{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:20:44Z","timestamp":1784629244995,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the racial and socioeconomic (income) differences in receipt of and time to surgical care for urinary incontinence (UI) and erectile dysfunction (ED) occurring post\u2010radical prostatectomy (RP) and\/or radiation therapy (RT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Utilizing the Medicare Standard Analytical Files (SAF), a retrospective cohort study was performed on data of patients diagnosed with prostate cancer (PCa) from 2015 to 2021. Patients who underwent RP and\/or RT and who subsequently developed UI and\/or ED were grouped into four cohorts: RP\u2010ED, RP\u2010UI, RT\u2010ED and RT\u2010UI. County\u2010level median household income was cross\u2010referenced with SAF county codes, classified into income quartiles, and used as a proxy for patient income status. The rate of surgical care was compared between groups using two\u2010sample t\u2010test and log\u2010rank test. Cox proportional hazards modelling was used to determine covariate\u2010adjusted impact of race on time to surgical care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of surgical care was 6.8, 3.61 3.07, and 1.54 per 100 person\u2010years for the RP\u2010UI, RT\u2010UI, RP\u2010ED, and RT\u2010ED cohorts, respectively. Cox proportional <jats:italic>\u2018time\u2010to\u2010surgical care\u2019<\/jats:italic> regression analysis revealed that Black men were statistically more likely to receive ED surgical care (RP\u2010ED AHR:1.79, 95% CI:1.49\u20132.17; RT\u2010ED AHR:1.50, 95% CI:1.11\u20132.01), but less likely to receive UI surgical care (RP\u2010UI AHR:0.80, 95% CI:0.67\u20130.96) than White men, in all cohorts except RT\u2010UI. Surgical care was highest among Q1 (lowest income quartile) patients in all cohorts except RT\u2010UI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surgical care for post\u2010PCa treatment complications is low, and significantly impacted by racial and socioeconomic (income) differences. Prospective studies investigating the basis of these results would be insightful.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.342","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T02:24:09Z","timestamp":1709259849000},"page":"678-689","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Racial and socioeconomic disparities in surgical care for post\u2010prostate cancer treatment complications: A nationwide Medicare\u2010based analysis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8716-7457","authenticated-orcid":false,"given":"Oluwafolajimi","family":"Adesanya","sequence":"first","affiliation":[{"name":"Department of Urology, James Buchanan Brady Urological Institute Johns Hopkins University School of Medicine  Baltimore Maryland 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