21
SEER Cancer Statistics Review 1975-2017 National Cancer Institute Joinpoint Regression Program Version 4.8, April 2020, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/). The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130). a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta). b Trends are from the SEER 21 areas (SEER 9 areas, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, Georgia excluding ATL/RG, Idaho, New York and Massachusetts). c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention. d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint. e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. g Data for American Indian/Alaska Native are based on the Purchased/Referred Care Delivery Area (PRCDA) counties. * The APC/AAPC is significantly different from zero (p<.05). - Joinpoint regression line analysis could not be performed on data series. JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPC d Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17 SEER 9 Delay-Adjusted Incidence a , 1975-2017 All Races 1975-88 2.6* 1988-92 16.1* 1992-95 -9.5 1995-08 -0.2 2008-14 -7.9* 2014-17 4.4 -4.0* 1.2 White 1975-88 2.8* 1988-92 16.0* 1992-95 -10.6 1995-07 0.1 2007-14 -7.0* 2014-17 3.2 -3.7* 0.5 Black 1975-89 2.0* 1989-92 22.0* 1992-95 -4.6 1995-09 -1.1* 2009-14 -7.9* 2014-17 4.3* -3.2* 1.1 SEER 21 Delay-Adjusted Incidence b , 2000-2017 All Races 2000-10 -1.7* 2010-14 -8.8* 2014-17 4.3 -3.0 0.9 White 2000-10 -1.9* 2010-14 -9.1* 2014-17 4.2 -3.2 0.7 White NH ef 2000-10 -1.8* 2010-14 -9.0* 2014-17 5.0 -2.9 1.3 Black 2000-11 -1.9* 2011-14 -9.0 2014-17 3.2 -2.7 0.0 Black NH ef 2000-11 -1.8* 2011-14 -9.0 2014-17 3.5 -2.6 0.2 API e 2000-11 -2.9* 2011-14 -10.8 2014-17 5.4 -3.0 1.1 AI/AN eg 2000-03 6.8 2003-17 -3.8* -3.8* -3.8* Hispanic f 2000-10 -2.0* 2010-14 -8.7* 2014-17 0.3 -4.3* -2.1 U.S. Cancer Mortality c , 1975-2017 All Races 1975-87 0.9* 1987-91 3.0* 1991-94 -0.5 1994-98 -4.2* 1998-13 -3.5* 2013-17 -0.3 -2.1* -0.3 White 1975-87 0.8* 1987-91 3.1* 1991-94 -0.7 1994-99 -4.3* 1999-13 -3.3* 2013-17 0.0 -1.9* 0.0 Black 1975-88 1.9* 1988-93 3.2* 1993-00 -2.5* 2000-10 -3.7* 2010-13 -6.2* 2013-17 -1.4 -3.5* -1.4 U.S. Cancer Mortality c , 2000-2017 All Races 2000-13 -3.5* 2013-17 -0.3 -2.1* -0.3 White 2000-13 -3.3* 2013-17 0.0 -1.9* 0.0 White NH ef 2000-13 -3.3* 2013-17 0.1 -1.8* 0.1 Black 2000-14 -4.2* 2014-17 -1.7 -3.3* -2.3 Black NH ef 2000-17 -3.8* -3.8* -3.8* API e 2000-17 -2.3* -2.3* -2.3* AI/AN eg 2000-17 -1.7* -1.7* -1.7* Hispanic f 2000-14 -3.0* 2014-17 -0.1 -2.0* -0.8 Table 23.1 Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program, 1975-2017 With up to Five Joinpoints, 2000-2017 With up to Three Joinpoints, All Ages by Race/Ethnicity

SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

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Page 1: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 26 1988-92 161 1992-95 -95 1995-08 -02 2008-14 -79 2014-17 44 -40 12

White 1975-88 28 1988-92 160 1992-95 -106 1995-07 01 2007-14 -70 2014-17 32 -37 05

Black 1975-89 20 1989-92 220 1992-95 -46 1995-09 -11 2009-14 -79 2014-17 43 -32 11

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -17 2010-14 -88 2014-17 43 -30 09

White 2000-10 -19 2010-14 -91 2014-17 42 -32 07

White NHef 2000-10 -18 2010-14 -90 2014-17 50 -29 13

Black 2000-11 -19 2011-14 -90 2014-17 32 -27 00

Black NHef 2000-11 -18 2011-14 -90 2014-17 35 -26 02

APIe 2000-11 -29 2011-14 -108 2014-17 54 -30 11

AIANeg 2000-03 68 2003-17 -38 -38 -38

Hispanicf 2000-10 -20 2010-14 -87 2014-17 03 -43 -21

US Cancer Mortalityc 1975-2017

All Races 1975-87 09 1987-91 30 1991-94 -05 1994-98 -42 1998-13 -35 2013-17 -03 -21 -03

White 1975-87 08 1987-91 31 1991-94 -07 1994-99 -43 1999-13 -33 2013-17 00 -19 00

Black 1975-88 19 1988-93 32 1993-00 -25 2000-10 -37 2010-13 -62 2013-17 -14 -35 -14

US Cancer Mortalityc 2000-2017

All Races 2000-13 -35 2013-17 -03 -21 -03

White 2000-13 -33 2013-17 00 -19 00

White NHef 2000-13 -33 2013-17 01 -18 01

Black 2000-14 -42 2014-17 -17 -33 -23

Black NHef 2000-17 -38 -38 -38

APIe 2000-17 -23 -23 -23

AIANeg 2000-17 -17 -17 -17

Hispanicf 2000-14 -30 2014-17 -01 -20 -08

Table 231

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

All Ages by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 31 1988-92 234 1992-01 33 2001-09 02 2009-14 -82 2014-17 30 -37 01

