Prostate Cancer and Socioeconomic Status in the Finnish Randomized Study of Screening for Prostate Cancer Article Swipe
Tuomas P. Kilpeläinen
,
Kirsi Talala
,
Jani Raitanen
,
Kimmo Taari
,
Paula Kujala
,
Teuvo L.J. Tammela
,
Anssi Auvinen
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1093/aje/kww084
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1093/aje/kww084
Prostate cancer (PC) screening remains controversial. We investigated whether screening reduces the difference in prostate cancer risk by socioeconomic status (SES). In 1996-2011, a total of 72,139 men from the Finnish Randomized Study of Screening for Prostate Cancer were analyzed. Outcome measures were PC incidence, mortality, and participation in screening. SES indicators were educational level, income, and home ownership status (data obtained from the Statistics Finland registry). The mean duration of follow-up was 12.7 years. Higher SES was associated with a higher incidence of low- to moderate-risk PC but with a lower risk of advanced PC. Higher education was associated with significantly lower PC mortality in both control and screening arms (risk ratio = 0.48-0.69; P < 0.05). Higher income was also associated with lower PC mortality but only in the control arm (risk ratio = 0.45-0.73; P < 0.05). There were no significant differences in SES gradient by arm (Pinteraction = 0.33 and Pinteraction = 0.47 for primary vs. secondary education and primary vs. tertiary education, respectively; Pinteraction = 0.65 and Pinteraction = 0.09 for low vs. intermediate income and low vs. high income, respectively; and Pinteraction = 0.27 among home ownership status strata). Substantial gradients by SES in PC incidence and mortality were observed in the control arm. Higher SES was associated with overdiagnosis of low-risk PC and, conversely, lower risk of incurable PC and lower PC mortality. Special attention should be directed toward recruiting men with low SES to participate in population-based cancer screening.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/aje/kww084
- https://academic.oup.com/aje/article-pdf/184/10/720/7666807/kww084.pdf
- OA Status
- bronze
- Cited By
- 50
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2538555215
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2538555215Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/aje/kww084Digital Object Identifier
- Title
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Prostate Cancer and Socioeconomic Status in the Finnish Randomized Study of Screening for Prostate CancerWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2016Year of publication
- Publication date
-
2016-10-24Full publication date if available
- Authors
-
Tuomas P. Kilpeläinen, Kirsi Talala, Jani Raitanen, Kimmo Taari, Paula Kujala, Teuvo L.J. Tammela, Anssi AuvinenList of authors in order
- Landing page
-
https://doi.org/10.1093/aje/kww084Publisher landing page
- PDF URL
-
https://academic.oup.com/aje/article-pdf/184/10/720/7666807/kww084.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/aje/article-pdf/184/10/720/7666807/kww084.pdfDirect OA link when available
- Concepts
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Medicine, Prostate cancer, Socioeconomic status, Cancer, Oncology, Prostate, Randomized controlled trial, Gynecology, Internal medicine, Environmental health, PopulationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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50Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 4, 2023: 5, 2022: 5, 2021: 5Per-year citation counts (last 5 years)
- References (count)
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40Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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