THE EPIDEMIOLOGY OF PROSTATE CANCER IN JAMAICA
1998; Lippincott Williams & Wilkins; Volume: 159; Issue: 6 Linguagem: Inglês
10.1016/s0022-5347(01)63220-8
ISSN1527-3792
AutoresFrank Glover, Donald S. Coffey, L. Lawson Douglas, M. Cadogan, H E Russell, Trevor Tulloch, Timothy D. Baker, Robert Wan, Patrick C. Walsh,
Tópico(s)Global Cancer Incidence and Screening
ResumoNo AccessJournal of UrologyClinical Urology: Original Articles1 Jun 1998THE EPIDEMIOLOGY OF PROSTATE CANCER IN JAMAICA FRANK E. GLOVER, DONALD S. COFFEY, L. LAWSON DOUGLAS, MARK CADOGAN, HOPE RUSSELL, TREVOR TULLOCH, TIMOTHY D. BAKER, ROBERT L. WAN, and PATRICK C. WALSH FRANK E. GLOVERFRANK E. GLOVER , DONALD S. COFFEYDONALD S. COFFEY , L. LAWSON DOUGLASL. LAWSON DOUGLAS , MARK CADOGANMARK CADOGAN , HOPE RUSSELLHOPE RUSSELL , TREVOR TULLOCHTREVOR TULLOCH , TIMOTHY D. BAKERTIMOTHY D. BAKER , ROBERT L. WANROBERT L. WAN , and PATRICK C. WALSHPATRICK C. WALSH View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63220-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Before this study, the highest reported incidence of prostate cancer in the world was thought to be among United States black men. The age adjusted rates in 1992 for United States black and white men were 249 and 182/100,000 respectively. The epidemiology of prostate cancer in Jamaica, a country of 2.5 million people of primarily African descent, was studied and compared with that of white and black Americans. Materials and Methods: The study included 1,121 cases of prostate cancer diagnosed from 1989 to 1994. Sources of information included the Jamaican Cancer Registry, government pathology laboratory, hospital and clinic records, and physician office records. Incidence rates were computed using data from the 1991 Jamaican census. Age adjustments were made using the 1970 United States standard population. Results: The average age adjusted incidence of prostate cancer in Kingston, Jamaica was 304/100,000 men. Median patient age at diagnosis was 72 years. More than 80% of the cases were pathologically confirmed. Of the patients 30% presented with acute urinary retention, 16% presented with bone metastases, 15% had gross hematuria at the time of diagnosis and an abnormal rectal examination suspicious for cancer was noted in 42%. Prostate specific antigen was measured in only 7% of cases in 1989 but in 48% of cases by 1994. Conclusions: These data demonstrate that Jamaican men in Kingston have a high incidence of prostate cancer, much higher than even black Americans during a similar period. Furthermore, the cancers are more significant clinically with greater morbidity in Jamaica than in the United States. References 1 Cancer incidence in five continents. Vol. IV. I.A.R.C. Sci. Publ.1982; 42: 1. Google Scholar 2 : Family history and prostate cancer risk in black, white and Asian men in the United States and Canada. Amer. J. Epidemiol.1995; 141: 732. Crossref, Medline, Google Scholar 3 : Increasing incidence of cancer of the prostate. 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LAWSON DOUGLAS More articles by this author MARK CADOGAN More articles by this author HOPE RUSSELL More articles by this author TREVOR TULLOCH More articles by this author TIMOTHY D. BAKER More articles by this author ROBERT L. WAN More articles by this author PATRICK C. WALSH More articles by this author Expand All Advertisement PDF downloadLoading ...
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