White 1975-88 35 1988-92 230 1992-01 31 2001-09 01 2009-14 -86 2014-17 21 -42 -07

Black 1975-89 20 1989-93 264 1993-01 27 2001-10 -05 2010-14 -75 2014-17 44 -21 13

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -01 2010-14 -87 2014-17 30 -31 -01

White 2000-09 02 2009-14 -80 2014-17 19 -39 -07

White NHef 2000-09 03 2009-14 -79 2014-17 27 -36 00

Black 2000-11 -03 2011-14 -81 2014-17 25 -21 -03

Black NHef 2000-11 -03 2011-14 -81 2014-17 27 -20 -01

APIe 2000-11 00 2011-14 -101 2014-17 37 -23 00

AIANeg 2000-17 -29 -29 -29

Hispanicf 2000-09 -03 2009-17 -47 -42 -47

US Cancer Mortalityc 1975-2017

All Races 1975-87 05 1987-90 31 1990-96 -32 1996-00 -58 2000-12 -14 2012-17 -01 -07 -01

White 1975-87 07 1987-90 35 1990-02 -43 2002-17 -08 -08 -08

Black 1975-92 05 1992-12 -29 2012-17 00 -13 00

US Cancer Mortalityc 2000-2017

All Races 2000-17 -11 -11 -11

White 2000-17 -10 -10 -10

White NHef 2000-17 -10 -10 -10

Black 2000-17 -20 -20 -20

Black NHef 2000-17 -19 -19 -19

APIe 2000-17 02 02 02

AIANeg 2000-17 -01 -01 -01

Hispanicf 2000-17 -09 -09 -09

Table 232

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Ages lt65 by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 25 1988-92 149 1992-95 -133 1995-07 -08 2007-14 -73 2014-17 47 -34 16

White 1975-87 23 1987-92 126 1992-95 -135 1995-07 -07 2007-14 -73 2014-17 47 -35 15

Black 1975-89 20 1989-92 203 1992-95 -90 1995-09 -21 2009-14 -87 2014-17 45 -37 11

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -25 2010-14 -89 2014-17 50 -30 14

White 2000-10 -26 2010-14 -89 2014-17 49 -31 13

White NHef 2000-10 -26 2010-14 -88 2014-17 56 -28 18

Black 2000-11 -28 2011-14 -96 2014-17 38 -30 03

Black NHef 2000-11 -27 2011-14 -97 2014-17 40 -30 04

APIe 2000-11 -37 2011-14 -112 2014-17 61 -32 15

AIANeg 2000-17 -30 -30 -30

Hispanicf 2000-10 -26 2010-14 -93 2014-17 06 -46 -20

US Cancer Mortalityc 1975-2017

All Races 1975-87 09 1987-90 33 1990-93 13 1993-13 -36 2013-17 -03 -22 -03

White 1975-87 08 1987-91 32 1991-94 -05 1994-98 -44 1998-13 -35 2013-17 00 -19 00

Black 1975-88 21 1988-93 35 1993-01 -26 2001-10 -39 2010-13 -64 2013-17 -15 -37 -15

US Cancer Mortalityc 2000-2017

All Races 2000-13 -36 2013-17 -04 -22 -04

White 2000-13 -35 2013-17 00 -19 00

White NHef 2000-13 -35 2013-17 01 -19 01

Black 2000-17 -41 -41 -41

Black NHef 2000-17 -40 -40 -40

APIe 2000-17 -25 -25 -25

AIANeg 2000-17 -18 -18 -18

Hispanicf 2000-14 -31 2014-17 00 -21 -08

Table 233

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Ages 65+ by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15602 6274 80084 15238 6052 78734 24880 11192 1194942010 14877 5931 76718 14588 5700 76026 23578 10770 1121172011 14284 5783 73052 13929 5545 71879 22576 10667 1048922012 11695 4708 59993 11233 4395 58500 19609 9405 901432013 11186 4492 57456 10844 4253 56402 18984 8885 887882014 10281 4186 52414 10034 3969 51962 16516 7933 758412015 10914 4296 56658 10638 4001 56522 17515 8720 783062016 11202 4366 58457 10780 4040 57370 18553 8716 865552017 11900 4589 62440 11435 4206 61401 19249 9286 88121

Table 234Cancer of the Prostate (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-2017 14447 4396 83926 14141 4163 83111 22755 8386 1220781975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15582 6268 79962 15197 6037 78514 24779 11148 1190012010 14840 5921 76493 14511 5672 75607 23383 10684 1111682011 14231 5768 72732 13819 5505 71284 22305 10541 1036242012 11637 4692 59642 11116 4354 57858 19287 9257 886192013 11115 4473 57032 10702 4203 55627 18587 8707 868832014 10202 4164 51942 9875 3912 51096 16119 7747 739912015 10788 4261 55903 10403 3920 55213 16992 8470 759042016 11001 4308 57269 10446 3926 55511 17839 8391 831462017 11524 4471 60276 10869 4018 58226 18092 8751 82657

Table 235Cancer of the Prostate (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 2: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 31 1988-92 234 1992-01 33 2001-09 02 2009-14 -82 2014-17 30 -37 01

White 1975-88 35 1988-92 230 1992-01 31 2001-09 01 2009-14 -86 2014-17 21 -42 -07

Black 1975-89 20 1989-93 264 1993-01 27 2001-10 -05 2010-14 -75 2014-17 44 -21 13

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -01 2010-14 -87 2014-17 30 -31 -01

