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The Experience of Black and White Men in the Detroit Metropolitan Area

Raymond Y. Demers, MD, MPH; G. Marie Swanson, PhD, MPH; Linda K. Weiss, PhD; Tsing-Ying Kau, MPH

Arch Intern Med. 1994;154(11):1211-1216.

Abstract
Background
Prostate cancer mortality and incidence rates have been gradually increasing for decades in the United States, with an accelerated increase in incidence noted in the past several years. This study explores in detail the occurrence of prostate cancer in southeast Michigan from 1973 through 1991.

Methods
Data from the National Cancer Institute Surveillance, Epidemiology, and End Results program are analyzed with emphasis on time trends by race, age, stage, and treatment.

Results
Population-based rates for prostate cancer increased by 70% between 1988 and 1991. Increases are most pronounced for early stage disease and among whites compared with blacks. Corresponding increases in treatment with radical prostatectomy are also observed.

Conclusion
Increased incidence of prostate cancer is likely a result of widespread use of prostate-specific antigen.

(Arch Intern Med. 1994;154:1211-1216)

Author Affiliations
From the Division of Epidemiology, Michigan Cancer Foundation, Detroit (Drs Demers, Weiss, and Ms Kau), and the Comprehensive Breast Cancer Center, Michigan State University, East Lansing (Dr Swanson).

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