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Racial Disparity in Utilizing Genetic Testing for Personalized Care of Prostate Cancer
  • +1
  • Tu Le,
  • Pilar Soto Rojas,
  • Mary Fakunle,
  • Franklin Huang
Tu Le
UCSF

Corresponding Author:[email protected]

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Pilar Soto Rojas
Hospital Universitario Virgen Macarena
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Mary Fakunle
UCSF
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Franklin Huang
UCSF
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Abstract

Significant racial disparities in prostate cancer incidence and mortality have been reported between African American Men (AAM) who are at increased risk for prostate cancer, and European American Men (EAM). In most of the studies carried out on prostate cancer, this population is underrepresented. With the advancement of genome-wide association studies (GWAS), several genetic predictor models of prostate cancer risk have been elaborated, as well as numerous studies that identify both germline and somatic mutations with clinical utility. Despite significant advances, the AAM population continues to be underrepresented in genomic studies, which can limit their generalizability and potentially widen disparities. Here we outline racial disparities in currently available genomic applications that are used to estimate the risk of individuals developing prostate cancer and to identify personalized oncology treatment strategies. While the incidence and mortality of prostate cancer are different between AAM and EAM. the biological features and differences of prostate tumors in AAM and EAM are still being described. Samples from AAM remain to be unrepresented in different studies. This disparity impacts the available genomic data on prostate cancer. As a result, the disparity can limit the predictive utility of the genomic applications that have been developed and may lead to widening disparities. More studies with substantially higher recruitment and engagement of African American patients are necessary to overcome this disparity.
14 Feb 2023Submitted to Cancer Reports
14 Feb 2023Submission Checks Completed
14 Feb 2023Assigned to Editor
22 Feb 2023Review(s) Completed, Editorial Evaluation Pending
22 Feb 2023Reviewer(s) Assigned
15 Mar 2023Editorial Decision: Revise Major
29 Apr 20231st Revision Received
05 May 2023Assigned to Editor
05 May 2023Submission Checks Completed
05 May 2023Review(s) Completed, Editorial Evaluation Pending
05 May 2023Reviewer(s) Assigned
24 May 2023Editorial Decision: Revise Minor
16 Jun 20232nd Revision Received
20 Jun 2023Assigned to Editor
20 Jun 2023Submission Checks Completed
20 Jun 2023Review(s) Completed, Editorial Evaluation Pending
20 Jun 2023Reviewer(s) Assigned
30 Jun 2023Editorial Decision: Accept