White 2000-09 02 2009-14 -80 2014-17 19 -39 -07

White NHef 2000-09 03 2009-14 -79 2014-17 27 -36 00

Black 2000-11 -03 2011-14 -81 2014-17 25 -21 -03

Black NHef 2000-11 -03 2011-14 -81 2014-17 27 -20 -01

APIe 2000-11 00 2011-14 -101 2014-17 37 -23 00

AIANeg 2000-17 -29 -29 -29

Hispanicf 2000-09 -03 2009-17 -47 -42 -47

US Cancer Mortalityc 1975-2017

All Races 1975-87 05 1987-90 31 1990-96 -32 1996-00 -58 2000-12 -14 2012-17 -01 -07 -01

White 1975-87 07 1987-90 35 1990-02 -43 2002-17 -08 -08 -08

Black 1975-92 05 1992-12 -29 2012-17 00 -13 00

US Cancer Mortalityc 2000-2017

All Races 2000-17 -11 -11 -11

White 2000-17 -10 -10 -10

White NHef 2000-17 -10 -10 -10

Black 2000-17 -20 -20 -20

Black NHef 2000-17 -19 -19 -19

APIe 2000-17 02 02 02

AIANeg 2000-17 -01 -01 -01

Hispanicf 2000-17 -09 -09 -09

Table 232

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Ages lt65 by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 25 1988-92 149 1992-95 -133 1995-07 -08 2007-14 -73 2014-17 47 -34 16

White 1975-87 23 1987-92 126 1992-95 -135 1995-07 -07 2007-14 -73 2014-17 47 -35 15

Black 1975-89 20 1989-92 203 1992-95 -90 1995-09 -21 2009-14 -87 2014-17 45 -37 11

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -25 2010-14 -89 2014-17 50 -30 14

White 2000-10 -26 2010-14 -89 2014-17 49 -31 13

White NHef 2000-10 -26 2010-14 -88 2014-17 56 -28 18

Black 2000-11 -28 2011-14 -96 2014-17 38 -30 03

Black NHef 2000-11 -27 2011-14 -97 2014-17 40 -30 04

APIe 2000-11 -37 2011-14 -112 2014-17 61 -32 15

AIANeg 2000-17 -30 -30 -30

Hispanicf 2000-10 -26 2010-14 -93 2014-17 06 -46 -20

US Cancer Mortalityc 1975-2017

All Races 1975-87 09 1987-90 33 1990-93 13 1993-13 -36 2013-17 -03 -22 -03

White 1975-87 08 1987-91 32 1991-94 -05 1994-98 -44 1998-13 -35 2013-17 00 -19 00

Black 1975-88 21 1988-93 35 1993-01 -26 2001-10 -39 2010-13 -64 2013-17 -15 -37 -15

US Cancer Mortalityc 2000-2017

All Races 2000-13 -36 2013-17 -04 -22 -04

White 2000-13 -35 2013-17 00 -19 00

White NHef 2000-13 -35 2013-17 01 -19 01

Black 2000-17 -41 -41 -41

Black NHef 2000-17 -40 -40 -40

APIe 2000-17 -25 -25 -25

AIANeg 2000-17 -18 -18 -18

Hispanicf 2000-14 -31 2014-17 00 -21 -08

Table 233

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Ages 65+ by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15602 6274 80084 15238 6052 78734 24880 11192 1194942010 14877 5931 76718 14588 5700 76026 23578 10770 1121172011 14284 5783 73052 13929 5545 71879 22576 10667 1048922012 11695 4708 59993 11233 4395 58500 19609 9405 901432013 11186 4492 57456 10844 4253 56402 18984 8885 887882014 10281 4186 52414 10034 3969 51962 16516 7933 758412015 10914 4296 56658 10638 4001 56522 17515 8720 783062016 11202 4366 58457 10780 4040 57370 18553 8716 865552017 11900 4589 62440 11435 4206 61401 19249 9286 88121

Table 234Cancer of the Prostate (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-2017 14447 4396 83926 14141 4163 83111 22755 8386 1220781975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15582 6268 79962 15197 6037 78514 24779 11148 1190012010 14840 5921 76493 14511 5672 75607 23383 10684 1111682011 14231 5768 72732 13819 5505 71284 22305 10541 1036242012 11637 4692 59642 11116 4354 57858 19287 9257 886192013 11115 4473 57032 10702 4203 55627 18587 8707 868832014 10202 4164 51942 9875 3912 51096 16119 7747 739912015 10788 4261 55903 10403 3920 55213 16992 8470 759042016 11001 4308 57269 10446 3926 55511 17839 8391 831462017 11524 4471 60276 10869 4018 58226 18092 8751 82657

Table 235Cancer of the Prostate (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 3: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-88 25 1988-92 149 1992-95 -133 1995-07 -08 2007-14 -73 2014-17 47 -34 16

White 1975-87 23 1987-92 126 1992-95 -135 1995-07 -07 2007-14 -73 2014-17 47 -35 15

Black 1975-89 20 1989-92 203 1992-95 -90 1995-09 -21 2009-14 -87 2014-17 45 -37 11

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-10 -25 2010-14 -89 2014-17 50 -30 14

White 2000-10 -26 2010-14 -89 2014-17 49 -31 13

White NHef 2000-10 -26 2010-14 -88 2014-17 56 -28 18

Black 2000-11 -28 2011-14 -96 2014-17 38 -30 03

Black NHef 2000-11 -27 2011-14 -97 2014-17 40 -30 04

APIe 2000-11 -37 2011-14 -112 2014-17 61 -32 15

AIANeg 2000-17 -30 -30 -30

Hispanicf 2000-10 -26 2010-14 -93 2014-17 06 -46 -20

US Cancer Mortalityc 1975-2017

All Races 1975-87 09 1987-90 33 1990-93 13 1993-13 -36 2013-17 -03 -22 -03

White 1975-87 08 1987-91 32 1991-94 -05 1994-98 -44 1998-13 -35 2013-17 00 -19 00

