Editorial comment

The natural history and epidemiology of prostate cancer in black men have led clinicians who manage prostate cancer to question whether active surveillance is a “safe” management strategy for black men with low-risk, localized prostate cancer. The 60% higher incidence of prostate cancer among black men suggests a unique combination of biologic, social, and environmental factors may drive disparities in this population.1 However, several studies have dem onstrated that equal access to appropriate therapy leads to parity in prostate cancer outcomes for black men,2-4 suggesting that equitable and appropriate care implemented through a structured and standardized surveillance approach would preserve the same benefits of conservative management for blac k men with low-risk prostate cancer.

Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Samuel L. Washington, Yaw A. Nyame Source Type: research