The impact of socio-economic deprivation on incidence, treatment and mortality from prostate cancer in England, 1990–2010

M. F. Eylert*, A. Bahl, Luke Hounsome, Julia Verne, E. R. Jefferies, R. A. Persad

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    Abstract

    Objective: To explore any association between socio-economic deprivation and prostate cancer diagnosis and/or treatment. Patients and methods: Data was extracted as follows: We gained the incident cases and staging from the National Cancer Data Repository, survival from the Cancer Information System, mortality from the Office for National Statistics, treatment data from Hospital Episode Statistics and National Clinical Analysis and Specialised Applications Team. Our analysis regarding socio-economic deprivation was controlled for age distribution. Results: We recorded 518,453 diagnoses of prostate cancer; 174,579 prostate cancer deaths; 33,889 prostatectomies and 21,351 radiotherapy treatments. Incidence is increasing in all groups, but the highest is amongst the least deprived. Mortality is decreasing, with survival consistently better in the least deprived. Prostatectomies are more frequent in the least deprived; however, this gap is narrowing. Conclusions: Prostate cancer incidence, survival and treatment are associated with socio-economic deprivation. Prostatectomy rates show a decrease in the gap of inequality. Multiple potential confounding factors, such as rates of prostate specific antigen (PSA) testing and access to health care are associated with socio-economic deprivation. The unifying influences of Improving Outcomes Guidance and the National Treatment Guidelines are intended to counteract the above inequalities. Particularly in prostate cancer, where long-term gain depends on multiple factors, individualised treatment decisions are paramount.

    Original languageEnglish
    Pages (from-to)93-101
    Number of pages9
    JournalJournal of Clinical Urology
    Volume9
    Issue number2
    DOIs
    Publication statusPublished - 1 Mar 2016

    Bibliographical note

    Publisher Copyright:
    © 2015, British Association of Urological Surgeons 2015.

    Keywords

    • Diagnosis
    • United Kingdom
    • guidelines
    • incidence
    • mortality
    • prostate cancer
    • prostatectomy
    • socio-economic deprivation
    • survival

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