Trends in Prostate Cancer Prevalence and Radical Prostatectomy Rate according to Age Structural Changes in South Korea between 2005 and 2015
Yonsei Medical Journal 2019³â 60±Ç 3È£ p.257 ~ p.266
ÀÌÇö¿µ(Lee Hyun-Young) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Urology
¹Ú¼ö¿¬(Park Su-Yeon) - Soonchunhyang University Seoul Hospital Department of Biostatistics
µÎ½Âȯ(Doo Seung-Whan) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Urology
¾ç¿øÀç(Yang Won-Jae) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Urology
¼ÛÀ±¼·(Song Yun-Seob) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Urology
±èÀçÇå(Kim Jae-Heon) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Urology
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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Prostate cancer, prostatectomy, prevalence
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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.