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      Trends in Prostate Cancer Prevalence and Radical Prostatectomy Rate according to Age Structural Changes in South Korea between 2005 and 2015

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          Abstract

          Purpose

          Radical prostatectomy (RP) is one of main treatments for prostate cancer (Pca). The prevalence of Pca has been decreasing in recent reports. However, no study has reported trends in Pca prevalence or RP rate according to age structural changes. The objective of this study was to investigate trends in Pca prevalence and frequency of RP according to age structural change.

          Materials and Methods

          We evaluated trends in Pca prevalence and RP rate using National Health Insurance Data from 2005 to 2015. Relationships for Pca prevalence and RP rate with age structural change were also determined. Primary outcomes included trends in Pca prevalence and RP rates according to age groups, comparing those before and after 2011.

          Results

          Pca prevalence tended to increase before 2011 and decreased after 2011 in persons in the 60-years age group. RP rate increased pattern before 2011 and decreased after 2011 in age groups of 50s, 60s, and over 70s. Pca prevalence and age structural change showed a significantly positive relationship in all age groups, except for the age group under 40 years. RP rate and age structural change also showed a significantly positive relationship in all age groups.

          Conclusion

          Age structural change can affect the decreasing trend in Pca prevalence and RP rate in South Korea. Future studies are needed to validate this result.

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          Most cited references25

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          Follow-up of Prostatectomy versus Observation for Early Prostate Cancer

          We previously found no significant differences in mortality between men who underwent surgery for localized prostate cancer and those who were treated with observation only. Uncertainty persists regarding nonfatal health outcomes and long-term mortality.
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            Association Between Radiation Therapy, Surgery, or Observation for Localized Prostate Cancer and Patient-Reported Outcomes After 3 Years

            Understanding the adverse effects of contemporary approaches to localized prostate cancer treatment could inform shared decision making.
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              Epidemiology, etiology, diagnosis and treatment of prostate cancer.

              Prostate cancer is more common in men over the age of 65 years. There are 15% cases with positive family history of prostate cancer Worldwide. Prostate cancer is the second leading cause of death among the U.S. men. Prostate cancer incidence is strongly related to age with the highest rates in older man. Globally millions of people are suffering from this disease. This study aims to provide awareness about prostate cancer as well as an updated knowledge about the epidemiology, etiology, diagnosis and treatment of prostate cancer.
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                Author and article information

                Journal
                Yonsei Med J
                Yonsei Med. J
                YMJ
                Yonsei Medical Journal
                Yonsei University College of Medicine
                0513-5796
                1976-2437
                01 March 2019
                18 February 2019
                : 60
                : 3
                : 257-266
                Affiliations
                [1 ]Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University Medical College, Seoul, Korea.
                [2 ]Department of Biostatistics, Soonchunhyang University Seoul Hospital, Seoul, Korea.
                Author notes
                Corresponding author: Jae Heon Kim, MD, PhD, Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea. Tel: 82-2-709-9375, Fax: 82-2-795-3687, piacekjh@ 123456schmc.ac.kr
                Author information
                https://orcid.org/0000-0002-6706-3554
                https://orcid.org/0000-0002-6391-557X
                https://orcid.org/0000-0002-5924-6908
                https://orcid.org/0000-0002-7356-4312
                https://orcid.org/0000-0002-0909-3341
                https://orcid.org/0000-0002-4490-3610
                Article
                10.3349/ymj.2019.60.3.257
                6391527
                30799588
                201d4ad4-dca5-4e5c-b6a7-813e5fc90121
                © Copyright: Yonsei University College of Medicine 2019

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 November 2018
                : 22 January 2019
                : 24 January 2019
                Funding
                Funded by: Soonchunhyang University, CrossRef https://doi.org/10.13039/501100002560;
                Categories
                Original Article
                Oncology

                Medicine
                prostate cancer,prostatectomy,prevalence
                Medicine
                prostate cancer, prostatectomy, prevalence

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