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jerryking : prostate   29

Black Cancer Matters
MARCH 15, 2018 | The New York Times | By SUSAN GUBAR.

the economic consequences of racial discrimination increase cancer risk.....putting into play the words “race” and “cancer,” .....ponder the impact of race on cancer outcomes nationally — disentangled from local ecological factors. The big picture is grim.

A 2016 report of the American Cancer Society states that the “five-year relative survival is lower for blacks than whites for most cancers at each stage of diagnosis.” African-American men, for example, are twice as likely to die from prostate cancer. Experts continue to debate why, even as many ascribe this scandalous phenomenon to inequalities in access to screening and treatment.

In women’s cancer, the mortality gap has widened. According to the 2016-18 report on Cancer Facts and Figures for African-Americans, “despite lower incidence rates for breast and uterine cancers, black women have death rates for these cancers that are 42% and 92% higher, respectively, than white women.” Investigators connect the ghastly numbers to the usual socioeconomic discrepancies but also to biological differences in the malignancies of black women.

With regard to breast cancer, is the mortality gap related to a greater percentage of black women than white women contending with an aggressive form of the disease that lacks estrogen receptors?

Dr. Otis Webb Brawley, the chief medical officer of the American Cancer Society, rejects an explanation based on “biological difference,” pointing instead to dietary disparities....“The black-white gap in the onset of menstruation and body weight has dramatically widened, which means that the disease disparities will widen also.”

Disadvantaged Americans consume more calories and carbohydrates, “the sort of food that is available in poor areas of inner cities,”..... “Poverty is a carcinogen.”

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isn't just about race-- watch the trailer in which blacks and whites say the very same things about being poisoned by the Koch brothers' companies. This is a story about social justice and lack of sufficient government regulation of the enterprises owned by the "donor" class that owns most of our politicians. The most accurate predictor of people's life expectancy is their zip code [http://fortune.com/2017/05/08/us-life-expectancy-study/]. If you life in a polluted poisoned environment, you will suffer the consequences regardless of race.
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African-Americans  cancers  economically_disadvantaged  mortality  prostate  racial_discrimination  racial_disparities  the_big_picture  women 
march 2018 by jerryking
Prostate cancer? Relax, and don’t rush your treatment - The Globe and Mail
ANDRÉ PICARD
The Globe and Mail
Published Tuesday, Sep. 20, 2016

a landmark study, published in the New England Journal of Medicine, has provided some stark data on the benefits, risks and necessity of treatment for men with low- or medium-risk prostate cancer (meaning they have a Gleason score of 6-7).

Related: What's the best method of screening for prostate cancer?

The uplifting news is that, a decade after diagnosis, 99 per cent of men with early prostate cancer are still alive. The sort-of-surprising news is that mortality rates don’t really vary depending on type of treatment, or whether a man is treated at all. .....The other element of this story, which is not part of the new research, is about the effectiveness and appropriateness of testing. Another study published recently showed that digital rectal examination is a poor way of detecting prostate cancer and shouldn’t be done because it provides “maximal pain for minimal gain.”

PSA testing, for its part, is one of the most controversial issues in the cancer field. It doesn’t actually detect cancer, but elevated PSA levels trigger biopsies and often lead to a cascade of overtreatment. In Canada, routine PSA tests are not recommended.

What we really need is a test that shows if prostate cancer, once detected, will prove aggressive and deadly or not, and we don’t have that. Prostate cancer kills 4,100 Canadian men a year, but it’s not by doing more and earlier testing and more aggressive treatment that we will necessarily reduce that number. That’s a hard message to digest, and deliver.
cancers  mens'_health  André_Picard  health  PSA  prostate  overtreatment  thinking_deliberatively  reflections  contextual  timeouts  latency 
september 2016 by jerryking
Prostate Test Often Misses Cancer - WSJ.com
July 24, 2003 | WSJ |By DAVID ARMSTRONG | Staff Reporter of THE WALL STREET JOURNAL.

Prostate Test Often Misses Cancer
Study's Finding Could Lead to More Biopsies And, Some Worry, Unnecessary Treatment
prostate  cancers 
january 2013 by jerryking
Informed Patient: New Prostate-Treatment Options - WSJ.com
May 20, 2004

New Options for Treatment Of Prostate Problems

By LAURA LANDRO
prostate  cancers 
january 2013 by jerryking
Can the word cancer be more harmful than the disease?
Dec. 12, 2011 | The Globe and Mail | ANDRÉ PICARD |

Hippocrates is best known not for his naming of cancer but his admonition to physicians to, above all, do no harm.

Right now, our crude, imprecise use of the term cancer is doing harm. The words we use need to reflect our knowledge, and influence practice.
André_Picard  cancers  imprecision  naming  prostate 
april 2012 by jerryking
A New Approach To Cancer Screening - WSJ.com
SEPTEMBER 22, 2005 | WSJ | By CHARLES FORELLE

A New Approach To Cancer Screening
Promising Method for Detecting Prostate Cancer Is More Precise Than PSA Test, Study Says
cancers  prostate  mens'_health 
november 2011 by jerryking
Did prostate cancer kill Jack Layton?
September 12, 2011| CTV MedNews | by Dr. Lorne Brandes
Jack_Layton  cancers  prostate  transparency 
september 2011 by jerryking
The Man, the Gland, the Dilemmas - WSJ.com
MARCH 31, 2009 | The Wall Street Journal| By MELINDA BECK
health  prostate  mens'_health  cancers 
april 2009 by jerryking
Two Big Studies Tackle Debate On Prostate Test - WSJ.com
MARCH 18, 2009, 7:48 P.M. ET| The Wall Street Journal | by
KEITH J. WINSTEIN
Interim results from two of the most rigorous studies to date on
prostate-cancer screening have failed to bring any clarity to one of the
most contentious issues in men's health. African-Americans and men with
a family history of prostate cancer should lean more toward regular
screening.
prostate  mens'_health  cancers 
march 2009 by jerryking
globeandmail.com: Panel touts benefits of preventative prostate drug
SHERYL UBELACKER

The Canadian Press

February 25, 2009 at 12:36 AM EST
prostate  cancers 
february 2009 by jerryking
globeandmail.com: Advise men on pros and cons: expert
June 19, 2007G&M column by André Picard on early detection of prostate cancer.
health  PSA  prostate  cancers  André_Picard 
january 2009 by jerryking

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