Actual incidence of prostate cancer in healthcare areas of the autonomous community of Castilla–Leon during 2014. CAPCYL registry data

Abstract Objective To determine the actual incidence of prostate cancer (PC) in the healthcare areas of Castilla–Leon in 2014. Material and methods A multicentre study was conducted with the participation of 7 of the 9 healthcare areas of Castilla–Leon. We collected retrospective data that included 87.8% of the target population (men diagnosed with PC with histopathological confirmation in 2014). We calculated the raw and age-adjusted incidence rates based on the direct method and consulted the community and national epidemiological data in the Spanish National Institute of Statistics. Results A total of 1198 new cases of PC were diagnosed, with a raw incidence rate in the community of 109.54 cases per 100,000 men. The adjusted rates for the Spanish and European populations were 115.41 and 110.07, respectively. The age group with the highest diagnostic concentration was the 60–70-year group, with 41.97% of the diagnoses. The group with the highest incidence was the 70–80-year group, with 438.87 cases per 100,000 inhabitants. There were differences in the raw and age-adjusted incidence rates and in the age at diagnosis among the various included healthcare areas. Conclusions The community raw incidence rate was higher than most existing data. We observed significant differences among the various geographical areas, which could be explained mainly by the age distribution and the opportunistic screening policies for each area.