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

2. 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

3. 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

4. Prostate cancer in Oxfordshire
In 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

5. Prostate cancer in Oxfordshire
In 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

6. 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

7. 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

8. Prostate cancer in England
In 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

9. Prostate cancer in England
In 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

10. 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

11. 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

12. 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

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

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

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

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

17. 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

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

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

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

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