Trends in prostate cancer mortality in the United States of America, by state and race, from 1999 to 2019: estimates from the centers for disease control WONDER database.

In the United States of America (USA), prostate cancer (PC) is the most common cancer in men and the second cause of cancer mortality. Black men (BM) have a higher incidence and worse mortality when compared to white men (WM).

We compared trends in PC mortality in the USA by race and state from 1999 to 2019.

We extracted PC mortality data from the Centers for Disease Control (CDC) WONDER database using the International Classification of Diseases (ICD) 10 code C61. Age-Standardized Mortality Rates (ASMR) were divided into racial groups and reported by year and state. Due to the lack of available data in many states, analyses were conducted only for WM and BM using Joinpoint regression for trend comparisons.

Between 1999-2019, ASMR decreased at the national level in Black (-44.6%), Asian (-44.8%), White (-31.8%), and American Indian or Alaskan native men (-19.0%). ASMR decreased in all states for both races. The greatest drop in ASMR was in Kentucky (-47.0%) for WM and Delaware (-57.8%) for BM. In 2019, ASMRs in BM (13.4/100 000) were significantly higher than WM (7.3/100 000), American Indian or Alaskan Native (3.2/100 000), and Asian men (3.2/100 000) (pā€‰<ā€‰0.001). The highest ASMRs were in Nebraska (33.5/100 000) for BM and Alaska (11/100 000) for WM.

During the last 20 years, the PC mortality rate dropped in all states for all races, suggesting an advancement in management strategies. Although a higher decrease in ASMR was observed in BM, ASMR remain higher among BM. ASMRs were also found to be increasing in many states post USPSTF guideline change (2012), indicating a need for more education around optimized prostate cancer screening.

Prostate cancer and prostatic diseases. 2022 Dec 16 [Epub ahead of print]

Chinmay Jani, Christian Mouchati, Nour Abdallah, Melissa Mariano, Ruchi Jani, Justin D Salciccioli, Dominic C Marshall, Harpreet Singh, Iris Sheng, Joseph Shalhoub, Rana R McKay

Department of Internal Medicine, Mount Auburn Hospital, Cambridge, MA, USA. ., School of Medicine, Case Western Reserve University, Cleveland, OH, USA., Department of Urology Research, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Department of Internal Medicine, Mount Auburn Hospital, Cambridge, MA, USA., Smt NHL Municipal Medical College, Ahmedabad, Gujarat, India., Harvard Medical School, Boston, MA, USA., Critical Care Research Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK., Division of Pulmonary and Critical Care, University of Wisconsin, Milwaukee, WI, USA., Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK., University of California San Diego, San Diego, CA, 2021, USA.

Go Beyond the Abstract and Read a Commentary by the Authors