Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study

Abstract Prostate cancer is the third most common cancer in Malaysia with the lifetime risk of 1 in 117 men. Here, we initiated a longitudinal Malaysia Prostate Cancer (M‐CaP) Study to investigate the clinical and tumour characteristics, treatment patterns as well as disease outcomes of multi‐ethnic...

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Autores principales: Jasmine Lim, Rohan Malek, Sathiyananthan JR, Charng C. Toh, Murali Sundram, Susan Y. Y. Woo, Noor A. M. Yusoff, Guan C. Teh, Benjamin J. T. Chui, Ing S. Ngu, S. Thevarajah, Wei J. Koh, Say B. Lee, Say C. Khoo, Boon W. Teoh, Rohana Zainal, Teck M. Tham, Shamsuddin Omar, Noor A. Nasuha, Hideyuki Akaza, Teng A. Ong, M‐CaP Study
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Publicado: Wiley 2021
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Acceso en línea:https://doaj.org/article/439470e9529e40dd8b90ec005d140c0a
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spelling oai:doaj.org-article:439470e9529e40dd8b90ec005d140c0a2021-11-22T09:08:47ZProstate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study2045-763410.1002/cam4.4319https://doaj.org/article/439470e9529e40dd8b90ec005d140c0a2021-11-01T00:00:00Zhttps://doi.org/10.1002/cam4.4319https://doaj.org/toc/2045-7634Abstract Prostate cancer is the third most common cancer in Malaysia with the lifetime risk of 1 in 117 men. Here, we initiated a longitudinal Malaysia Prostate Cancer (M‐CaP) Study to investigate the clinical and tumour characteristics, treatment patterns as well as disease outcomes of multi‐ethnic Asian men at real‐world setting. The M‐CaP database consisted of 1839 new patients with prostate cancer diagnosed between 2016 and 2018 from nine public urology referral centres across Malaysia. Basic demographic and clinical parameters, tumour characteristics, primary treatment, follow‐up and vital status data were retrieved prospectively from the hospital‐based patients’ case notes or electronic medical records. Primary endpoints were overall survival (OS) and biochemical progression‐free survival (bPFS). The median age at diagnosis of M‐CaP patients was 70 years (interquartile range, IQR 65–75). Majority of patients were Chinese (831, 45.2%), followed by Malays (704, 38.3%), Indians (124, 6.7%) and other races (181, 9.8%). The median follow‐up for all patients was 23.5 months (IQR 15.9–33.6). Although 58.1% presented with late‐stage cancer, we observed ethnic and geographic disparities in late‐stage prostate cancer diagnosis. Curative radiotherapy and primary androgen deprivation therapy were the most common treatment for stage III and stage IV diseases, respectively. The median OS and bPFS of stage IV patients were 40.1 months and 19.2 months (95% CI 17.6–20.8), respectively. Late stage at presentation remains a challenge in multi‐ethnic Asian men. Early detection is imperative to improve treatment outcome and survival of patients with prostate cancer.Jasmine LimRohan MalekSathiyananthan JRCharng C. TohMurali SundramSusan Y. Y. WooNoor A. M. YusoffGuan C. TehBenjamin J. T. ChuiIng S. NguS. ThevarajahWei J. KohSay B. LeeSay C. KhooBoon W. TeohRohana ZainalTeck M. ThamShamsuddin OmarNoor A. NasuhaHideyuki AkazaTeng A. OngM‐CaP StudyWileyarticleAsiaadvanced prostate cancercancer care disparitiescancer registryThe A‐CaP Study GroupNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancer Medicine, Vol 10, Iss 22, Pp 8020-8028 (2021)
institution DOAJ
collection DOAJ
language EN
topic Asia
advanced prostate cancer
cancer care disparities
cancer registry
The A‐CaP Study Group
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Asia
advanced prostate cancer
cancer care disparities
cancer registry
The A‐CaP Study Group
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Jasmine Lim
Rohan Malek
Sathiyananthan JR
Charng C. Toh
Murali Sundram
Susan Y. Y. Woo
Noor A. M. Yusoff
Guan C. Teh
Benjamin J. T. Chui
Ing S. Ngu
S. Thevarajah
Wei J. Koh
Say B. Lee
Say C. Khoo
Boon W. Teoh
Rohana Zainal
Teck M. Tham
Shamsuddin Omar
Noor A. Nasuha
Hideyuki Akaza
Teng A. Ong
M‐CaP Study
Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
description Abstract Prostate cancer is the third most common cancer in Malaysia with the lifetime risk of 1 in 117 men. Here, we initiated a longitudinal Malaysia Prostate Cancer (M‐CaP) Study to investigate the clinical and tumour characteristics, treatment patterns as well as disease outcomes of multi‐ethnic Asian men at real‐world setting. The M‐CaP database consisted of 1839 new patients with prostate cancer diagnosed between 2016 and 2018 from nine public urology referral centres across Malaysia. Basic demographic and clinical parameters, tumour characteristics, primary treatment, follow‐up and vital status data were retrieved prospectively from the hospital‐based patients’ case notes or electronic medical records. Primary endpoints were overall survival (OS) and biochemical progression‐free survival (bPFS). The median age at diagnosis of M‐CaP patients was 70 years (interquartile range, IQR 65–75). Majority of patients were Chinese (831, 45.2%), followed by Malays (704, 38.3%), Indians (124, 6.7%) and other races (181, 9.8%). The median follow‐up for all patients was 23.5 months (IQR 15.9–33.6). Although 58.1% presented with late‐stage cancer, we observed ethnic and geographic disparities in late‐stage prostate cancer diagnosis. Curative radiotherapy and primary androgen deprivation therapy were the most common treatment for stage III and stage IV diseases, respectively. The median OS and bPFS of stage IV patients were 40.1 months and 19.2 months (95% CI 17.6–20.8), respectively. Late stage at presentation remains a challenge in multi‐ethnic Asian men. Early detection is imperative to improve treatment outcome and survival of patients with prostate cancer.
format article
author Jasmine Lim
Rohan Malek
Sathiyananthan JR
Charng C. Toh
Murali Sundram
Susan Y. Y. Woo
Noor A. M. Yusoff
Guan C. Teh
Benjamin J. T. Chui
Ing S. Ngu
S. Thevarajah
Wei J. Koh
Say B. Lee
Say C. Khoo
Boon W. Teoh
Rohana Zainal
Teck M. Tham
Shamsuddin Omar
Noor A. Nasuha
Hideyuki Akaza
Teng A. Ong
M‐CaP Study
author_facet Jasmine Lim
Rohan Malek
Sathiyananthan JR
Charng C. Toh
Murali Sundram
Susan Y. Y. Woo
Noor A. M. Yusoff
Guan C. Teh
Benjamin J. T. Chui
Ing S. Ngu
S. Thevarajah
Wei J. Koh
Say B. Lee
Say C. Khoo
Boon W. Teoh
Rohana Zainal
Teck M. Tham
Shamsuddin Omar
Noor A. Nasuha
Hideyuki Akaza
Teng A. Ong
M‐CaP Study
author_sort Jasmine Lim
title Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
title_short Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
title_full Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
title_fullStr Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
title_full_unstemmed Prostate cancer in multi‐ethnic Asian men: Real‐world experience in the Malaysia Prostate Cancer (M‐CaP) Study
title_sort prostate cancer in multi‐ethnic asian men: real‐world experience in the malaysia prostate cancer (m‐cap) study
publisher Wiley
publishDate 2021
url https://doaj.org/article/439470e9529e40dd8b90ec005d140c0a
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