Opinion

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The Incidence of Prostate Cancer and Risk of Progression in Black Men

A panelist discusses how Black men have a 67% higher incidence of prostate cancer and more than 2-fold higher risk of mortality compared with members of other races and ethnicities.

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      Epidemiology of Prostate Cancer in Black Men

      Key Themes:

      • Black men experience a 67% higher incidence of prostate cancer compared with all races/ethnicities.
      • There is a more than 2-fold higher risk of mortality for Black men with prostate cancer.
      • Significant racial disparity exists in both disease occurrence and outcomes.

      Key Points for Physicians:

      • Consider heightened vigilance in screening and early detection for Black male patients.
      • Recognize the substantially elevated mortality risk when discussing prognosis and treatment urgency.
      • Implement proactive follow-up protocols given the higher risk profile.

      Notable Insights: The magnitude of disparity (67% higher incidence, >2× mortality) highlights prostate cancer as a particularly significant health equity issue for Black men.

      Clinical Significance: These substantial disparities in incidence and mortality necessitate targeted approaches to screening, treatment, and follow-up care for Black men with prostate cancer.

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