Prostate cancer death risk is higher in Black men
Black men are more 60% more likely to develop - and two to three times more likely to die from - prostate cancer than Caucasians.
Black men need to be ensured early detection of disease before symptoms appear
The natural course of the disease is more aggressive in Black men; in addition, there are social issues such as a reluctance to be tested, that differentially impacts this population.
Diagnosis that is made as early as possible may improve overall prostate cancer outcomes, including overall survival rates.
Clinical Course of prostate cancer
The chances of developing advanced, incurable metastatic prostate cancer is 4 times higher in black than white men, and additionally they present for care at later stage. Disease transforms earlier in black men from slow growing to aggressive disease.
Because of cultural differences in attitude in undergoing screening testing (that is, detection of disease before symptoms or complications arise, as well as mistrust of health care systems), black men have poorer prognoses. In addition, financial barriers may present an obstacle to this population in accessing timely health care.
Early detection is key to improving survival chances
Black men, and men with a close relative who has had a history of prostate cancer, should undergo cancer screening beginning at age 40. This involves a physical examination and a blood test (PSA). How routine or early testing should occur is a conversation that occurs on an individual basis.
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Do African-American men need separate prostate cancer screening guidelines? Divya Shenoy, Satyaseelan Packianathan, et.al.
BMC Urology BMC series – open, inclusive and trusted 2016 16:19
Black men need to be ensured early detection of disease before symptoms appear
The natural course of the disease is more aggressive in Black men; in addition, there are social issues such as a reluctance to be tested, that differentially impacts this population.
Diagnosis that is made as early as possible may improve overall prostate cancer outcomes, including overall survival rates.
Clinical Course of prostate cancer
The chances of developing advanced, incurable metastatic prostate cancer is 4 times higher in black than white men, and additionally they present for care at later stage. Disease transforms earlier in black men from slow growing to aggressive disease.
Because of cultural differences in attitude in undergoing screening testing (that is, detection of disease before symptoms or complications arise, as well as mistrust of health care systems), black men have poorer prognoses. In addition, financial barriers may present an obstacle to this population in accessing timely health care.
Early detection is key to improving survival chances
Black men, and men with a close relative who has had a history of prostate cancer, should undergo cancer screening beginning at age 40. This involves a physical examination and a blood test (PSA). How routine or early testing should occur is a conversation that occurs on an individual basis.
--
Do African-American men need separate prostate cancer screening guidelines? Divya Shenoy, Satyaseelan Packianathan, et.al.
BMC Urology BMC series – open, inclusive and trusted 2016 16:19