Black 1975-88 21 1988-93 35 1993-01 -26 2001-10 -39 2010-13 -64 2013-17 -15 -37 -15

US Cancer Mortalityc 2000-2017

All Races 2000-13 -36 2013-17 -04 -22 -04

White 2000-13 -35 2013-17 00 -19 00

White NHef 2000-13 -35 2013-17 01 -19 01

Black 2000-17 -41 -41 -41

Black NHef 2000-17 -40 -40 -40

APIe 2000-17 -25 -25 -25

AIANeg 2000-17 -18 -18 -18

Hispanicf 2000-14 -31 2014-17 00 -21 -08

Table 233

Cancer of the Prostate (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Ages 65+ by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15602 6274 80084 15238 6052 78734 24880 11192 1194942010 14877 5931 76718 14588 5700 76026 23578 10770 1121172011 14284 5783 73052 13929 5545 71879 22576 10667 1048922012 11695 4708 59993 11233 4395 58500 19609 9405 901432013 11186 4492 57456 10844 4253 56402 18984 8885 887882014 10281 4186 52414 10034 3969 51962 16516 7933 758412015 10914 4296 56658 10638 4001 56522 17515 8720 783062016 11202 4366 58457 10780 4040 57370 18553 8716 865552017 11900 4589 62440 11435 4206 61401 19249 9286 88121

Table 234Cancer of the Prostate (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-2017 14447 4396 83926 14141 4163 83111 22755 8386 1220781975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15582 6268 79962 15197 6037 78514 24779 11148 1190012010 14840 5921 76493 14511 5672 75607 23383 10684 1111682011 14231 5768 72732 13819 5505 71284 22305 10541 1036242012 11637 4692 59642 11116 4354 57858 19287 9257 886192013 11115 4473 57032 10702 4203 55627 18587 8707 868832014 10202 4164 51942 9875 3912 51096 16119 7747 739912015 10788 4261 55903 10403 3920 55213 16992 8470 759042016 11001 4308 57269 10446 3926 55511 17839 8391 831462017 11524 4471 60276 10869 4018 58226 18092 8751 82657

Table 235Cancer of the Prostate (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 4: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15602 6274 80084 15238 6052 78734 24880 11192 1194942010 14877 5931 76718 14588 5700 76026 23578 10770 1121172011 14284 5783 73052 13929 5545 71879 22576 10667 1048922012 11695 4708 59993 11233 4395 58500 19609 9405 901432013 11186 4492 57456 10844 4253 56402 18984 8885 887882014 10281 4186 52414 10034 3969 51962 16516 7933 758412015 10914 4296 56658 10638 4001 56522 17515 8720 783062016 11202 4366 58457 10780 4040 57370 18553 8716 865552017 11900 4589 62440 11435 4206 61401 19249 9286 88121

Table 234Cancer of the Prostate (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-2017 14447 4396 83926 14141 4163 83111 22755 8386 1220781975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15582 6268 79962 15197 6037 78514 24779 11148 1190012010 14840 5921 76493 14511 5672 75607 23383 10684 1111682011 14231 5768 72732 13819 5505 71284 22305 10541 1036242012 11637 4692 59642 11116 4354 57858 19287 9257 886192013 11115 4473 57032 10702 4203 55627 18587 8707 868832014 10202 4164 51942 9875 3912 51096 16119 7747 739912015 10788 4261 55903 10403 3920 55213 16992 8470 759042016 11001 4308 57269 10446 3926 55511 17839 8391 831462017 11524 4471 60276 10869 4018 58226 18092 8751 82657

Table 235Cancer of the Prostate (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 5: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Diagnosis1975-2017 14447 4396 83926 14141 4163 83111 22755 8386 1220781975-1979 9914 1471 68270 9769 1416 67505 15071 2773 1000841980 10605 1552 73177 10500 1469 72923 16114 3379 1041421981 10888 1684 74511 10787 1596 74320 16201 3472 1041861982 10825 1636 74341 10733 1581 73999 16775 3146 1109831983 11165 1718 76462 11085 1664 76209 17107 3402 1118411984 11170 1727 76440 11011 1622 75914 17874 3705 1158141985 11552 1795 79000 11465 1769 78482 17041 3159 1129991986 11910 1855 81414 11905 1830 81547 16859 3408 1098341987 13378 2153 90965 13464 2115 91913 18942 3606 1249491988 13765 2219 93577 13875 2227 94393 19020 3488 1263801989 14543 2421 98330 14623 2411 99033 19183 3741 1259251990 17114 2891 115425 17293 2899 116793 22253 4483 1450911991 21489 3894 143105 21661 3945 144116 28985 5764 1894971992 23760 4952 153772 23875 4955 154653 33108 7877 2075151993 20967 5050 130986 20474 4893 128177 34790 9571 2091161994 18043 4870 109098 17450 4691 105648 31605 9620 1835741995 16955 5019 99460 16481 4819 97090 28613 10099 1565911996 16968 5363 97185 16568 5216 95038 28638 10144 1564741997 17383 5538 99264 17054 5406 97569 28843 9897 1598031998 17125 5510 97413 16784 5319 96038 29251 10498 1588751999 18372 6092 103256 17964 5888 101444 29709 11490 1556492000 18337 6190 102303 17983 5981 100946 29730 11766 1539012001 18541 6475 101948 18336 6277 101691 28068 11715 1411112002 18274 6567 99199 18021 6406 98306 29369 11898 1501352003 17019 6214 91706 16699 5986 90748 26611 11813 1289032004 16636 6217 88656 16309 6065 87122 26305 10806 1334402005 15710 5814 84115 15264 5557 82359 25694 10838 1283802006 17269 6492 91760 16924 6276 90529 26024 11131 1289732007 17579 6697 92805 17146 6408 91367 27232 12147 1315082008 15865 6284 82095 15427 6015 80486 25722 11275 1255872009 15582 6268 79962 15197 6037 78514 24779 11148 1190012010 14840 5921 76493 14511 5672 75607 23383 10684 1111682011 14231 5768 72732 13819 5505 71284 22305 10541 1036242012 11637 4692 59642 11116 4354 57858 19287 9257 886192013 11115 4473 57032 10702 4203 55627 18587 8707 868832014 10202 4164 51942 9875 3912 51096 16119 7747 739912015 10788 4261 55903 10403 3920 55213 16992 8470 759042016 11001 4308 57269 10446 3926 55511 17839 8391 831462017 11524 4471 60276 10869 4018 58226 18092 8751 82657

