The aims of the present study were to investigate referral patterns and the diagnosis of prostate cancer (PCa) before and after the Movember campaign was initiated in Denmark.
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All men (n=2817) referred to the Department of Urology at Frederiksberg Hospital with suspicion of having PCa in the period 1 January 2007-31 January 2014 were identified.
Based on the referral date, patients were categorised as pre-Movember (1 January 2007-31 January 2011) and Movember (1 February 2011-31 January 2014), respectively. Annual referral-rates/100. 000 inhabitants were calculated and compared with rate-ratio (RR) tests.
The median prostate-specific antigen (PSA) at referral dropped significantly from 9. 8 ng/mL in 2007-2011 to 7. 9 ng/mL in 2011-2014, p < 0. 001. The incidence rate of men referred with suspicion of PCa increased from 134/100. 000 in the pre-Movember period to 168/100. 000 in the Movember period (RR 1. 25 [95% CI 1. 16-1. 35]). In contrast to what we anticipated, there was no increase in referral in the months following the campaign. The incidence rates of men diagnosed with PCa and low-risk PCa were similar in the Movember period and the pre-Movember period (PCa: RR 1. 08 [0. 97-1. 21]; low-risk PCa: RR 1. 29 [0. 98-1. 73]).
After the initiation of the Movember campaign a significant decline in the PSA level at referral and an increase in the number of patients referred under suspicion of PCa was observed; however, only minor differences in referral patterns and PCa diagnosis were detected. The results indicate that the Movember campaign had a limited immediate effect on referral, however, it may have contributed to an increased awareness of PCa.
Scandinavian journal of public health. 2015 Oct 28 [Epub ahead of print]
Frederik B Thomsen, Marta K Mikkelsen, Rikke B Hansen, Klaus Brasso
Department of Urology, Bispebjerg and Frederiksberg Hospital, Denmark thomsen. frederik@gmail. com. , Department of Urology, Bispebjerg and Frederiksberg Hospital, Denmark. , Department of Urology, Bispebjerg and Frederiksberg Hospital, Denmark. , Copenhagen Prostate Cancer Center, Department of Urology, Rigshospitalet, University of Copenhagen, Denmark.