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Research ArticleBrief Communication

Disparities in PET Imaging for Prostate Cancer at a Tertiary Academic Medical Center

Matthew D. Bucknor, Daphne Y. Lichtensztajn, Tracy K. Lin, Hala T. Borno, Scarlett L. Gomez and Thomas A. Hope
Journal of Nuclear Medicine May 2021, 62 (5) 695-699; DOI: https://doi.org/10.2967/jnumed.120.251751
Matthew D. Bucknor
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California
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Daphne Y. Lichtensztajn
2Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California
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Tracy K. Lin
3Institute for Health and Aging, Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California; and
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Hala T. Borno
4Division of Hematology/Oncology, Department of Medicine, University of California San Francisco, San Francisco, California
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Scarlett L. Gomez
2Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California
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Thomas A. Hope
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California
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    FIGURE 1.

    Mapped distribution of ZIP codes of patients receiving 18F-fluciclovine (A) or 68Ga-PSMA-11 (B).

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    TABLE 1

    Demographic Characteristics of Patients Undergoing 18F-Fluciclovine Versus 68Ga-PSMA-11 for Prostate Cancer and Results of Multivariate Regression Analysis

    Characteristic18F-fluciclovine68Ga-PSMAOdds ratioP
    All patients2541,502
    Age (mean ± SD)69.8 ± 7.969.6 ± 7.71.01 (0.99–1.04)0.097
    Body mass index (mean ± SD)28.1 ± 4.027.7 ± 4.51.00 (0.97–1.04)0.761
    Race
     Non-Hispanic White182 (71.6%)1201 (80.0%)1.00
     Black or African American17 (6.7%)24 (1.6%)3.88 (1.90–7.91)<0.001
     Hispanic13 (5.1%)45 (3.0%)1.79 (0.84–3.81)0.131
     Asian American or Native Hawaiian/other Pacific Islander22 (8.7%)87 (5.8%)1.64 (0.95–2.85)0.073
     Unknown20 (7.9%)145 (9.6%)1.06 (0.55–2.02)0.87
    Preferred language
     English246 (96.9%)1474 (98.1%)1.00
     Not English8 (3.1%)28 (1.9%)1.29 (0.53–3.13)0.581
    Insurance type
     Commercial87/238 (36.6%)478 (31.8%)1.00
     Government149/238 (62.6%)929 (61.9%)0.70 (0.48–1.01)0.06
     Unknown2/238 (0.8%)95 (6.3%)0.39 (0.09–1.73)0.215
    nSES
     Highest tertile143/235 (60.9%)855/1,263 (67.7%)1.00
     Middle tertile67/235 (28.5%)303/1,263 (24.0%)1.27 (0.89–1.81)0.194
     Lowest tertile25/235 (10.6%)105/1,263 (8.3%)1.08 (0.62–1.91)0.78
    • *For any categories in which demographic information was missing from patient records, new denominator is noted (insurance type and nSES).

    • Data in parentheses are percentage or 95% CI.

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    TABLE 2

    Distribution of nSES by Race/Ethnicity

    Race/ethnicityHighest tertileMiddle tertileLowest tertile
    All patients998370130
    Non-Hispanic White808 (68.6%)277 (23.5%)93 (7.9%)
    Black or African American16 (40.0%)13 (32.5%)11 (27.5%)
    Hispanic26 (51.0%)12 (23.5%)13 (25.5%)
    Asian American or Native Hawaiian/other Pacific Islander74 (74.0%)23 (23.0%)3 (3.0%)
    Unknown74 (57.4%)45 (34.9%)10 (7.7%)
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Journal of Nuclear Medicine: 62 (5)
Journal of Nuclear Medicine
Vol. 62, Issue 5
May 10, 2021
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Disparities in PET Imaging for Prostate Cancer at a Tertiary Academic Medical Center
Matthew D. Bucknor, Daphne Y. Lichtensztajn, Tracy K. Lin, Hala T. Borno, Scarlett L. Gomez, Thomas A. Hope
Journal of Nuclear Medicine May 2021, 62 (5) 695-699; DOI: 10.2967/jnumed.120.251751

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Disparities in PET Imaging for Prostate Cancer at a Tertiary Academic Medical Center
Matthew D. Bucknor, Daphne Y. Lichtensztajn, Tracy K. Lin, Hala T. Borno, Scarlett L. Gomez, Thomas A. Hope
Journal of Nuclear Medicine May 2021, 62 (5) 695-699; DOI: 10.2967/jnumed.120.251751
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Keywords

  • health disparities
  • prostate cancer
  • PET
  • 68Ga-PSMA-11
  • 18F-fluciclovine
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