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• W1995777793 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Mar 1998PROSTATE CANCER IN AMERICAN INDIANS, NEW MEXICO, 1969 to 1994 FRANK D. GILLILAND and CHARLES R. KEY FRANK D. GILLILANDFRANK D. GILLILAND More articles by this author and CHARLES R. KEYCHARLES R. KEY More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63763-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Prostate cancer is the most frequently diagnosed cancer as well as the leading cause of cancer death among American Indian men. Materials and Methods: To describe further the occurrence of prostate cancer among American Indian men, we examined population based incidence, treatment, survival and mortality data for American Indians in New Mexico during the 25-year period 1969 to 1994. Results: Although American Indian men have a lower risk of prostate cancer than non-Hispanic white men, the incidence and mortality rates are rising for American Indians, and mortality rates are now equal to those for nonHispanic white men. During the 25-year period age adjusted incidence rates for American Indians increased from 42.2/100,000 (95% confidence interval 27.1 to 57.3) to 64.6/100,000 (95% confidence interval 46.2 to 83.0). The burden of prostate cancer among American Indian men compared with nonHispanic white men was reflected in disproportionately high mortality rates in relation to incidence rates. The mortality rates were high because American Indian cases were more advanced at diagnosis, 23.3% of prostate cancers were diagnosed after distant spread had occurred compared with 11.6% for nonHispanic white men and the 5-year relative survival rate was poorer (57.1% compared with 77.6% for nonHispanic white men). Conclusions: Effective and culturally sensitive cancer control efforts for prostate cancer in American Indian communities are urgently needed. References 1 : The heterogeneity of cancer in Native American populations. In: Minorities and cancer. Edited by . New York: Springer-Verlag1989: 43. Google Scholar 2 : Native American Monograph No. 1. Documentation of Cancer Research Needs of American Indians and Alaska Natives. Bethesda, MD: National Cancer Institute1994. Google Scholar 3 : Cancer incidence among American Indians and Alaska Natives, 1980 through 1987. Amer. J. Public Health1993; 83: 1589. Google Scholar 4 : Racial/Ethnic Patterns of Cancer in the United States 1988-1992. Bethesda: National Cancer Institute1996. Google Scholar 5 : Cancer incidence and mortality in New Mexico, 1973-77. In: Surveillance, Epidemiology and End Results: Incidence and Mortality Data, 1973-1977.. Edited by . Washington, D. C.: U. S. Government Printing Office1981: 489. Google Scholar 6 : Methods. In: Racial and Ethnic Patterns of Mortality in New Mexico. Edited by . Albuquerque: University of New Mexico Press1993: 1. Google Scholar 7 : Stomach cancer among New Mexico's American Indians, Hispanic whites, and nonHispanic white men. Cancer Res.1989; 49: 1595. Google Scholar 8 : Racial misclassification of American Indians in a southwestern SEER registry: comparisons with Indian Health Service data(abstract). Houston: Cancer Update, M. D. Anderson Cancer Center1991. Google Scholar 9 Valway, S.: Cancer Mortality among Native Americans in the United States: Regional Differences in Indian Health, 1984-1988 and Trends over Time, 1968-1987: Indian Health Service Cancer Prevention and Control Program, 1991. Google Scholar 10 : SEER extent of disease 1988 codes and coding instructions. Rockville, Maryland: National Institutes of Health, National Cancer Institute1992. Google Scholar 11 : Comparative staging guide for cancer. Bethesda: U. S. Department of Health and Human Services1993. 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Bethesda: National Cancer Institute1994. Google Scholar 19 : The relative survival rate: a statistical methodology. Natl. Cancer Instit. Monogr.1961; 6: 101. Google Scholar 20 : SAS/STAT software: changes and enhancements through release 6.11. Cary, North Carolina: SAS Institute Inc.1996. Google Scholar 21 : Statistical Analysis System. Cary, North Carolina: SAS Institute1991. Google Scholar 22 : Hospital PC System User's Manual. Salt Lake City, Utah: Utah Cancer Registry1986. Google Scholar 23 : Rapid rise and subsequent decline in prostate cancer incidence rates for New Mexico, 1989-1983. Cancer Epidemiol., Biomarkers & Prev.1995; 4: 797. Google Scholar 24 : Trends in prostate cancer incidence and mortality in New Mexico are consistent with an increase in effective screening. Cancer Epidemiol., Biomarkers & Prev.1994; 3: 105. Google Scholar 25 : The role of increasing detection in the rising incidence of prostate cancer. JAMA1995; 273: 548. Google Scholar 26 : Census of the Population 1990: Social and Economic Characteristics. Final Report. New Mexico. CP-2-33. Washington, D. C.: U. S. Government Printing Office1990. Google Scholar 27 : Racial misclassification of Native Americans in a surveillance, epidemiology, and end results cancer registry. J. Natl. Cancer Inst.1992; 84: 957. Google Scholar 28 : Accuracy of cancer death certificates and its effect on cancer mortality statistics. Amer. J Pub. Health1981; 71: 242. Google Scholar 29 : Cancer Mortality among New Mexico's Hispanics, American Indians, and nonHispanic white men. J. Natl. Cancer Inst.1993; 85: 1670. Google Scholar From the Departments of Medicine and Pathology, New Mexico Tumor Registry and the Center for Health Promotion and Disease Prevention, University of New Mexico School of Medicine, Albuquerque, New Mexico.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 159Issue 3March 1998Page: 893-898 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information FRANK D. GILLILAND More articles by this author CHARLES R. KEY More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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