Prostate cancer in maryland
This presentation is the property of its rightful owner.
Sponsored Links
1 / 24

Prostate Cancer in Maryland PowerPoint PPT Presentation


  • 84 Views
  • Uploaded on
  • Presentation posted in: General

Prostate Cancer in Maryland. Preliminary Report of the Prostate Cancer Committee. Prostate Cancer Committee Members. Donna Cox, co-chair, Johns Hopkins Katherine Farrell, MD, co-chair, Anne Arundel County Health Department Members THANK YOU!.

Download Presentation

Prostate Cancer in Maryland

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Prostate cancer in maryland

Prostate Cancer in Maryland

Preliminary Report of the Prostate Cancer Committee


Prostate cancer committee members

Prostate Cancer Committee Members

  • Donna Cox, co-chair, Johns Hopkins

  • Katherine Farrell, MD, co-chair, Anne Arundel County Health Department

  • Members

  • THANK YOU!


Prostate cancer incidence

Prostate Cancer - Incidence

  • Most common cancer among men (excluding skin cancer).

  • 3,869 new prostate cancer cases diagnosed in MD in 1999.

  • MD’s incidence rate is significantly higher than U.S. incidence rate.


Prostate cancer incidence1

Prostate Cancer - Incidence


Prostate cancer incidence2

Prostate Cancer - Incidence


Prostate cancer mortality

Prostate Cancer - Mortality

  • 574 men died of prostate cancer in MD in 1999.

  • Prostate cancer is the 2nd leading cause of cancer death in MD and US.

  • MD’s prostate cancer death rate is significantly higher than US.

  • MD has 10th highest prostate cancer mortality rate among states and D.C.


Prostate cancer mortality1

Prostate Cancer - Mortality


Prostate cancer mortality2

Prostate Cancer - Mortality


Prostate cancer stage at diagnosis

Prostate Cancer – Stage at Diagnosis

  • Most (83%) men are diagnosed at early stages (local or regional).

  • (Source: SEER, 1992 - 1997.)


Prostate cancer primary prevention

Prostate Cancer - Primary Prevention

  • A diet high in fat may increase the risk of prostate cancer. (PDQ, 6/2002)

  • Vitamin E and selenium may reduce the risk of prostate cancer, but studies have been inconsistent. (PDQ, 6/2002)

  • Other agents (lycopene, Vitamin B, etc.) are being studied. (PDQ, 6/2002)

  • Conclusion: More research is needed.


Prostate cancer screening methods

Prostate Cancer Screening Methods

  • Prostate specific antigen (PSA) - blood test

  • Digital rectal exam (DRE)


Prostate cancer screening

Prostate Cancer - Screening

  • 75% of men in Maryland have “ever” had a PSA test.

  • 58% of men in Maryland report having a PSA test in the past year.

  • (Source: MD BRFSS, 1999.)


Prostate cancer screening1

Prostate Cancer Screening

  • What we know

    • PSA increases detection of prostate cancer.

    • PSA increases detection of prostate cancer at earlier stages.

  • What we don’t know

    • Whether screening decreases mortality.

    • How to distinguish slow-growing, non-clinically significant tumors from clinically significant tumors.


Prostate cancer treatment options for early stage disease

Prostate Cancer - Treatment Options for Early Stage Disease

  • Surgery (surgical removal of prostate gland)

  • Definitive radiotherapy

  • “Watchful waiting”


Prostate cancer treatment issues

Prostate Cancer Treatment - Issues

  • Lack of consensus regarding optimal treatment for localized disease.

  • Significant complications from treatment

    • Complications from surgery:

      • Impotence (60-90%)

      • Urinary Incontinence (50 - 60%)


Informed decision making

Informed Decision Making

  • Because of the lack of certainty of the benefits of screening and the complications of treatment, INFORMED DECISION MAKING is recommended for patients: - before screening for prostate cancer and - after a diagnosis of prostate cancer.


Recommendations primary prevention

Recommendations - Primary Prevention

  • Increase public awareness of prostate cancer as a disease.

  • Promote a healthy, active lifestyle as a general guide to good health.

  • Interpret and translate research findings regarding primary prevention to the public.


Recommendations secondary prevention early detection

Recommendations - Secondary Prevention (Early Detection)

  • Promote informed decision making prior to screening with PSA and DRE.

  • Convey benefits and risks of screening to health professionals, community leaders, the general public and men to be screened.

  • Encourage documentation of informed consent prior to prostate cancer screening.


Recommendations secondary prevention continued

Recommendations - Secondary Prevention (continued)

  • Educate African American men and men with a family history of prostate cancer in a first degree relative about prostate cancer and what can be done about it.

  • Increase awareness among health professionals of the Prostate Cancer Minimal Elements for Information, Screening, Diagnosis and Treatment developed by the Prostate Cancer Medical Advisory Committee of DHMH.


Recommendations secondary prevention continued1

Recommendations - Secondary Prevention (continued)

  • Promote the use of the Minimal Elements document for all prostate cancer screenings which take place outside of a physician’s office.


Recommendations tertiary prevention

Recommendations - Tertiary Prevention

  • Educate men about prostate cancer treatment options, including watchful waiting.

  • Educate men that they may seek a second opinion from various specialists after diagnosis regarding different treatment options.

  • Educate men about their right to ask questions regarding the expertise of the provider in treating prostate cancer (e.g. number of procedures performed, complication rate, etc.).


Recommendations tertiary prevention continued

Recommendations - Tertiary Prevention (continued)

  • Disseminate information about support groups and other supportive resources for men diagnosed with prostate cancer and their significant others.

  • Encourage support for prostate cancer patients throughout treatment.

  • Advocate for funding for treatment for uninsured men diagnosed with prostate cancer.


Recommendations research

Recommendations - Research

  • Educate men about participation in clinical trials and observational research in all areas of prostate cancer.

  • Increase prostate cancer research in all areas (primary, secondary, tertiary prevention)


Recommendations research continued

Recommendations - Research (continued)

  • Encourage research into all aspects of prostate cancer. For example:

    • Risk factors for primary prevention.

    • Whether screening reduces mortality.

    • Which tumors need treatment vs. those that are not clinically significant.

    • Biochemical failures after apparent cure.

    • How culture affects screening and treatment decisions.


  • Login