Prostate Cancer In New Jersey 1979-1996

Prostate Cancer In New Jersey 1979-1996 Appendices

Appendix I: Recommendations Regarding Screening for Prostate Cancer
Appendix II: Prostate Cancer in New Jersey - Tables
- Table 4. Prostate Cancer Incidence and Incidence Rates by Year and Race, New Jersey - 1979 - 1996
- Table 5. Prostate Cancer Age-Specific Incidence and Incidence Rates by Race,New Jersey - 1979 -1996
- Table 6. Prostate Cancer Age-Specific Incidence and Incidence Rates by Year, New Jersey -1979 - 1996
- Table 7. Prostate Cancer Stage at Diagnosis by Year, New Jersey - 1979 - 1996
- Table 8. Prostate Cancer Stage at Diagnosis by Year, Whites, New Jersey -1979 1996
- Table 9. Prostate Cancer Stage at Diagnosis by Year, Blacks, New Jersey -1979 - 1996
- Table 10. Prostate Cancer Mortality and Mortality Rates by Year and Race, New Jersey - 1979 - 1996
- Table 11. Prostate Cancer Age-Specific Mortality and Mortality Rates by Race, New Jersey - 1979 - 1996

Appendix I:
Recommendations Regarding Screening For Prostate Cancer

The American Cancer Society

Recommends that patients seek the advice of their physician in making a decision whether to be screened. The following are the screening guidelines.
Age 50 and older

annual prostate-specific antigen (PSA) blood test

annual digital rectal exam (DRE)

For men at high risk including African-American men and men with a family history of prostate cancer (age to be determined by the physician)

annual prostate-specific antigen (PSA) blood test

annual digital rectal exam (DRE)

New Jersey Prostate Cancer Summit

Age 50 and older who have at least a 10-year life expectancy

annual prostate-specific antigen (PSA) blood test

annual digital rectal exam (DRE)

Men at high risk (including African American men and men with a family history of prostate cancer) should begin screening at a younger age to be decided on with their physician.

The U.S. Preventive Services Task Force and The Centers for Disease Control and Prevention

Both agencies do not recommend routine screening, but stress that patients who request screening be given objective information about early detection and the potential benefits and risks of screening.

The New Jersey Department of Health and Senior Services

All men over 50 years of age should have annual screening for prostate
cancer.
Men over 40 who are black or who are at high risk because of family history
should also be screened annually.

The screening tests should include DRE at a minimum and may include PSA. All men considering or having the screening tests should be fully informed about the benefits and risks of screening.

Appendix II
Prostate Cancer In New Jersey
Tables

Table 4
Prostate Cancer Incidence And
Incidence Rates By Year And Race, New Jersey
1979-1996*

YEAR	RACE
	ALL RACES		WHITE		BLACK		OTHER	UNKNOWN
	Number	Rate	Number	Rate	Number	Rate	Number	Number
1979	2,574	75.9	2,275	72.6	288	121.2	6	5
1980	2,708	78.8	2,359	74.5	331	136.5	7	11
1981	2,709	78.1	2,380	74.4	305	127.4	17	7
1982	2,747	77.6	2,392	73.5	329	128.0	18	8
1983	2,863	79.5	2,539	76.6	304	116.0	12	8
1984	2,990	81.5	2,601	77.2	354	132.0	16	19
1985	3,010	80.2	2,646	77.1	343	120.8	7	14
1986	3,076	81.1	2,711	78.0	337	119.0	12	16
1987	3,269	84.8	2,893	82.1	346	119.2	18	12
1988	3,549	91.1	3,096	87.1	420	142.5	16	17
1989	3,662	93.0	3,201	89.2	388	125.2	26	47
1990	4,405	110.7	3,814	105.4	471	152.2	26	94
1991	6,020	148.6	5,251	142.7	558	175.5	41	170
1992	7,954	194.2	6,835	184.7	748	227.5	70	301
1993	7,228	175.3	6,006	162.0	842	247.2	56	324
1994	6,329	152.7	5,188	139.9	752	214.7	79	310
1995	6,229	148.4	5,116	137.2	851	229.2	80	182
1996	6,266	148.7	5,243	140.9	829	215.5	86	108
TOTAL	77,588	110.9	66,546	104.5	8,796	162.1	593	1,653

*Incidence rates - per 100,000 men, age-adjusted to the 1970 U.S. standard population. Includes invasive prostate cancer cases; does not include in situ prostate cancer cases. Rates were not calculated for men of other or unknown race.

