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JNCI Journal of the National Cancer Institute 1999 91(9):801-802; doi:10.1093/jnci/91.9.801
© 1999 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 91, No. 9, 801-802, May 5, 1999
© 1999 Oxford University Press

CORRESPONDENCE

Re: Race, Prostate Cancer Survival, and Membership in a Large Health Maintenance Organization

Mack Roach, III, Deirdra Forte, Mark Alexander

Affiliation of authors: Department of Radiation Oncology, University of California, San Francisco.

Correspondence to: Mack Roach III, M.D., Department of Radiation Oncology, University of California, San Francisco, 505 Parnassus Ave., L-34, San Francisco, CA 94143-0226.

We believe that the article by Robbins et al. (1) was generated with good intentions; however, this study does a disservice in improving our understanding of the relationship between prostate cancer and race. The authors made numerous assumptions that require commentary.

First, cancer researchers do not decide that hormonal therapy or chemotherapy prolongs survival in prostate cancer, breast cancer, or any other cancer on the basis of large population-based studies (2). The U.S. Food and Drug Administration approval for the use of a new drug is not based on large, crude, population-based studies. If the sample . . . [Full Text of this Article]

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