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Titolo:
DEMOGRAPHIC DIFFERENCES IN PROSTATE-CANCER INCIDENCE AND STAGE - AN EXAMINATION OF POPULATION DIVERSITY IN CALIFORNIA
Autore:
DELFINO RJ; FERRINI RL; TAYLOR TH; HOWE S; ANTONCULVER H;
Indirizzi:
UNIV CALIF IRVINE,COLL MED,DEPT MED,DIV EPIDEMIOL IRVINE CA 92697 SAN DIEGO STATE UNIV,GRAD SCH PUBL HLTH,DEPT FAMILY & PREVENT MED SANDIEGO CA 92182 UNIV CALIF SAN DIEGO,SCH MED SAN DIEGO CA 92103
Titolo Testata:
American journal of preventive medicine
fascicolo: 2, volume: 14, anno: 1998,
pagine: 96 - 102
SICI:
0749-3797(1998)14:2<96:DDIPIA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADICAL PROSTATECTOMY; INCREASING INCIDENCE; RACIAL-DIFFERENCES; RISING INCIDENCE; UNITED-STATES; TRENDS; BLACK; MANAGEMENT; EPIDEMIOLOGY; CONNECTICUT;
Keywords:
PROSTATE; NEOPLASM; INCIDENCE; INCOME; RACE; ETHNICITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
R.J. Delfino et al., "DEMOGRAPHIC DIFFERENCES IN PROSTATE-CANCER INCIDENCE AND STAGE - AN EXAMINATION OF POPULATION DIVERSITY IN CALIFORNIA", American journal of preventive medicine, 14(2), 1998, pp. 96-102

Abstract

Introduction: Geographic and racial/ethnic variability in prostate cancer incidence rates and stage distribution ma;ri be partly attributedto differences in screening and ear ly detection. Methods: Using California Cancer Registry data we aimed to characterize variability in prostate cancer rates statewide and to examine differences in the stage at diagnosis of prostate cancer by racial/ethnic group statewide and by census tract per capita income in San Diego County. We calculated annual average (1988-1991) age-adjusted incidence rates per 100,000 (AAIR) of prostate cancer for 49,880 men over age 34 years. Racial/ethnic groups were compared using incidence rate ratios (IRR) (AAIR localizedplus regional stages AAIR distant stage). Results: Statewide, Caucasians showed a higher IRR [6.16, 95% confidence interval (CI), 6.00-6.30] than did African Americans (2.34, 95% CI, 1.89-2.89), Hispanics (3.84, 95% CI; 3,63-4.05), or Asian/others (3.61, 95% CI, 1.80-7.22). Within San Diego County, Caucasians living in higher per capita income census tracts (greater than or equal to 65th percentile) had a significantly higher IRR (8.80, 95% CI 7.84-9.89) than did lower-income tracts (5.68, 95% CI, 5.13-6.30). Conclusion: Findings from the present and similar studies suggest that outcomes research is needed to determine the impact of these demographic differences on prostate cancer mortalityand quality of life. This is particularly important given the currentcontroversy regarding the treatment of clinically localized prostate cancers, increasingly found through early detection, which often involve difficult choices between aggressive therapies including prostatectomy or watchful waiting.

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Documento generato il 01/12/20 alle ore 16:13:41