Table 5
Prostate Cancer Age-Specific Incidence
And Incidence Rates By Race, New Jersey
1979-1996*

AGE	RACE
	ALL RACES		WHITE		BLACK
	Number	Rate	Number	Rate	Number	Rate
< 45	130	0.3	95	0.3	196	0.3
45-54	2,131	28.7	1,593	25.2	435	52.6
55-64	13,708	216.4	11,061	197.0	2,206	367.5
65-74	32,048	703.7	27,640	666.6	3,529	1010.0
75-84	23,514	1149.1	20,776	1098.4	2,108	1598.7
85+	6,053	1330.6	5,380	1278.5	499	1653.1
TOTAL	77,588	116.7	66,546	120.0	8,796	99.9

*Incidence rates per 100,000 men. Includes invasive prostate cancer cases; does not include in situ prostate cancer cases. Rates were not calculated for numbers of cases fewer than twenty or for men of unknown age, other race, or unknown race.

Table 6
Prostate Cancer Age-Specific Incidence
And Incidence Rates By Year, New Jersey- 1979-1996*

YEAR	AGE-GROUP
	< 45		45-54		55-64		65-74		75-84		85+
	No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
1979	5	-	72	17.8	450	121.1	992	443.8	816	898.5	238	1137.5
1980	-	-	59	14.9	460	122.9	1,018	445.9	891	961.1	277	1290.5
1981	7	-	67	17.2	428	113.9	981	421.9	937	993.3	288	1319.9
1982	6	-	69	18.0	454	120.8	998	419.4	937	972.2	283	1261.1
1983	-	-	40	10.6	463	123.1	1,055	435.2	1,009	1018.8	293	1286.3
1984	-	-	55	14.6	467	124.3	1,181	481.0	943	929.3	342	1472.4
1985	-	-	59	15.7	526	140.8	1,178	470.3	949	909.5	293	1248.3
1986	6	-	51	13.6	509	137.7	1,170	460.5	1,055	982.6	285	1206.9
1987	5	-	62	16.2	463	127.5	1,324	513.3	1,095	990.2	320	1335.2
1988	7	-	72	18.2	543	152.7	1,421	549.2	1,192	1050.8	314	1291.2
1989	6	-	68	16.9	560	162.1	1,515	581.1	1,177	1010.4	336	1347.4
1990	6	-	92	22.6	687	203.4	1,780	678.2	1,454	1216.0	386	1513.5
1991	7	-	106	25.6	927	279.1	2,620	990.0	1,918	1555.1	442	1679.0
1992	13	-	177	40.5	1,407	430.1	3,506	1317.9	2,347	1840.5	504	1856.4
1993	15	-	221	48.8	1,379	426.6	3,125	1168.5	2,037	1558.5	451	1588.9
1994	11	-	241	51.5	1,295	403.1	2,745	1028.0	1,671	1245.2	366	1236.0
1995	12	-	274	56.9	1,291	405.9	2,777	1034.2	1,569	1126.8	306	964.7
1996	13	-	346	69.8	1,399	440.0	2,662	999.9	1,517	1048.0	329	989.4.
TOTAL	130	0.3	2,131	28.7	3,708	216.4	32,048	703.7	23,514	1149.1	6,053	1330.6

*Incidence rates per 100,000 men. Includes invasive prostate cancer cases; does not include in situ prostate cancer cases. Rates were not calculated for numbers less than 20. Numbers less than 5 are not shown.

