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medRxiv PreprintsInternational6 November 2026

Challenges and Health Disparities in Prostate Cancer: Healthcare Access as a Driver of Inequities in a Rural Hospital Network

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Background: Prostate cancer is the most common male cancer, and second most common cause of cancer mortality in the US. Disparities abound in this disease for reasons that need further study, including social and ethnic barriers, geographic barriers, and biological differences. North Carolina is the second largest state by rural population measures (3.5 million), which provides ample geography to study these disparities. Materials and Methods: A dataset containing all patients with a medical record documenting a diagnosis of and/or treatment for de novo prostate cancer within the mostly rural
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