Table 235Cancer of the Prostate (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 6: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

Year of Death1975-2017 2852 217 21063 2649 187 19662 5870 541 427021975-1979 3204 262 23543 3008 225 22244 5710 675 405121980 3305 267 24308 3077 233 22739 6199 657 445031981 3317 268 24395 3076 230 22752 6361 706 454451982 3336 268 24547 3109 234 22985 6236 662 447671983 3392 276 24930 3157 240 23318 6455 699 462461984 3406 271 25077 3158 237 23349 6593 674 475131985 3391 273 24943 3128 234 23134 6726 716 482681986 3493 280 25699 3246 247 23972 6739 663 487361987 3511 271 25906 3257 238 24127 6888 666 499031988 3588 283 26440 3338 247 24708 6957 698 502281989 3710 297 27301 3454 262 25520 7171 706 518541990 3856 302 28423 3567 265 26398 7798 743 565651991 3931 289 29108 3650 252 27139 7824 706 570211992 3922 286 29058 3629 244 27028 7984 766 578731993 3934 272 29248 3626 233 27082 8186 704 599081994 3854 267 28648 3564 231 26604 7996 676 585931995 3729 258 27723 3441 222 25693 7820 670 572471996 3600 250 26761 3300 213 24638 7884 645 579201997 3415 231 25426 3135 194 23458 7430 632 544221998 3263 227 24249 2989 190 22336 7277 628 532411999 3156 206 23548 2891 172 21688 7013 580 514782000 3039 198 22682 2778 166 20829 6890 540 507822001 2952 194 22014 2697 163 20208 6782 533 499722002 2871 192 21387 2636 160 19748 6498 526 477812003 2719 190 20197 2502 159 18695 6037 530 441022004 2619 182 19464 2404 155 17954 5900 479 433722005 2540 180 18857 2333 151 17420 5702 483 417762006 2424 184 17914 2234 158 16581 5373 457 393542007 2423 175 17968 2223 149 16558 5488 451 403032008 2301 178 16973 2134 152 15830 4911 448 357622009 2212 170 16330 2034 143 15106 4935 445 359702010 2181 178 16030 2010 151 14862 4808 440 350032011 2079 166 15303 1926 139 14276 4398 425 318622012 1957 166 14339 1814 144 13356 4165 386 302842013 1928 167 14101 1801 144 13255 3915 395 282492014 1912 166 13983 1791 142 13193 3802 395 273542015 1896 165 13861 1774 141 13060 3756 384 270662016 1940 172 14160 1818 145 13383 3841 421 274842017 1885 161 13800 1775 138 13095 3637 383 26131

Table 236Cancer of the Prostate (Invasive)

Age-adjusted US Deatha Rates by Year Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 7: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

SEER Incidencea US Mortalityb All Races White Black All Races White BlackMales Males Males Males Males Males

Age-Adjusted Rates 2013-2017Age at DiagnosisDeath

All ages 1098 1023 1752 191 179 379Under 65 439 394 820 17 14 4065 and over 5653 5368 8197 1398 1320 2722

All ages (WHO world std)c 836 774 1369 85 78 176

Age-Specific Rates 2013-2017Age at DiagnosisDeath

lt1 - - - - - -1-4 - - - - - -5-9 - - - - - -10-14 - - - - - -15-19 - - - - - -20-24 - - - - - -25-29 - - - - - -30-34 01 - - - - -35-39 06 04 13 - - -40-44 71 58 175 01 01 0345-49 314 260 772 08 07 1650-54 1141 1001 2291 31 26 6955-59 2491 2239 4587 85 71 20560-64 4183 3840 7194 200 171 48565-69 6311 5885 10140 387 342 92370-74 6528 6207 9469 693 631 157375-79 5773 5472 7973 1232 1142 261080-84 4366 4220 5501 2166 2050 422785+ 3681 3643 4787 4478 4359 7519

Table 237Cancer of the Prostate (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 8: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Males White Males Black Males All lt65 65+ All lt65 65+ All lt65 65+

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 50 - - 35 - -1970-1973a - - - 63 - - 55 - -1975-1977b 678 734 661 685 752 666 607 620 6011978-1980b 701 752 686 712 767 696 621 650 6061981-1983b 720 760 709 731 776 719 628 650 6191984-1986b 751 772 745 763 789 756 656 672 6491987-1989b 828 832 827 844 847 843 712 728 7071990-1992b 929 929 929 941 940 941 845 868 8361993-1995b 952 959 949 960 965 957 919 934 9101996-1998b 973 985 967 979 989 973 950 967 9371999-2001b 993 991 993 997 995 996 974 981 9642002-2004b 996 995 997 998 996 997 980 992 9632005-2009b 995 996 994 998 999 996 983 986 9782010-2016b 983f 990f 977f 987f 994f 981f 963f 975f 944f

