The Reliability of Self-Reported Gleason Scores in Studies of Sexual Minority Prostate Cancer Survivors.
The Reliability of Self-Reported Gleason Scores in Studies of Sexual Minority Prostate Cancer Survivors.
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DOI：
10.1097/upj.0000000000000086
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发表时间：
2020-05
期刊：
影响因子：
0.8
通讯作者：
Polter E
中科院分区：
文献类型：
--
作者：
Rosser BRS;Konety BR;Capistrant BD;Kapoor A;Polter E
在两项研究中，同性恋、双性恋和其他与男性发生性关系的男性前列腺癌幸存者报告的格里森评分低于异性恋前列腺癌幸存者，这导致一些人推测，与男性发生性关系的男性可能比其他男性进行更密集的筛查。在迄今为止最大的一项针对男性与男性发生性关系的前列腺癌幸存者的研究中，193名男性与男性发生性关系的前列腺癌幸存者中有23名（11.9%）报告Gleason评分较低（2 - 5）。我们联系了其中的14个，回复率为61%。在第二次面试中，大多数男性澄清说，他们只报告了部分分数，而不是总分数。我们的结论是，平均较低的分数是不是在筛选的差异，但可能的测量误差的结果。一个修订的格里森项目的问题，以克服这一研究工件。
In two studies, gay, bisexual, and other men who have sex with men prostate cancer survivors report lower Gleason scores than heterosexual prostate cancer survivors, leading some to speculate that men who have sex with men may have more intensive screening than other men. In the largest study of men who have sex with men prostate cancer survivors to date, 23 of 193 (11.9%) men who have sex with men prostate cancer survivors reported low Gleason scores (2–5). We contacted 14 of them, a 61 percent response rate. At second interview, most men clarified that they reported only a partial score rather than the sum score. We conclude the average lower score is not a result of differences in screening but likely measurement error. A revised Gleason item question is provided to overcome this research artifact.