Place of residence and poverty level as prognostic factors for prostate cancer survival in Veracruz, Mexico

Authors

DOI:

https://doi.org/10.17843/rpmesp.2020.373.4929

Keywords:

Prostatic Neoplasms, Survival Analysis, Rural Population, Socioeconomic Factors, Mexico

Abstract

Objectives: To determine if the place of residence and the level of poverty are associated with prostate cancer survival. Materials and methods: All patients diagnosed with prostate cancer (PC) in the period from 2013 to 2017 in a tertiary healthcare hospital in Veracruz, Mexico were included. Patients resided in rural and urban areas. Variables were collected according to clinical-epidemiological and histopathological characteristics. The Kaplan Meier method and the Log Rank test were used to measure survival. Prognostic factors were determined by calculating the adjusted hazard ratio (HRa) in a multivariate analysis using the Cox proportional risk method. Results: A total of 186 PC cases were analyzed. Overall, after 5 years, 48.3% of the patients survived. Men living in urban areas had a higher probability of survival than those living in rural areas (HRa 1.67, 95% CI 1.16-2.41). Similarly, people living in areas classified as low-poverty zones had a higher probability of survival than those living in areas with high-poverty (HRa 2.32, 95% CI 1.47-3.66). Conclusions: To reside in a rural place was identified as a negative prognostic factor for the survival of patients with PC regardless of other sociodemographic and clinical variables; patients living in places with a high-poverty level had an unfavorable survival prognosis.

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Author Biographies

  • Richy Rogelio Gutiérrez-Juárez, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Veracruz, México. Médico cirujano
    Médico Cirujano
  • María Teresa Álvarez-Bañuelos, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Veracruz, México. doctora en Ciencias Biológicas
    Doctora en Ciencias, investigadora del Instituto de Salud Pública, Universidad Veracruzana
  • Jaime Morales-Romero, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Veracruz, México. doctor en Ciencias de la Salud Pública
    Doctor en Salud Pública, investigador del Instituto de Salud Pública, Universidad Veracruzana
  • Christian S. Ortiz-Chacha, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Veracruz, México. doctor en Ciencias de la Salud
    Doctora en Ciencias de la Salud, Investigadora del  Instituto de Salud Pública, Universidad Veracruzana
  • Clara Luz Sampieri-Ramírez, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Veracruz, México. doctora en Ciencias Biomédicas
    Doctora en Biología Celular, Investigadora del  Instituto de Salud Pública, Universidad Veracruzana

Published

2020-08-03

Issue

Section

Original Article

How to Cite

1.
Gutiérrez-Juárez RR, Álvarez-Bañuelos MT, Morales-Romero J, Ortiz-Chacha CS, Sampieri-Ramírez CL. Place of residence and poverty level as prognostic factors for prostate cancer survival in Veracruz, Mexico. Rev Peru Med Exp Salud Publica [Internet]. 2020 Aug. 3 [cited 2024 Nov. 12];37(3):423-30. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4929