5-Year Period Survival (Percent)cd

2016 973 979 968 972 980 966 959 972 942

Stage Distribution () 2010-2016ce

All StagesNumber of cases 332075 145886 186189 248870 104945 143925 53305 29514 23791Percent 100 100 100 100 100 100 100 100 100Localized 76 77 75 76 77 76 78 79 78Regional 13 16 11 14 17 12 11 14 8Distant 6 4 8 6 4 8 7 5 9UnstagedUnknown 5 3 6 4 2 5 4 3 5

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 961 - - 950 - - 977 - -Ages 45-54 973 - - 969 - - 979 - -Ages 55-64 985 - - 987 - - 972 - -Ages 65-74 1000 - - 1000 - - 976 - -Ages 75+ 909 - - 904 - - 847 - -Ages lt65 982 - - 983 - - 975 - -Ages 65+ 975 - - 974 - - 945 - -

StageeAll Stages 978 982 975 978 983 974 962 975 945Localized 1000 1000 1000 1000 1000 1000 1000 1000 1000Regional 1000 997 1000 1000 996 1000 1000 1000 997Distant 302 335 288 295 327 283 299 336 270UnstagedUnknown 833 924 798 768 897 725 744 869 667

Table 238Cancer of the Prostate (Invasive)

5-Year Relative and Period Survival (Percent) by Race Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 9: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

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1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 914 934 955 988 987 991 992 995 996 997 999 998 997 998 998 998 998 997 996 996 997 993 994 987 992 9932-year 846 874 910 973 977 980 988 989 996 995 999 998 996 997 996 998 998 996 994 995 994 987 988 980 9823-year 784 815 869 960 970 974 984 985 996 991 999 997 994 997 995 997 998 993 993 995 993 984 983 9754-year 733 765 836 949 964 969 979 982 992 989 998 997 994 997 995 996 998 992 993 995 993 982 9795-year 688 719 804 937 957 964 974 981 992 988 998 997 991 997 991 996 998 992 993 995 992 9816-year 653 685 779 927 954 960 971 979 992 985 998 997 991 997 991 996 998 992 993 995 9927-year 618 650 754 916 950 954 971 977 991 985 998 997 991 997 991 996 998 992 993 9958-year 586 620 734 906 946 950 970 977 987 982 998 997 990 997 991 996 998 992 9939-year 557 597 714 894 943 944 966 970 985 982 998 997 985 996 991 996 998 99210-year 532 577 696 885 935 943 965 966 981 982 998 997 985 994 991 996 99811-year 507 555 679 875 928 939 964 962 979 973 998 997 983 992 991 99612-year 485 536 661 866 920 935 961 955 974 972 998 997 979 988 99113-year 465 516 643 859 910 930 953 953 972 966 998 997 979 98814-year 448 500 630 851 901 928 947 950 966 961 998 997 97815-year 436 487 615 842 894 921 947 949 960 954 998 99716-year 419 469 600 833 889 912 941 944 956 954 99317-year 401 458 594 824 880 906 936 941 956 95418-year 388 445 583 818 877 904 929 941 95219-year 380 431 579 808 873 897 926 94120-year 370 417 569 804 858 888 92621-year 354 408 561 795 849 88822-year 340 395 548 787 84323-year 332 383 536 77724-year 324 374 52525-year 310 359 51426-year 304 347 50427-year 297 344 49528-year 291 340 48829-year 285 33330-year 270 324

Table 239Cancer of the Prostate (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

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ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 10: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 1212 243 Asian 0 000 000 000 794 221

10 000 000 001 1225 246 Pacific 10 000 000 000 800 223

20 000 001 022 1230 247 Islander 20 000 000 006 802 224

30 001 023 194 1246 250 30 000 006 073 806 225

40 023 197 636 1267 256 40 006 074 315 812 226

50 180 634 1070 1286 264 50 068 313 607 818 229

60 495 971 1165 1207 278 60 256 562 723 782 235

70 580 815 - 867 294 70 343 522 - 588 243

80 348 - - 423 301 80 228 - - 312 253

White 0 000 000 000 1128 228 American 0 000 000 000 562 204

10 000 000 001 1138 231 Indian 10 000 000 000 568 207

20 000 001 019 1143 232 Alaska 20 000 000 005 572 209

30 001 019 171 1158 235 Nativea 30 000 006 067 585 214

40 019 174 580 1178 240 40 006 069 247 606 223

50 160 580 992 1197 247 50 067 254 466 631 238

60 457 906 1091 1129 261 60 206 440 587 622 260

70 544 768 - 814 276 70 279 455 - 496 289

80 330 - - 399 285 80 252 - - 312 298

Black 0 000 000 000 1629 387 Hispanicb 0 000 000 000 1103 280

10 000 000 002 1661 396 10 000 000 000 1113 282

20 000 002 052 1672 399 20 000 000 013 1117 284

30 002 053 361 1703 407 30 000 013 135 1129 287

40 053 369 1025 1746 419 40 013 136 498 1145 291

50 333 1022 1546 1779 438 50 127 498 899 1161 297

60 790 1391 1595 1658 474 60 397 827 1035 1107 310

70 817 1094 - 1179 519 70 503 747 - 831 324

80 459 - - 600 548 80 334 - - 451 327

Table 2310

Cancer of the Prostate (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 11: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Males Males Males RaceEthnicity

All Races 1098 -34 -43

White 1023 -41 -42White Hispanice 852 -62 -White Non-Hispanice 1052 -38 -

Black 1752 -34 -38

AsianPacific Islander 567 -43 -

Amer IndAlaska Natf 546 -60 -

Hispanice 920 -51 -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Males MalesRaceEthnicity

