The study found no significant differences in iPSA values and age at diagnosis between patients from higher income and lower income districts. Additionally, there were no significant differences among individual districts or between EU and non-EU nationals.
Conclusion: The findings suggest that the Austrian healthcare system provides equitable access to prostate cancer diagnostics across different socioeconomic groups.
导言:在许多国家,社会经济差异与前列腺癌诊断延迟和较差的预后有关。本研究旨在通过检测不同地区和不同民族的前列腺特异性抗原初始值和诊断年龄,评估奥地利维也纳前列腺癌诊断中的社会经济差异:这项回顾性研究纳入了2012年至2022年间在维也纳医科大学接受治疗的1356名前列腺癌患者。研究分析了患者居住地区和国籍对初始前列腺特异性抗原(iPSA)值和确诊年龄的影响。患者数据(包括 iPSA 值、居住区和国籍)来自医院的内部文件系统。居住区平均收入信息来自维也纳市的市政数据。国籍分为欧盟和非欧盟两类。统计分析包括线性回归和 t 检验,以检验 iPSA 值、诊断年龄和社会经济变量之间的关系。线性回归用于分析地区收入与 iPSA 值和诊断年龄之间的关系:研究发现,来自高收入地区和低收入地区的患者在 iPSA 值和确诊年龄方面没有明显差异。此外,各地区之间以及欧盟和非欧盟国民之间也没有明显差异:研究结果表明,奥地利医疗系统为不同社会经济群体提供了公平的前列腺癌诊断机会。
期刊介绍:
The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.