Global Patterns of Prostate Cancer Incidence, Aggressiveness, and Mortality in Men of African Descent
Open accessAbstract
Prostate cancer (CaP) is the leading cancer among men of African descent in the USA, Caribbean, and Sub-Saharan Africa (SSA). The estimated number of CaP deaths in SSA during 2008 was more than five times that among African Americans and is expected to double in Africa by 2030. We summarize publicly available CaP data and collected data from the men of African descent and Carcinoma of the Prostate (MADCaP) Consortium and the African Caribbean Cancer Consortium (AC3) to evaluate CaP incidence and mortality in men of African descent worldwide. CaP incidence and mortality are highest in men of African descent in the USA and the Caribbean. Tumor stage and grade were highest in SSA. We report a higher proportion of T1 stage prostate tumors in countries with greater percent gross domestic product spent on health care and physicians per 100,000 persons. We also observed that regions with a higher proportion of advanced tumors reported lower mortality rates. This finding suggests that CaP is underdiagnosed and/or underreported in SSA men. Nonetheless, CaP incidence and mortality represent a significant public health problem in men of African descent around the world.
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Elevated incidence of prostate cancer in the Caribbean and sub-Saharan African countries may reflect in part increased genetic susceptibility, given that multiple genetic variants associated with disease risk are more frequent in men with Western African ancestry.
“Of note, elevated incidence of prostate cancer in the Caribbean and sub-Saharan African countries may reflect in part increased genetic susceptibility, given that multiple genetic variants associated with disease risk are more frequent in men with Western African ancestry.85,86”
From Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. (2024) · cites this paper as [85]
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“85,86 Differences in diagnostic practices at the national level are a driving factor explaining much of the marked variations in prostate cancer incidence worldwide.”
Background
- Authors
- Rebbeck, T. R., Devesa, S. S., Chang, B.-L., Bunker, C. H., Cheng, I., Cooney, K., Eeles, R., Fernandez, P., Giri, V. N., Gueye, S. M., Haiman, C. A., Henderson, B. E., Heyns, C. F., Hu, J. J., Ingles, S. A., Isaacs, W., Jalloh, M., John, E. M., Kibel, A. S., Kidd, L. R., Layne, P., Leach, R. J., Neslund-Dudas, C., Okobia, M. N., Ostrander, E. A., Park, J. Y., Patrick, A. L., Phelan, C. M., Ragin, C., Roberts, R. A., Rybicki, B. A., Stanford, J. L., Strom, S., Thompson, I. M., Witte, J., Xu, J., Yeboah, E., Hsing, A. W., & Zeigler-Johnson, C. M.
- Affiliations
- Abramson Cancer Center (US)
- National Cancer Institute (US)
- University of Pennsylvania (US)
- University of Pittsburgh (US)
- Cancer Prevention Institute of California (US)
- University of Michigan (US)
- Royal Marsden NHS Foundation Trust (GB)
- Stellenbosch University (ZA)
- Fox Chase Cancer Center (US)
- Hôpital Général de Grand Yoff, Université Cheikh Anta Diop de Dakar, Dakar, Senegal
- University of Southern California (US)
- University of Miami (US)
- Johns Hopkins University (US)
- Cheikh Anta Diop University (SN)
- Brigham and Women's Hospital (US)
- University of Louisville (US)
- Guyana Cancer Registry, Ministry of Health, Queenstown, Guyana
- The University of Texas at San Antonio Health Science Center (US)
- Henry Ford Health (US)
- National Human Genome Research Institute (US)
- Moffitt Cancer Center (US)
- Tobago Health Studies Office, Scarborough, Tobago, Trinidad and Tobago
- University of the West Indies (BS)
- Fred Hutch Cancer Center (US)
- The University of Texas MD Anderson Cancer Center (US)
- University of California, San Francisco (US)
- Wake Forest University (US)
- University of Ghana (GH)
- Corresponding author
- Rebbeck, Timothy R.
- ORCID
- Rebbeck, Timothy R.
- Devesa, Susan S.
- Bunker, Clareann H.
- Cheng, Iona
- Cooney, Kathleen
- Eeles, Rosalind
- Fernandez, Pedro
- Giri, Veda N.
- Haiman, Christopher A.
- Hu, Jennifer J.
- Ingles, Sue Ann
- Isaacs, William
- Jalloh, Mohamed
- John, Esther M.
- Kibel, Adam S.
- Kidd, LaCreis R.
- Leach, Robin J.
- Neslund-Dudas, Christine
- Ostrander, Elaine A.
- Park, Jong Y.
- Ragin, Camille
- Roberts, Robin A.
- Rybicki, Benjamin A.
- Stanford, Janet L.
- Thompson, Ian M.
- Witte, John
- Xu, Jianfeng
- Yeboah, Edward
- Hsing, Ann W.
- Zeigler-Johnson, Charnita M.
- Venue
- Prostate Cancer
- Publisher
- Wiley
- Published
- 2013
- Volume
- 2013
- Pages
- 1-12
- ISSN
- 2090-3111 (ISSN-L)
- 2090-312X
- PMC
- PMC3583061
- OpenAlex
- W2160780272
- Cited by
- 273
- References
- 48
- Citations by year
- 2026: 17 · 2025: 14 · 2024: 29 · 2023: 24 · 2022: 27 · 2021: 29 · 2020: 22 · 2019: 20 · 2018: 20 · 2017: 9 · 2016: 21 · 2015: 15 · 2014: 18 · 2013: 8
- FWCI
- 10.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Prostate Cancer (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (CA88164, CA127298, CA056678, CA092579, CA84979, CA68578, DAMD W81XWH-07-1-0645-01, P50-CA140388, CA128813, CA63464, CA54281, CA103359, CA128028, CA84950, C5047/A7357, CA085074, P50-CA105641, CA86402, TURSG-03-152-01-CCE, R01CA112028)
- U.S. Department of Defense (CA88164, CA127298, CA056678, CA092579, CA84979, CA68578, DAMD W81XWH-07-1-0645-01, P50-CA140388, CA128813, CA63464, CA54281, CA103359, CA128028, CA84950, C5047/A7357, CA085074, P50-CA105641, CA86402, TURSG-03-152-01-CCE, R01CA112028)
- Cancer Research UK (CA88164, CA127298, CA056678, CA092579, CA84979, CA68578, DAMD W81XWH-07-1-0645-01, P50-CA140388, CA128813, CA63464, CA54281, CA103359, CA128028, CA84950, C5047/A7357, CA085074, P50-CA105641, CA86402, TURSG-03-152-01-CCE, R01CA112028)
- American Cancer Society (CA88164, CA127298, CA056678, CA092579, CA84979, CA68578, DAMD W81XWH-07-1-0645-01, P50-CA140388, CA128813, CA63464, CA54281, CA103359, CA128028, CA84950, C5047/A7357, CA085074, P50-CA105641, CA86402, TURSG-03-152-01-CCE, R01CA112028)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Urology › Prostate Cancer Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Prostate Cancer Treatment and Research
- Keywords
- prostate cancer incidence, prostate cancer mortality, tumor aggressiveness, tumor stage, tumor grade, sub-Saharan Africa, Caribbean, African Americans, underdiagnosis, health care expenditure, physician density, global cancer epidemiology
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