All Races 191 -21

White 179 -19White Hispanice 164 -19White Non-Hispanice 180 -18

Black 379 -33

AsianPacific Islander 86 -23

Amer IndAlaska NatTotal US 136 -29PRCDA Counties 187 -17Non-PRCDA Counties 80 -48

Hispanice 158 -20

Table 2311Cancer of the Prostate (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 12: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Incidence Ratesa 2013-2017

California 9296 3418 49923 8969 3243 48554 13794 6682 62956Greater Bay Area 9224 3509 48727 9443 3602 49818 14259 7071 63946San Francisco-Oakland 9354 3624 48960 9421 3614 49566 14514 7330 64168San Jose-Monterey 8981 3298 48266 9477 3581 50233 13036 5884 62473

Los Angeles 9032 3332 48430 8430 2977 46120 13470 6563 61214Greater California 9433 3424 50970 9035 3244 49065 13895 6622 64168

Connecticut 11130 4534 56720 10440 4108 54209 16426 7649 77099Detroit 12817 5633 62480 11625 4733 59266 17825 9346 76435Georgia 12419 5178 62477 10341 3869 55076 19332 8738 92556Atlanta 13981 5737 70961 11589 4204 62636 20036 8878 97167Rural Georgia 13310 6431 60865 11436 5350 53511 17735 8332 82734Greater Georgia 11726 4854 59229 9920 3706 52874 18900 8637 89840

Hawaii 8822 2793 50492 8625 2931 47991 16254 10338 57145Idaho 10528 3710 57658 10234 3577 56249 13968 5771 -Iowa 10770 4287 55584 10613 4191 55002 17464 8526 79246Kentucky 10408 4334 52393 9294 3713 47867 14486 6565 69238Louisiana 13122 5671 64628 11524 4689 58769 17997 8285 85126Massachusetts 10242 4497 49953 9592 4141 47269 15825 7774 71475New Jersey 13125 5374 66704 12050 4774 62341 18707 8433 89724New Mexico 8278 3155 43688 8060 3083 42461 11312 6173 46835New York 12495 5238 62660 11467 4619 58801 19351 9012 90818Seattle-Puget Sound 10870 3932 58828 10896 3861 59524 16013 6773 79886Utah 11276 4127 60692 11270 4156 60445 15468 6329 78642

SEER 9 Areasb 10937 4336 56568 10467 3996 55197 17527 8414 80520SEER 13 Areasb 10409 4051 54356 10009 3762 53195 16517 7971 75590SEER 18 Areasb 10703 4202 55638 10006 3780 53042 16994 7967 79388SEER 21 Areasb 10980 4391 56532 10226 3940 53676 17522 8199 81968

Table 2312Cancer of the Prostate (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 13: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+ All Ages Ages lt65 Ages 65+

SEER Death Ratesa 2013-2017

California 1976 159 14534 2045 153 15121 4131 457 29523Greater Bay Area 1687 123 12505 1844 119 13769 3973 443 28374San Francisco-Oakland 1707 127 12628 1775 113 13264 4146 445 29726San Jose-Monterey 1650 115 12260 1962 128 14640 2835 - 19554

Los Angeles 1963 160 14428 1957 137 14537 4504 503 32166Greater California 2085 172 15304 2134 170 15717 3837 426 27410

Connecticut 1791 140 13206 1725 121 12812 3077 385 21680Detroit 1941 191 14038 1605 131 11791 3521 430 24893Georgia 2201 199 16036 1743 144 12798 4291 360 31467Atlanta 2437 202 17884 1812 137 13387 4440 341 32774Rural Georgia 3107 - 23185 2232 - 17006 5800 - 43250Greater Georgia 2083 198 15110 1704 147 12465 4147 374 30223

Hawaii 1404 127 10232 1982 130 14789 4206 - -Idaho 2294 135 17213 2308 132 17352 - - -Iowa 1954 145 14452 1953 145 14453 2661 - 19386Kentucky 1955 145 14467 1885 137 13966 3524 277 25965Louisiana 2078 204 15030 1704 135 12550 3479 390 24828Massachusetts 1842 137 13631 1824 137 13489 3257 222 24237New Jersey 1778 137 13119 1631 117 12102 3892 337 28464New Mexico 1959 144 14502 1956 150 14443 2407 - 18628New York 1803 156 13190 1686 135 12413 3261 323 23568Seattle-Puget Sound 1974 158 14528 2017 155 14889 2876 356 20299Utah 2005 134 14933 2035 136 15159 - - -

SEER 9 Areasb 1901 154 13976 1859 136 13773 3723 374 26872SEER 13 Areasb 1902 153 13992 1884 136 13963 3935 403 28349SEER 18 Areasb 1957 161 14369 1898 143 14032 3873 387 27966SEER 21 Areasb 1927 159 14150 1862 141 13761 3692 367 26682

Total US 1912 166 13978 1792 142 13196 3786 396 27224

Table 2313Cancer of the Prostate (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Age

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 14: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 10 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 1912 005

High Five StatesDC 2807 154 01(0103) 4683c

Mississippi 2467 063 02(0104) 2903c

Idaho 2294 078 03(0213) 1998c

Montana 2269 090 04(0218) 1869c

Georgia 2201 035 05(0310) 1511c

Low Five StatesWest Virginia 1739 059 47(2850) -903Florida 1671 016 48(4550) -1258c

Delaware 1659 083 49(2751) -1323c

Wyoming 1594 109 50(2851) -1662c

Hawaii 1404 059 51(4951) -2658c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 2115 044 08(0421) 1062c Montana 2269 090 04(0218) 1869c

