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Trends in prostate cancer mortality among black men and white men in the United States.
Cancer 2003; 97(6):1507-16C

Abstract

BACKGROUND

Prostate cancer mortality rates in the United States declined sharply after 1991 in white men and declined after 1992 in black men. The current study was conducted to investigate possible mechanisms for the declining prostate cancer mortality rates in the United States.

METHODS

The authors examined and compared patterns of prostate cancer incidence, survival rates, and mortality rates among black men and white men in the United States using the 1969-1999 U.S. prostate cancer mortality rates and the 1975-1999 prostate cancer incidence, survival, and incidence-based mortality rates from the Surveillance, Epidemiology, and End Results (SEER) Program for the U.S. population. The SEER data represent approximately 10% of the U.S. population.

RESULTS

Prostate cancer incidence and mortality rates showed transient increases after 1986, when the U.S. Food and Drug Administration approved the use of prostate specific antigen (PSA) testing. The age-adjusted prostate cancer mortality rates for men age 50-84 years, however, have dropped below the rate in 1986 since 1995 for white men and since 1997 for black men. In fact, for white men ages 50-79 years, the 1998 and 1999 rates were the lowest observed since 1950. Incidence-based mortality rates by disease stage revealed that the recent declines were due to declines in distant disease mortality. Moreover, the decrease in distant disease mortality was due to a decline in distant disease incidence, and not to improved survival of patients with distant disease.

CONCLUSIONS

Similar incidence, survival, and mortality rate patterns are seen in black men and white men in the United States, although with differences in the timing and magnitude of recent rate decreases. Increased detection of prostate cancer before it becomes metastatic, possibly reflecting increased use of PSA testing after 1986, may explain much of the recent mortality decrease in both white men and black men.

Authors+Show Affiliations

Center to Reduce Cancer Health Disparities, National Cancer Institute, Bethesda, Maryland 20892, USA. kc10d@nih.govNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12627516

Citation

Chu, Kenneth C., et al. "Trends in Prostate Cancer Mortality Among Black Men and White Men in the United States." Cancer, vol. 97, no. 6, 2003, pp. 1507-16.
Chu KC, Tarone RE, Freeman HP. Trends in prostate cancer mortality among black men and white men in the United States. Cancer. 2003;97(6):1507-16.
Chu, K. C., Tarone, R. E., & Freeman, H. P. (2003). Trends in prostate cancer mortality among black men and white men in the United States. Cancer, 97(6), pp. 1507-16.
Chu KC, Tarone RE, Freeman HP. Trends in Prostate Cancer Mortality Among Black Men and White Men in the United States. Cancer. 2003 Mar 15;97(6):1507-16. PubMed PMID: 12627516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in prostate cancer mortality among black men and white men in the United States. AU - Chu,Kenneth C, AU - Tarone,Robert E, AU - Freeman,Harold P, PY - 2003/3/11/pubmed PY - 2003/4/4/medline PY - 2003/3/11/entrez SP - 1507 EP - 16 JF - Cancer JO - Cancer VL - 97 IS - 6 N2 - BACKGROUND: Prostate cancer mortality rates in the United States declined sharply after 1991 in white men and declined after 1992 in black men. The current study was conducted to investigate possible mechanisms for the declining prostate cancer mortality rates in the United States. METHODS: The authors examined and compared patterns of prostate cancer incidence, survival rates, and mortality rates among black men and white men in the United States using the 1969-1999 U.S. prostate cancer mortality rates and the 1975-1999 prostate cancer incidence, survival, and incidence-based mortality rates from the Surveillance, Epidemiology, and End Results (SEER) Program for the U.S. population. The SEER data represent approximately 10% of the U.S. population. RESULTS: Prostate cancer incidence and mortality rates showed transient increases after 1986, when the U.S. Food and Drug Administration approved the use of prostate specific antigen (PSA) testing. The age-adjusted prostate cancer mortality rates for men age 50-84 years, however, have dropped below the rate in 1986 since 1995 for white men and since 1997 for black men. In fact, for white men ages 50-79 years, the 1998 and 1999 rates were the lowest observed since 1950. Incidence-based mortality rates by disease stage revealed that the recent declines were due to declines in distant disease mortality. Moreover, the decrease in distant disease mortality was due to a decline in distant disease incidence, and not to improved survival of patients with distant disease. CONCLUSIONS: Similar incidence, survival, and mortality rate patterns are seen in black men and white men in the United States, although with differences in the timing and magnitude of recent rate decreases. Increased detection of prostate cancer before it becomes metastatic, possibly reflecting increased use of PSA testing after 1986, may explain much of the recent mortality decrease in both white men and black men. SN - 0008-543X UR - https://www.unboundmedicine.com/medline/citation/12627516/Trends_in_prostate_cancer_mortality_among_black_men_and_white_men_in_the_United_States_ L2 - https://doi.org/10.1002/cncr.11212 DB - PRIME DP - Unbound Medicine ER -