No label defined (Q31024)

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  • Prostate cancer in transgender women: A propensity score-matched analysis of disease severity and survival.
Language Label Description Also known as
English
No label defined
No description defined
  • Prostate cancer in transgender women: A propensity score-matched analysis of disease severity and survival.

Statements

Prostate cancer in transgender women: A propensity score-matched analysis of disease severity and survival. (English)
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Despite the rise in gender-affirming care, our understanding of prostate cancer (PCa) in transgender women (TGW) remains in its infancy. (English)
1 reference
Health disparities and lack of PCa awareness and screening are possible barriers to providing quality care for this population. (English)
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In addition, the implication of hormonal manipulation for the aggressiveness of PCa in TGW is yet to be determined. (English)
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Here, this study sought to compare oncological characteristics and survival outcomes between transgender and cisgender (CG) patients with PCa via two national data sets. (English)
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The Veterans Affairs Informatics and Computing Infrastructure database (1999-2020) and the Surveillance, Epidemiology, and End Results-Medicare database (2010-2017) were reviewed. (English)
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Demographic and clinical details were analyzed. (English)
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Logistic regression analysis was performed on propensity score-matched groups to identify predictors of high-risk disease and metastasis in patients with PCa. (English)
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Groups were matched 5:1 (CG:TGW) on the basis of age, race, year of diagnosis, and Charlson Comorbidity Index score. (English)
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Primary outcomes included metastatic presentation, high-risk localized disease, overall survival (OS), and prostate cancer-specific mortality (PCSM). (English)
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A total of 1194 patients were included (199 TGW; 995 CG). (English)
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Associations between transgender identity and metastatic presentation (odds ratio [OR], 0.38; p = .2), high-risk localized disease (OR, 1.19; p = .50), or PCSM (hazard ratio [HR], 0.65; p = .3) were not detected. (English)
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Transgender identity was associated with improved OS (HR, 0.67; p = .014). (English)
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PCa-specific outcomes seem comparable between TGW and CG men, although the study was underpowered to detect modest differences. (English)
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Further investigation into the incidence and outcomes of PCa in TGW is warranted. (English)
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15 November 2024
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15 November 2024
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130
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22
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3863-3869
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3863
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3869
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