Alaska 1801 138 40(0451) -579 Nebraska 1835 063 38(1349) -402Arizona 1747 031 46(3549) -860 Nevada 1977 057 22(0739) 343Arkansas 1855 051 36(1648) -298 New Hampshire 1889 075 31(0848) -120California 1976 015 23(1330) 337 New Jersey 1778 029 43(3248) -700Colorado 2147 045 07(0318) 1233c New Mexico 1959 062 24(0743) 247Connecticut 1791 044 41(2749) -631 New York 1803 020 39(3246) -567Delaware 1659 083 49(2751) -1323c North Carolina 1987 030 19(1033) 393DC 2807 154 01(0103) 4683c North Dakota 1776 098 44(1150) -711Florida 1671 016 48(4550) -1258c Ohio 1908 026 29(1938) -018Georgia 2201 035 05(0310) 1511c Oklahoma 2035 048 13(0632) 644Hawaii 1404 059 51(4951) -2658c Oregon 2068 045 11(0528) 815Idaho 2294 078 03(0213) 1998c Pennsylvania 1875 023 32(2440) -190Illinois 2014 027 15(0928) 533 Rhode Island 1870 084 33(0850) -220Indiana 1946 037 27(1237) 180 South Carolina 2181 045 06(0313) 1409c

Iowa 1954 049 26(0940) 219 South Dakota 1896 093 30(0550) -084Kansas 1860 052 35(1547) -272 Tennessee 1983 037 21(0934) 371Kentucky 1955 045 25(0939) 225 Texas 1790 019 42(3447) -636Louisiana 2078 046 10(0427) 870 Utah 2005 064 16(0539) 485Maine 2041 073 12(0438) 675 Vermont 1910 108 28(0550) -010Maryland 2002 040 17(0833) 469 Virginia 1983 034 20(1033) 371Massachusetts 1842 034 37(2546) -364 Washington 2019 036 14(0830) 559Michigan 1869 028 34(2442) -224 West Virginia 1739 059 47(2850) -903Minnesota 1991 039 18(0834) 414 Wisconsin 2084 038 09(0524) 898Mississippi 2467 063 02(0104) 2903c Wyoming 1594 109 50(2851) -1662c

Missouri 1750 034 45(3449) -845

Table 2314Cancer of the Prostate (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 15: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

RaceAll Races 900214 953463 678436 418862 184721 3135696 34643 3170339

White 701239 769223 563050 354061 159744 2547317 36576 2583893

Black 138010 131943 86907 50644 20399 427902 4086 431988

AsianPacific Islander 21319 20629 13351 6827 2333 64458 + +

Hispanic 59273 57004 38768 20529 7678 183252 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

RaceAll Races 19646 00001 00002 00003 00007 00628 09938 49473 127506 177721 18324

White 20311 00002 00003 00003 00005 00480 08646 45811 122431 173251 17432

Black 19574 - - 00002 00017 01674 19500 82063 184635 227226 27051

AsianPacific Islander 06447 - - - - 00144 02968 19438 57590 94841 08397

Hispanic 06240 00002 00002 00001 00005 00286 05448 31347 92044 137068 13137

Table 2315Cancer of the Prostate (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence and RaceEthnicity

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 16: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adjusted IncidenceDelay-Adjusted Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Race

a

Figure 231

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White BlackRate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 32Observed 2014-17 = 20

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 43Observed 2014-17 = 31

US Mortality APC2013-17 = -14

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 17: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

0

50

100

150

1975 1985 1995 2005 20170

50

100

150

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 20170

500

1000

1500

2000

2500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Prostate by Age and Race

a

Figure 232

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Ages lt65 Black Ages lt65 White Ages 65+ Black Ages 65+Rate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2014-17 = 21Observed 2014-17 = 11

US Mortality APC2002-17 = -08

SEER Incidence APCsDelay Adj 2014-17 = 44Observed 2014-17 = 33

US Mortality APC2012-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 47Observed 2014-17 = 35

US Mortality APC2013-17 = 00

SEER Incidence APCsDelay Adj 2014-17 = 45Observed 2014-17 = 33

US Mortality APC2013-17 = -15

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 18: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Prostate

Figure 233

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 19: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

0

50

100

150

200

250

300

350

1975 1980 1985 1990 1995 2000 2005 2010 2017

White Delay-Adj IncidenceWhite Delay-Adj Incidence

Black Delay-Adj IncidenceBlack Delay-Adj Incidence

White MortalityWhite Mortality

Black MortalityBlack Mortality

Figure 234

Cancer of the ProstateDelay-Adjusted SEER Incidence amp US Mortality

1975-2017

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of DiagnosisDeath

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 20: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

0

50

100

150

200

250

1975 1980 1985 1990 1995 2000 2005 2010 2017

Lung and BronchusLung and Bronchus

ProstateProstate

Figure 235

Delay-Adjusted Incidence Rates for Cancer of the Prostateand Cancer of the Lung and Bronchus

All Races Males1975-2017

Source SEER 9 areas Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020National Cancer Institute

Rate per 100000

Year of Diagnosis

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival
Page 21: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Cancer of the Prostate (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program,

Figure 236

Cancer of the Prostate5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

  • Trends in SEER Incidence and US Mortality All Ages
  • Trends in SEER Incidence and US Mortality Ages lt65
  • Trends in SEER Incidence and US Mortality Ages 65+
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis
  • Risk of DevelopingDying
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Age and Race
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
  • Graph - SEER Delay Adjusted Incidence and US Mortality by Race
  • Graph - SEER Delay Adjusted Incidence Comparison All Races Males (Prostate Lung and Bronchus)
  • Graph - 5-Year SEER Conditional Relative Survival