The incidence of prostate cancer in the U.S. and certain Western countries has risen sharply during the past decade. In U.S. men, between 1987 and 1992, prostate cancer incidence rate increased 85%, followed by a decline of 29% between 1992 and 1995, and then increasing again by 2.3% per year beginning in 1995. Recent prostate cancer incidence increased by 3.0% per year among white men and by 2.3% per year among black men.96 Prostate cancer mortality in the U.S. stopped increasing in 1991, and decreased an average of 4.4% annually from 1994 through 1997.97 Declines in prostate cancer mortality might reflect improvements in treatment and longer survival due to prostate specific antigen (PSA)-related early detection.98
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