The National Prostate Cancer Audit (NPCA) has published its latest short report into patient and tumour characteristics associated with metastatic prostate cancer diagnoses. Based on data from 218,711 men diagnosed with prostate cancer in England between 1 January 2015 and 31 December 2019, the report aims to identify which factors predispose men to present with metastatic versus non-metastatic disease at diagnosis.
The report found that metastatic disease was more likely to be diagnosed in older patients, particularly among those aged 80 years of age or over. Other key findings include:
- Patients living in areas of high socio-economic deprivation were more likely to present with metastatic disease, an increasing trend being observed from 14.8% in the least deprived areas to 19.2% in the most deprived areas.
- Variation was observed between ethnic groups, with metastatic disease at diagnosis being more likely among patients of White ethnicity (16.9% in White men, 13.2% in Asian men, and 11.7% in Black men).
- Differences were also found between geographic regions of England, with patients in the North East and Yorkshire NHS region being the most likely to have metastatic disease at diagnosis (20.5%).