Prostate Cancer in Czech Republic. Hospital-basedCase-control Study

Overview

In a hospital-based analytical case-control study of prostate cancer conducted during 1996–1997 atthe Urological clinics of FNKV Prague 10, 181 cases of prostate cancer and 277 controls of males withnon cancerous urological disease were analysed. Mean age of newly diagnosed cases of prostatecancer was 70.8 years, mean age of death (83) from this cancer was 72.8 years. At the time of diagnosis44,2% cases had already remote metastases in bones. Five-year cumulative survival rate of the caseswas in this study 53.4%. Statistically significant differences were observed in examination ofprostatic specific antigene (PSA) and alkaline phosphatase. Results of other biochemical examina-tions, digital rectal examination or sonography of the prostate did not show statistically significantdifferences between cases and controls.Implementation of both digital rectal examination and PSA examination into the scheme of preven-tive medical examination of males over 50 years of age represents the only possibility how to increasethe proportion of the prostatic cancer diagnosed in early latent stage and thus therapeutically andprognostically more favourable.

Key words:
prostate cancer – hospital based case-control study – PSA examination.