Journal of Clinical Oncology, Vol 13, 93-100, Copyright © 1995 by American Society of Clinical Oncology
Geographic, age, and racial variation in the treatment of local/regional carcinoma of the prostate
L Harlan, O Brawley, F Pommerenke, P Wali and B Kramer
National Cancer Institute, Bethesda, MD.
PURPOSE: Prostate cancer is one of the most common cancers in men.
Incidence rates increase with age and are substantially higher in black men
than white men. This study examines the variations in the use of radical
prostatectomy and radiation by geographic area, age, and race. MATERIALS
AND METHODS: Data from the National Cancer Institute's Surveillance,
Epidemiology, and End-Results Program (SEER) were used to examine treatment
differences. Current treatments generally consist of prostatectomy,
radiation, or careful observation for clinically localized or regional
disease. RESULTS: The age-adjusted proportion of men, age 50 and older, who
received radical prostatectomy increased sharply between 1984 and 1991,
from 11.0% to 32.3% among men with local/regional disease. The choice of
treatment varied widely by geographic regions. In 1991, the proportion that
received prostatectomy was highest in Utah (47.8%) and lowest in
Connecticut (22.5%) among men with localized and regional disease. The
increase in radical prostatectomy was not limited to younger men. Although
the rates increased for blacks, black men had lower age-adjusted rates of
prostatectomy than whites in all years of the study. CONCLUSION: The SEER
data show a clear trend toward more aggressive treatment, especially
prostatectomy. However, the proportion of black men who received
prostatectomy was substantially lower than that of white men and this
disparity does not appear to be changing.
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|
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|
|
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|
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|
|
|
|
|
|
|
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November 22, 1995;
274(20):
1599 - 1605.
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[PDF]
|
|
|
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