TY - JOUR
T1 - International variation in prostate cancer incidence and mortality rates
AU - Center, Melissa M.
AU - Jemal, Ahmedin
AU - Lortet-Tieulent, Joannie
AU - Ward, Elizabeth
AU - Ferlay, Jacques
AU - Brawley, Otis
AU - Bray, Freddie
PY - 2012/6/1
Y1 - 2012/6/1
N2 - Context: Wide variation exists internationally for prostate cancer (PCa) rates due to differences in detection practices, treatment, and lifestyle and genetic factors. Objective: We present contemporary variations in PCa incidence and mortality patterns across five continents using the most recent data from the International Agency for Research on Cancer. Evidence acquisition: PCa incidence and mortality estimates for 2008 from GLOBOCAN are presented. We also examine recent trends in PCa incidence rates for 40 countries and mortality rates for 53 countries from 1985 and onward via join-point analyses using an augmented version of Cancer Incidence in Five Continents and the World Health Organization mortality database. Evidence synthesis: Estimated PCa incidence rates remain most elevated in the highest resource counties worldwide including North America, Oceania, and western and northern Europe. Mortality rates tend to be higher in less developed regions of the world including parts of South America, the Caribbean, and sub-Saharan Africa. Increasing PCa incidence rates during the most recent decade were observed in 32 of the 40 countries examined, whereas trends tended to stabilize in 8 countries. In contrast, PCa mortality rates decreased in 27 of the 53 countries under study, whereas rates increased in 16 and remained stable in 10 countries. Conclusions: PCa incidence rates increased in nearly all countries considered in this analysis except in a few high-income countries. In contrast, the increase in PCa mortality rates mainly occurred in lower resource settings, with declines largely confined to high-resource countries.
AB - Context: Wide variation exists internationally for prostate cancer (PCa) rates due to differences in detection practices, treatment, and lifestyle and genetic factors. Objective: We present contemporary variations in PCa incidence and mortality patterns across five continents using the most recent data from the International Agency for Research on Cancer. Evidence acquisition: PCa incidence and mortality estimates for 2008 from GLOBOCAN are presented. We also examine recent trends in PCa incidence rates for 40 countries and mortality rates for 53 countries from 1985 and onward via join-point analyses using an augmented version of Cancer Incidence in Five Continents and the World Health Organization mortality database. Evidence synthesis: Estimated PCa incidence rates remain most elevated in the highest resource counties worldwide including North America, Oceania, and western and northern Europe. Mortality rates tend to be higher in less developed regions of the world including parts of South America, the Caribbean, and sub-Saharan Africa. Increasing PCa incidence rates during the most recent decade were observed in 32 of the 40 countries examined, whereas trends tended to stabilize in 8 countries. In contrast, PCa mortality rates decreased in 27 of the 53 countries under study, whereas rates increased in 16 and remained stable in 10 countries. Conclusions: PCa incidence rates increased in nearly all countries considered in this analysis except in a few high-income countries. In contrast, the increase in PCa mortality rates mainly occurred in lower resource settings, with declines largely confined to high-resource countries.
KW - International prostate cancer
KW - Prostate cancer incidence
KW - Prostate cancer mortality
UR - http://www.scopus.com/inward/record.url?scp=84860266865&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84860266865&partnerID=8YFLogxK
U2 - 10.1016/j.eururo.2012.02.054
DO - 10.1016/j.eururo.2012.02.054
M3 - Review article
C2 - 22424666
AN - SCOPUS:84860266865
SN - 0302-2838
VL - 61
SP - 1079
EP - 1092
JO - European Urology
JF - European Urology
IS - 6
ER -