Table 7
Prostate Cancer Stage At Diagnosis
By Year, New Jersey- 1979-1996*

YEAR	STAGE AT DIAGNOSIS
	TOTAL	IN SITU		LOCALIZED		REGIONAL		DISTANT		UNKNOWN
	No.	No.	Percent	No.	Percent	No.	Percent	No.	Percent	No.	Percent
1979	2,590	16	0.6	1,438	55.5	40	1.5	112	4.3	984	38.0
1980	2,724	16	0.6	1,438	52.8	77	2.8	150	5.5	1,043	38.3
1981	2,719	10	0.4	1,440	53.0	130	4.8	225	8.3	914	33.6
1982	2,763	17	0.7	1,571	56.9	120	4.3	285	10.3	770	27.8
1983	2,878	15	0.6	1,627	56.5	156	5.4	406	14.1	674	23.3
1984	3,005	14	0.6	1,638	54.5	199	6.6	572	19.0	582	19.2
1985	3,032	22	1.0	1,696	55.9	214	7.1	675	22.3	425	13.8
1986	3,100	24	0.8	1,721	55.5	239	7.7	677	21.8	439	14.1
1987	3,288	19	0.6	1,818	55.3	306	9.3	629	19.1	516	15.6
1988	3,564	15	0.5	1,901	53.3	366	10.3	715	20.1	568	15.9
1989	3,684	22	0.6	1,910	51.8	413	11.2	678	18.4	661	17.9
1990	4,440	36	0.8	2,181	49.1	542	12.2	727	16.4	954	21.5
1991	6,065	44	0.8	3,358	55.4	798	13.2	717	11.8	1,148	18.8
1992	8,001	47	0.6	4,456	55.7	1,003	12.5	640	8.0	1,855	23.1
1993	7,267	39	0.6	4,041	55.6	879	12.1	505	6.9	1,803	24.8
1994	6,377	48	0.8	3,585	56.2	678	10.6	372	5.8	1,694	26.5
1995	6,265	37	0.7	3,815	60.9	641	10.2	336	5.4	1,436	22.8
1996	6,286	19	0.4	4,166	66.3	543	8.6	291	4.6	1,267	20.1
TOTAL	78,048	460	0.7	43,800	56.1	7,344	9.4	8,712	11.2	17,732	22.7

*Includes invasive and in situ prostate cancer cases.

Table 8
Prostate Cancer Stage At Diagnosis,
Whites, New Jersey - 1979-1996*

	TOTAL	IN SITU		LOCALIZED		REGIONAL		DISTANT		UNKNOWN
YEAR	STAGE AT DIAGNOSIS
	No.	No.	Percent	No.	Percent	No.	Percent	No.	Percent	No.	Percent
1979	2,290	15	0.7	1,299	56.7	39	1.7	92	4.0	845	36.9
1980	2374	16	0.7	1,279	53.9	64	2.7	125	5.3	890	37.5
1981	2388	8	0.3	1,282	53.7	116	4.9	193	8.1	789	33.0
1982	2406	15	0.7	1,388	57.7	105	4.4	231	9.6	667	27.6
1983	2553	14	0.6	1,464	57.3	143	5.6	348	13.6	584	22.8
1984	2615	13	0.7	1,443	55.2	171	6.5	479	18.3	509	19.3
1985	2667	21	1.1	1,541	57.8	187	7.0	547	20.5	371	13.6
1986	2733	22	0.8	1,550	56.7	215	7.9	563	20.6	383	14.0
1987	2912	19	0.7	1,646	56.5	268	9.2	530	18.2	449	15.4
1988	3110	13	0.5	1,698	54.6	326	10.5	568	18.3	505	16.1
1989	3220	19	0.6	1,732	53.8	351	10.9	558	17.3	560	17.2
1990	3844	31	0.8	1,946	50.6	475	12.4	598	15.6	794	20.6
1991	5292	40	0.9	3,045	57.5	706	13.3	585	11.1	916	17.4
1992	6875	40	0.6	4,013	58.4	868	12.6	503	7.3	1,451	21.0
1993	6040	32	0.6	3,533	58.5	749	12.4	370	6.1	1,356	22.4
1994	5225	37	0.8	3,080	58.9	563	10.8	287	5.5	1,258	24.0
1995	5143	28	0.7	3,237	62.9	519	10.1	243	4.7	1,116	21.6
1996	5257	12	0.3	3,544	67.4	452	8.6	211	4.0	1,038	19.7
TOTAL	66,944	395	0.7	38,720	57.8	6,317	9.4	7,031	10.5	14,481	21.6

*Includes invasive and in situ prostate cancer cases.

