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Florida Bladder Cancer Trends 1981 To 2004: Minimal Progress In Decreasing Advanced Disease

UroToday.com- There has been significant decreases in the incidence of advanced stage breast, prostate, and colon cancer primarily from active cancer screening programs. Despite knowing the greatest risk factor for bladder cancer formation (smoking), there are no accepted screening recommendations for bladder cancer. These authors evaluated demographic changes at the time of presentation and mortality of patients with bladder cancer over an extended period in Florida.

The overall incidence of bladder cancer decreased slightly in the last 25 years from 24.3 to 20.5 cases per 100,000 populations. White and Hispanic males had a 3 and 2-fold higher incidence of bladder than African-American males. Caucasian females had a 2-fold higher incidence of bladder cancer than African-American or Hispanic women. There was a small but insignificant decrease in the incidence of advanced stage bladder cancer over the 25-year period. There was a minimal decrease in bladder cancer mortality rates in African-American and Caucasian but not Hispanic individuals.

The authors conclude that despite knowing the risk factors for bladder cancer formation there has been minimal decrease in the incidence of the disease. More worrisome is that the incidence of advanced stage disease is unchanged despite better radiologic equipment and intravesical therapy. Active programs to improve detection and treatment of non-invasive bladder cancer are recommended. Nieder AM, Mackinnon JA, Huang Y, Fleming LE, Koniaris LG, Lee DJ

J Urol. ePub: December 12, 2007
doi:10.1016/j.juro.2007.09.082

Reported by UroToday.com Contributing Editor David P. Wood

UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice.

To access the latest urology news releases from UroToday, go to: www.urotoday.com

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Florida cancerul vezicii urinare Tendinþe în 1981 la 2004: Minimal Progress in Descrescãtor avansatã Bolilor - Florida Bladder Cancer Trends 1981 To 2004: Minimal Progress In Decreasing Advanced Disease - articole medicale engleza - startsanatate