Mp68-05 Excess Death and Potential Life Years Lost Among Black Prostate Cancer Patients (1970-2020)

You have accessJournal of UrologyProstate Cancer: Epidemiology & Natural History II (MP68)1 May 2024MP68-05 EXCESS DEATH AND POTENTIAL LIFE YEARS LOST AMONG BLACK PROSTATE CANCER PATIENTS (1970-2020) Nana A. Frimpong, Sarah K. Holt, Daniel Carson, Yohali Burrola-Mendez, Jenney Lee, Erika Wolff, John L. Gore, and Yaw A. Nyame Nana A. FrimpongNana A. Frimpong , Sarah K. HoltSarah K. Holt , Daniel CarsonDaniel Carson , Yohali Burrola-MendezYohali Burrola-Mendez , Jenney LeeJenney Lee , Erika WolffErika Wolff , John L. GoreJohn L. Gore , and Yaw A. NyameYaw A. Nyame View All Author Informationhttps://doi.org/10.1097/01.JU.0001008744.60568.e8.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Prostate cancer demonstrates a wide and sustained disparity in mortality among Black Americans compared with the average US population. These disparities have persisted over 50 years despite significant diagnostic and therapeutic advances in prostate cancer care. We evaluated trends in excess prostate cancer mortality and excess years of potential life lost between Black and White Americans between 1970-2020. METHODS: This is a serial cross-sectional study using US national level data from CDC WONDER linked with annual life expectancy by 10-year age groups from the National Center for Health Statistics life tables for individuals aged 25-84 years. Data from non-Hispanic White and non-Hispanic Black Americans with a cause of death of prostate cancer across all age groups were included. We measured excess age-adjusted prostate cancer mortality, age-specific prostate cancer mortality, excess deaths, and excess years of potential life lost among Black vs. White Americans. RESULTS: The age-adjusted excess mortality rate increased from 21.1 to 44.8 deaths per 100,000 from 1970-1993. From 1993-2020, this rate declined from 44.8 to 18.8 excess deaths per 100,000. The annual age-adjusted mortality ratio between Black and White Americans has ranged from 2.0 to 2.5 (1980-2020) with its highest peak in 2001. The excess deaths per 100,000 Black males ranged from 1,959 to 2,522 (1980-2020) with its highest peak in 1996. The trend in excess years of potential life lost per 100,000 Black males had been steadily decreasing from 39,416 years lost in 1996 to 31,746 years lost in 2013. From 2013-2020 the excess years of potential life lost per 100,000 Black males increased from 31,746 to 39,782. The excess potential years of life lost increases with increasing age and peaks in the 65-74 years age group. CONCLUSIONS: Over a 50-year period, Black Americans have experienced more than 117,348 excess deaths due to prostate cancer resulting in 1,509,384 excess years of potential life lost in the US. Although we have seen a dramatic decrease in prostate cancer deaths since the introduction of PSA testing, Black prostate cancer patients continue to experience excess deaths which result in a loss of productivity and support (i.e., social, economic, interpersonal, etc.) for communities and families across the country. Download PPT Source of Funding: This project was made possible in part by the NCI SPORE (P50 CA097186) and the U.S. Department of Defense, Office of the Congressionally Directed Medical Research Programs under Grant Number W81XWH2110531 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1109 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nana A. Frimpong More articles by this author Sarah K. Holt More articles by this author Daniel Carson More articles by this author Yohali Burrola-Mendez More articles by this author Jenney Lee More articles by this author Erika Wolff More articles by this author John L. Gore More articles by this author Yaw A. Nyame More articles by this author Expand All Advertisement PDF downloadLoading ...