Prostate cancer and ethnicity Luke Hounsome Public Health England ‘Hear me now’ workshop - Oxford

Summary What is the picture on prostate cancer in Oxford? How does this compare to the whole of England? Does your ethnicity affect your risk and outcomes? Prostate cancer and ethnicity – ‘Hear me now’ workshops

Where do the data come from? All newly diagnosed cases of cancer are registered by a regional office of the national Cancer Registration Service. Deaths from cancer from the Office for National Statistics Ethnicity from hospital records – will discuss this later… Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in Oxfordshire In 2008-10 combined there were 1,341 new cases of prostate cancer – 447 per year on average. Black Asian White Other Mixed Not known Number 5 2 800 3 529 Percentage of total 0.4% 0.1% 60% 0.2% 39% Percentage of recorded 0.6% 99% - Percentage of population 2% 4% 90% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in Oxfordshire In 2008-10 combined there were 330 deaths from prostate cancer – 110 per year on average. Black Asian White Other Mixed Not known Number 2 312 1 6 Percentage of total 0.6% 97% 0.3% 2% Percentage of recorded 99% - Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in Oxfordshire Prostate cancer accounts for 27% of new cases of cancer in men in Oxfordshire. Why the large percentage for unknown? Surgical intervention for prostate cancer relatively low, about 16%, which is the main source of ethnicity data. Black Asian White Other Mixed Not known Percentage of all cancer 20% 10% 8% 18% 58% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in Oxfordshire Prostate cancer accounts for 15% of cancer deaths and 6% of all deaths in men in Oxfordshire. In deaths for those aged under 75 (premature mortality) the percentages are 10% and 5% respectively. Black Asian White Other Mixed Not known Percentage of all cancer deaths 29% - 14% 11% 13% Percentage of all deaths 9% 6% 5% 3% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England In 2008-10 combined there were 102,252 new cases of prostate cancer – 34,084 per year on average. Black Asian White Other Mixed Not known Number 2,402 1,097 71,620 533 246 26,354 Percentage of total 2% 1% 70% 0.2% 26% Percentage of recorded 3% 94% 0.3% - Percentage of population 6% 87% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England In 2008-10 combined there were 24,363 deaths from prostate cancer – 8,121 per year on average. Black Asian White Other Mixed Not known Number 584 227 22,238 138 60 1,116 Percentage of total 2% 1% 91% 0.2% 5% Percentage of recorded 3% 96% 0.3% - Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England Prostate cancer accounts for 26% of new cases of cancer in men in England. Note the large difference between Oxfordshire and England. England data much more reliable due to more cases. Black Asian White Other Mixed Not known Percentage of all cancer 42% 18% 23% 17% 25% 41% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England Prostate cancer accounts for 12% of cancer deaths and 4% of all deaths in men in England. In deaths for those aged under 75 (premature mortality) the percentages are 7% and 3% respectively. Black Asian White Other Mixed Not known Percentage of all cancer deaths 22% 8% 12% 13% 14% Percentage of all deaths 2% 4% 3% Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England - stage Stage data is only available for 26% of newly diagnosed prostate cancers. The following is expressed as percentage of cases where the stage is known. Black Asian White Other Mixed Not known Localised 53% (243) 47% (92) 52% (10,075) 40% (36) 46% (21) 61% (3,800) Locally advanced 17% (79) 24% (46) 15% (2,961) 20% (18) 11% (5) 17% (1,066) Advanced 30% (140) 29% (56) 32% (6,182) 39% (445) 43% (20) 22% (1,384) Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer incidence in England – by age Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer incidence in England – adjusted Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer mortality in England – by age Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer mortality in England – adjusted Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer in England What do all these numbers mean? The risk of getting prostate cancer is over double (RR 2.3) for black men, but nearly half (RR 0.54) for asian men, compared to white men. The risk of dying from prostate cancer is about double (RR 2.06) for black men, and under half (RR 0.46) for asian men, compared to white men. What about the individual? The lifetime risk of getting prostate cancer is 27% for a black man, 7% for an asian man, and 12% for a white man. The lifetime risk of dying from prostate cancer is 8% for a black man, 2% for an asian man, and 4% for a white man. Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer survival in England – all stages Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer survival in England – localised Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer survival in England – locally advanced Prostate cancer and ethnicity – ‘Hear me now’ workshops

Prostate cancer survival in England – advanced Prostate cancer and ethnicity – ‘Hear me now’ workshops