Table 9
Prostate Cancer Stage At Diagnosis,
Blacks, New Jersey - 1979-1996*

YEAR	STAGE AT DIAGNOSIS
	TOTAL	IN SITU		LOCALIZED		REGIONAL		DISTANT		UNKNOWN
	No.	No.	Percent	No.	Percent	No.	Percent	No.	Percent	No.	Percent
1979	289	1	0.3	130	45.0	1	0.3	20	6.9	137	47.4
1980	332	1	0.3	148	44.6	12	3.6	23	6.9	148	44.6
1981	307	2	0.7	145	47.2	12	3.9	31	10.1	117	38.1
1982	331	2	0.6	168	50.8	14	4.2	53	16.0	94	28.4
1983	304	0	0.0	154	50.7	13	4.3	58	19.1	79	26.0
1984	354	0	0.0	178	50.3	28	7.9	90	25.4	59	16.4
1985	344	1	0.3	145	42.2	27	7.8	125	36.3	46	13.4
1986	338	1	0.6	158	46.7	23	6.8	112	33.1	44	12.7
1987	346	0	0.0	160	46.2	38	11.0	95	27.5	53	15.3
1988	421	1	0.2	191	45.4	37	8.8	142	33.7	50	11.9
1989	391	3	0.8	155	39.6	59	15.0	114	29.2	60	15.3
1990	475	4	0.8	205	43.2	62	13.1	121	25.5	83	17.5
1991	561	3	0.5	263	46.9	84	15.1	123	21.9	88	15.7
1992	752	4	0.7	375	49.9	121	16.1	127	16.9	125	16.5
1993	845	4	0.6	451	53.4	120	14.2	128	15.1	143	16.7
1994	754	2	0.4	433	57.4	104	13.8	77	10.2	138	18.2
1995	855	4	0.5	515	60.2	106	12.4	88	10.3	142	16.6
1996	835	6	0.8	561	67.2	83	9.9	72	8.6	113	13.4
TOTAL	8,834	39	0.5	4,535	51.3	944	10.7	1,599	18.1	1,717	19.4

*Includes invasive and in situ prostate cancer cases

Table 10
Prostate Cancer Mortality And
Mortality Rates By Year And Race, New Jersey
1979-1996*

YEAR	RACE
	ALL RACES		WHITE		BLACK
	Number	Rate	Number	Rate	Number	Rate
1979	744	22.7	643	21.3	100	43.6
1980	786	23.7	676	22.1	109	47.5
1981	752	22.3	655	21.0	95	40.9
1982	804	23.5	690	21.8	112	47.6
1983	846	24.2	726	22.7	118	46.1
1984	881	24.9	757	23.2	122	49.5
1985	886	24.4	741	22.2	142	54.7
1986	913	24.5	780	22.8	129	47.2
1987	884	23.5	758	22.0	123	43.9
1988	907	23.9	775	22.2	131	47.2
1989	1,062	27.6	897	25.5	158	55.3
1990	1,129	28.7	954	26.6	171	59.7
1991	1,099	27.5	935	25.6	156	52.9
1992	1,131	27.9	962	26.0	161	52.3
1993	1,201	29.0	999	26.4	192	60.5
1994	1,051	24.8	876	22.6	171	54.5
1995	1,145	26.2	935	23.6	194	57.0
1996	1,130	25.2	934	23.0	193	54.2
TOTAL	17,351	25.4	14,693	23.5	2,577	51.3

*Mortality rates per 100,000 men, age-adjusted to the 1970 U.S. standard population.

Table 11
Prostate Cancer Age-Specific Mortality
And Mortality Rates By Race, New Jersey
1979-1996*

*AGE	RACE
	ALL RACES		WHITE		BLACK
	Number	Rate	Number	Rate	Number	Rate
> 45	24	0.1	20	0.1	3	-
45-54	198	2.7	138	2.2	56	6.8
55-64	1581	25.0	1188	21.2	384	64.0
65-74	5257	115.4	4353	105.0	881	252.2
75-84	6967	340.5	6018	318.2	915	693.9
85+	3324	730.7	2976	707.2	338	1119.8
TOTAL	17,351	26.1	14693	26.5	2577	29.3

Mortality rates per 100,000 men, age-adjusted to the 1970 U.S. standard population. Rates were not calculated for numbers of cases fewer than twenty.

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