Prostate cancer (CaP) ranks high place among socially significant diseases, refers to the neoplasm with dynamically growing temp in Europe and in Russia.
We analyzed medical and statistical indicators of CaP in St. Petersburg (SPb) in 2004-2013 based on data from the official registration forms.
The absolute number of newly and death CaP cases increased in 51,2% and 24,7%/100 thous., resp., with the peak of incidence in men older 60 y. CaP held 8th ranking place of incidence (5,4%) and 9th – of mortality (4,5%) in SPb (2013). The ratio of dead/diseased CaP (in Europe 85,7%) in SPb was 55,1% and the number of death cases increased by 23,9%, which indicates the need to improve the diagnostic.
The number of CaP cases in early stages increased from 4,6 to 11,2/100 thous., similar to situation in Russia. CaP stage IV decreased on 85 pts/year, far ahead from country rates.
To assess the premature mortality rate we used the index — the “Lost Years of Potential Life”. The number of CaP pts who lived less than 70 y. (2011-2012), increased in 60-64 y. and in 45-49 y.y.: the elderly and the working-aged men. That greatly helped to evaluate the effect of healthcare measures.
We need to improve the quality of statistical monitoring for neoplasm with ICD-10, continue building the knowledge base for urologists, improve the medical care for CaP patients, select clinical trials with new drugs, perform epidemiological studies for prevention of new CaP at the city with significant group of elderly people.