Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study

Background: The aetiology of urological cancers is poorly understood and variations in incidence by ethnic group may provide insights into the relative importance of genetic and environmental risk factors. Our objective was to compare the incidence of four urological cancers (kidney, bladder, prosta...

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Auteurs principaux: Ali, R, Maruthappu, M, Barnes, I, Sayeed, S
Format: Journal article
Publié: BioMed Central 2015
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author Ali, R
Maruthappu, M
Barnes, I
Sayeed, S
author_facet Ali, R
Maruthappu, M
Barnes, I
Sayeed, S
author_sort Ali, R
collection OXFORD
description Background: The aetiology of urological cancers is poorly understood and variations in incidence by ethnic group may provide insights into the relative importance of genetic and environmental risk factors. Our objective was to compare the incidence of four urological cancers (kidney, bladder, prostate and testicular) among six 'non-White' ethnic groups in England (Indian, Pakistani, Bangladeshi, Black African, Black Caribbean and Chinese) to each other and to Whites. Methods: We obtained Information on ethnicity for all urological cancer registrations from 2001 to 2007 (n = 329,524) by linkage to the Hospital Episodes Statistics database. We calculated incidence rate ratios adjusted for age, sex and income, comparing the six ethnic groups (and combined 'South Asian' and 'Black' groups) to Whites and to each other. Results: There were significant differences in the incidence of all four cancers between the ethnic groups (all p < 0.001). In general, 'non-White' groups had a lower incidence of urological cancers compared to Whites, except prostate cancer, which displayed a higher incidence in Blacks. (IRR 2.55) There was strong evidence of differences in risk between Indians, Pakistanis and Bangladeshis for kidney, bladder and prostate cancer (p < 0.001), and between Black Africans and Black Caribbeans for all four cancers (p < 0.001). Conclusions: The risk of urological cancers in England varies greatly by ethnicity, including within groups that have traditionally been analysed together (South Asians and Blacks). In general, these differences are not readily explained by known risk factors, although the very high incidence of prostate cancer in both black Africans and Caribbeans suggests increased genetic susceptibility. g.
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spelling oxford-uuid:a25f5114-c256-4bbd-89f7-2fb1439d09622022-03-27T02:19:45ZIncidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a25f5114-c256-4bbd-89f7-2fb1439d0962Symplectic Elements at OxfordBioMed Central2015Ali, RMaruthappu, MBarnes, ISayeed, SBackground: The aetiology of urological cancers is poorly understood and variations in incidence by ethnic group may provide insights into the relative importance of genetic and environmental risk factors. Our objective was to compare the incidence of four urological cancers (kidney, bladder, prostate and testicular) among six 'non-White' ethnic groups in England (Indian, Pakistani, Bangladeshi, Black African, Black Caribbean and Chinese) to each other and to Whites. Methods: We obtained Information on ethnicity for all urological cancer registrations from 2001 to 2007 (n = 329,524) by linkage to the Hospital Episodes Statistics database. We calculated incidence rate ratios adjusted for age, sex and income, comparing the six ethnic groups (and combined 'South Asian' and 'Black' groups) to Whites and to each other. Results: There were significant differences in the incidence of all four cancers between the ethnic groups (all p < 0.001). In general, 'non-White' groups had a lower incidence of urological cancers compared to Whites, except prostate cancer, which displayed a higher incidence in Blacks. (IRR 2.55) There was strong evidence of differences in risk between Indians, Pakistanis and Bangladeshis for kidney, bladder and prostate cancer (p < 0.001), and between Black Africans and Black Caribbeans for all four cancers (p < 0.001). Conclusions: The risk of urological cancers in England varies greatly by ethnicity, including within groups that have traditionally been analysed together (South Asians and Blacks). In general, these differences are not readily explained by known risk factors, although the very high incidence of prostate cancer in both black Africans and Caribbeans suggests increased genetic susceptibility. g.
spellingShingle Ali, R
Maruthappu, M
Barnes, I
Sayeed, S
Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title_full Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title_fullStr Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title_full_unstemmed Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title_short Incidence of prostate and urological cancers in England by ethnic group, 2001-2007: a descriptive study
title_sort incidence of prostate and urological cancers in england by ethnic group 2001 2007 a descriptive study
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