PURPOSE: Before this study, the highest reported incidence of @entity263 in the world was thought to be among United States black @entity1 . The age adjusted rates in 1992 for United States black and white @entity1 were 249 and 182/100,000 respectively. The epidemiology of @entity263 in Jamaica, a country of 2.5 million @entity1 of primarily African descent, was studied and compared with that of white and black Americans. MATERIALS AND METHODS: The study included 1,121 cases of @entity263 diagnosed from 1989 to 1994. Sources of information included the Jamaican Cancer Registry, government pathology laboratory, hospital and clinic records, and physician office records. Incidence rates were computed using data from the 1991 Jamaican census. Age adjustments were made using the 1970 United States standard population. RESULTS: The average age adjusted incidence of @entity263 in Kingston, Jamaica was 304/100,000 @entity1 . Median @entity1 age at diagnosis was 72 years. More than 80% of the cases were pathologically confirmed. Of the @entity1 30% presented with acute urinary retention, 16% presented with bone @entity3 , 15% had gross @entity811 at the time of diagnosis and an abnormal rectal examination suspicious for @entity5 was noted in 42%. @entity1486 was measured in only 7% of cases in 1989 but in 48% of cases by 1994. CONCLUSIONS: These data demonstrate that Jamaican @entity1 in Kingston have a high incidence of @entity263 , much higher than even black Americans during a similar period. Furthermore, the @entity5 are more significant clinically with greater morbidity in Jamaica than in the United States.

The epidemiology of XXXX in Jamaica.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'people', 'men'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancers', 'cancer'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity811 :: ('MESH:D006417', 'Disease') :: ['hematuria'] @entity1486 :: ('354', 'Gene') :: ['Prostate specific antigen']
@entity263 :: (MESH:D011471,Disease) :: ['prostate cancer']
