Lou Portero

Urban Health Today

Indigenous men with prostate cancer are more likely to be diagnosed with more advanced disease and more aggressive tumors than their non-Indigenous counterparts, according to a study published in CANCER.For this study, Dr. Adam Kinnard and colleagues at the University of Alberta conducted a study to identify disparities in prostate cancer screening, diagnoses, management, and outcomes between Indigenous and non-Indigenous men in Canada.&nbsp;The researchers examined data from over 1.4 million men screened for prostate cancer in 2014&ndash;2022 and enrolled in the Alberta Prostate Cancer Research Initiative.&nbsp;Dr. Kinnard and colleagues found that among the 6,049 men diagnosed with prostate cancer, men in indigenous communities were less likely to have prostate-specific antigen (PSA) tests to detect prostate cancer than men outside of these communities even though they both received care in a universal health care system (32 vs 46 PSA tests per 100 men).Furthermore, the researchers found that at the time of diagnosis, men from indigenous communities were more likely to have higher PSA (PSA &ge; 10 ng/mL) than those from non-indigenous communities (48% vs 30%; p &lt; .01). They were also more likely to have cancer that has spread beyond the prostate (TNM stage &ge; T2) and Gleason grade group &ge; 2 compared to non-Indigenous men.&ldquo;What is critical about this is that these results come from within a publicly funded universal health care system in which all people should have equal access to care. The findings are significant because they identify Indigenous men as a population at risk for more aggressive prostate cancer and potentially worse survival. Key infrastructure changes, including better access to primary care physicians, may help improve prostate cancer screening and identify men at earlier, and curable, stages of the disease.&rdquo; Dr. Kinnard wrote.&nbsp;Source:<a href="https://www.news-medical.net/news/20230710/Indigenous-men-with-prostate-cancer-more-likely-to-have-metastasis-worse-survival.aspx"> Medical News</a>

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