Prostrate cancer in Australia cancer Prostrate This is the first comprehensive national report on prostate cancer in Australia. It presents an overview of the condition Prostate cancer in Australia and analysis of key summary measures including incidence, mortality and survival. Findings include: • Prostate cancer is the most commonly diagnosed cancer in Australia (excluding non-melanoma skin cancer), with 21,808 new diagnoses in 2009. • Prostate cancer is the fourth leading cause of mortality among Australian males, with 3,294 deaths from prostate cancer in 2011. • Around 9 in 10 (92%) males diagnosed with prostate cancer survive 5 years from diagnosis. This is higher than for all cancers among males (65%). AIHW CANCER SERIES NO. 79 CANCER SERIES Number 79 Prostate cancer in Australia Australian Institute of Health and Welfare Canberra Cat. no. CAN 76 The Australian Institute of Health and Welfare is a major national agency which provides reliable, regular and relevant information and statistics on Australia’s health and welfare. The Institute’s mission is authoritative information and statistics to promote better health and wellbeing. © Australian Institute of Health and Welfare 2013 This product, excluding the AIHW logo, Commonwealth Coat of Arms and any material owned by a third party or protected by a trademark, has been released under a Creative Commons BY 3.0 (CC-BY 3.0) licence. Excluded material owned by third parties may include, for example, design and layout, images obtained under licence from third parties and signatures. We have made all reasonable efforts to identify and label material owned by third parties. You may distribute, remix and build upon this work. However, you must attribute the AIHW as the copyright holder of the work in compliance with our attribution policy available at <www.aihw.gov.au/copyright/>. The full terms and conditions of this licence are available at <http://creativecommons.org/licenses/by/3.0/au/>. Enquiries relating to copyright should be addressed to the Head of the Media and Strategic Engagement Unit, Australian Institute of Health and Welfare, GPO Box 570, Canberra ACT 2601. This publication is part of the Australian Institute of Health and Welfare’s Cancer series. A complete list of the Institute’s publications is available from the Institute’s website <www.aihw.gov.au>. ISSN 1039-3307 ISBN 978-1-74249-508-8 Suggested citation Australian Institute of Health and Welfare 2013. Prostate cancer in Australia. Cancer series no. 79. Cat. no. CAN 76. Canberra: AIHW. Australian Institute of Health and Welfare Board Chair Dr Andrew Refshauge Director David Kalisch Any enquiries about or comments on this publication should be directed to: Media and Strategic Engagement Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601 Tel: (02) 6244 1032 Email: [email protected] Published by the Australian Institute of Health and Welfare Please note that there is the potential for minor revisions of data in this report. Please check the online version at <www.aihw.gov.au> for any amendments. Contents Acknowledgments.............................................................................................................................. iii Abbreviations ...................................................................................................................................... iv Symbols ................................................................................................................................................. v Summary .............................................................................................................................................. vi 1 Introduction .................................................................................................................................. vi Overview ......................................................................................................................................... 1 The prostate ..................................................................................................................................... 1 Prostate cancer ................................................................................................................................ 2 2 Detection, diagnosis and management ..................................................................................... 4 Key findings .................................................................................................................................... 4 Detection and diagnosis ................................................................................................................ 4 Management and treatment .......................................................................................................... 7 3 Incidence ....................................................................................................................................... 14 Key findings .................................................................................................................................. 14 Overview ....................................................................................................................................... 14 Age comparison ............................................................................................................................ 17 Time trend ..................................................................................................................................... 18 Projected incidence to 2020 ......................................................................................................... 19 4 Mortality ....................................................................................................................................... 20 Key findings .................................................................................................................................. 20 Overview ....................................................................................................................................... 20 Age comparison ............................................................................................................................ 22 Time trend ..................................................................................................................................... 23 Projected mortality to 2020 ......................................................................................................... 25 5 Survival ......................................................................................................................................... 26 Key findings .................................................................................................................................. 26 Overview ....................................................................................................................................... 26 Age comparison ............................................................................................................................ 28 Time trend ..................................................................................................................................... 29 6 Expenditure on prostate cancer................................................................................................. 30 Key findings .................................................................................................................................. 30 Overview ....................................................................................................................................... 30 Prostate cancer in Australia i Age comparison ............................................................................................................................ 32 Time trend ..................................................................................................................................... 33 7 Population groups ....................................................................................................................... 34 Key findings .................................................................................................................................. 34 Overview ....................................................................................................................................... 34 State and territory......................................................................................................................... 36 Aboriginal and Torres Strait Islander status ............................................................................ 37 Remoteness area ........................................................................................................................... 38 Socioeconomic disadvantage ...................................................................................................... 39 Country of birth ............................................................................................................................ 40 8 International comparisons ......................................................................................................... 41 Key findings .................................................................................................................................. 41 Overview ......................................................................................................................................