Trends in prostate cancer incidence among Black men in the Caribbean and the United States

Author:

Zeigler‐Johnson Charnita1ORCID,McDonald Alicia C.2,Pinheiro Paulo3,Lynch Shannon4,Taioli Emanuela5,Joshi Shivam5,Alpert Naomi5,Baudin Jacqueline6,Joachim Clarisse7,Deloumeaux Jacqueline8,Oliver JoAnn9,Bhakkan‐Mambir Bernard8,Beaubrun‐Renard Murielle7,Ortiz Angel G.4,Ragin Camille4ORCID

Affiliation:

1. Department of Medical Oncology, Division of Population Science Thomas Jefferson University Philadelphia Pennsylvania USA

2. Department of Public Health Sciences, College of Medicine Pennsylvania State University Hershey Pennsylvania USA

3. Department of Public Health Sciences University of Miami Miami Florida USA

4. Fox Chase Cancer Center Philadelphia Pennsylvania USA

5. Mount Sinai New York City New York USA

6. Unité Fonctionnelle Recherche en Cancérologie UF3596 Centre Hospitalier Universitaire de Martinique Fort‐de‐France Martinique

7. Registre Général des cancers de la Martinique UF1441 Centre Hospitalier Universitaire de Martinique Fort‐de‐France Martinique

8. Registre Général des cancers de la Guadeloupe Centre Hospitalier Universitaire de la Guadeloupe, Pointe‐a‐Pitre Guadeloupe

9. Capstone College of Nursing University of Alabama Tuscaloosa Alabama USA

Abstract

AbstractBackgroundProstate cancer incidence is highest for Black men of the African diaspora in the United States and Caribbean. Recent changes in recommendations for prostate cancer screening have been shown to decrease overall prostate cancer incidence and increase the likelihood of late stage disease. However, it is unclear how trends in prostate cancer characteristics among high risk Black men differ by geographic region during the changes in screening recommendations.MethodsIn this study, we used population‐based prostate cancer registry data to describe age‐adjusted prostate cancer incidence trends from 2008 to 2015 among Black men from six geographic regions. We obtained data on incident Black prostate cancer patients from six cancer registries (in the United States: Florida, Alabama, Pennsylvania, and New York; and in the Caribbean: Guadeloupe and Martinique). After age standardization, we used descriptive analyses to compare the demographics and tumor characteristics by cancer registry site. The Joinpoint regression program was used to compare the trends in incidence by site.ResultsA total of 59,246 men were analyzed. We found the highest incidence rates (per 100,000) for prostate cancer in the Caribbean countries (181.99 in Martinique and 176.62 in Guadeloupe) and New York state (178.74). Incidence trends decreased significantly over time at all sites except Martinique, which also showed significantly increasing rates of late stage (III/IV) and Gleason score 7+ tumors.ConclusionsWe observed significant differences in prostate cancer incidence trends among Black men after major changes prostate screening recommendations. Future studies will examine the factors that differentially influence prostate cancer trends among the African diaspora.

Funder

American Cancer Society

National Institutes of Health

Publisher

Wiley

Subject

Urology,Oncology

Reference51 articles.

1. International Agency for Research on Cancer. 900 world fact sheets.https://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf

2. US Cancer Statistics Working Group. US cancer statistics data visualizations tool based on 2020 submission data (1999−2018).www.cdc.gov/cancer/dataviz

3. Global Trends and Prostate Cancer: A Review of Incidence, Detection, and Mortality as Influenced by Race, Ethnicity, and Geographic Location

4. Surveillance Epidemiology and End Results Program. SEER cancer statistics factsheets: prostate cancer.http://seer.cancer.gov/faststats/selections.php?series=cancer

5. ACS: cancer facts and figures for African Americans 2016−2018. American Cancer Society; 2016.

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