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Lifestyle and sociodemographic factors associated with treatment choice of clinically localized prostate cancer in an equal access healthcare system.

Eric M AndersonLin GuTaofik OyekunleAmanda M De HoedtEmily WigginsChristopher J GayDiana J LuTimothy John DaskivichStephen J FreedlandZachary S ZumstegIlona Csizmadi
Published in: Prostate cancer and prostatic diseases (2022)
Sociodemographic and lifestyle factors may play a role in determining whether patients with clinically localized prostate cancer (PC) are managed with active surveillance (AS), radical prostatectomy (RP), or radiation therapy (RT); however, these relationships have not been well examined. In a cross-sectional study conducted within an equal access healthcare system, multivariable adjusted regression analysis revealed that living with a spouse or partner was associated with a 65% lower chance of being managed by RT (P = 0.001) and 57% lower risk of being managed by AS (P = 0.042) compared with RP. No other sociodemographic or lifestyle factors were independently associated with treatment modality.
Keyphrases
  • prostate cancer
  • radical prostatectomy
  • radiation therapy
  • physical activity
  • metabolic syndrome
  • weight loss
  • cardiovascular disease
  • type diabetes
  • decision making
  • men who have sex with men