Open Access

ARTICLE

Penile cancer: an analysis of socioeconomic factors at a southeastern tertiary referral center

Matthew McIntyre¹, Avi Weiss², Amy Wahlquist¹, Thomas Keane¹, Harry Clarke¹, Stephen Savage¹

1 Medical University of South Carolina, Charleston, South Carolina, USA
2 Urology Specialist of Nevada, Las Vegas, Nevada, USA
Address correspondence to Dr. Matthew McIntyre, 96 Jonathan Lucas Street, CSB 644, PO Box 250620, Charleston, SC 29425 USA

Canadian Journal of Urology 2011, 18(1), 5524-5528.

Abstract

Introduction: Penile cancer is rare, often presenting in later stages. We sought to determine if factors potentially related to access to care were associated with worse outcomes.
Methods: We performed a retrospective review of all patients with the diagnosis of penile cancer over a 14 year period at the only tertiary referral center in the state. We collected data on multiple factors potentially associated with access to care.
Results: Fifty-fve patients with penile cancer were identifed. The average age was 57 years. Of the 55 patients, 23 patients (42%) had private insurance carriers, 16 (29%) had Medicare/Medicaid, 13 (24%) had no insurance, one had VA benefts, and no data was available on two patients. Typically, 4% of patients seen at our institution are uninsured. Pathologic tumor stage distribution was Tis (n = 9), Ta (1), T1 (15), T2 (16), and T3 (4). Nodal disease was present in 11, four of whom (38%) were uninsured, and metastatic disease was present in three. Of the 55 patients, eight admitted to greater than two alcoholic drinks per day three, of whom 38% presented with advanced disease. School district graduation rate was also calculated and similar among all groups. Univariate and multivariate modeling revealed no factors associated with delay to care.
Conclusions: Patients presenting to a referral center in the southeastern United States with penile cancer more commonly lack health insurance. Additionally, patients who are heavy alcohol users or are uninsured present with advanced disease. These factors contribute to poorer prognosis in these patients.

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Keywords

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