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Show Prostate Cancer (ICD-9Code: 185.0-185.9) (1997 Total Deaths in Utah = 206) Utah's mortality rate for prostate cancer continues to be significantly higher than the rate for the United States. Between 1981 and 1990, Utah's incidence rate showed a 57% increase while the national rate rose by only 43%. Utah prostate cancer mortality rates have remained similar to the national rates since 1981. There has been a decrease in prostate cancer mortality since 1990. Improvements in the diagnosis of prostate cancer, including the introduction of the prostate-specific antigen (PSA) test may account for much of this improvement. Increase use of other screening methods may also have contributed to this decrease in incidence. Despite the disparity between Utah and U.S. in incidence, the gap is small in mortality. This may point to earlier detection and treatment in Utah than in the U.S. as a whole. Table 33. Sources: Utah: Utah Department of Health, Utah Birth and Death Certificate Internet-Query System Registration [On-line]. Available: Http://www.health.state.ut.us US: Centers for Disease Control and Prevention, CDC Wonder [On-line]. Available: Http://www.cdc.gov Table 33. Prostate Cancer Utah U.S. Year Mortality Mortality 1980 15.1 14.3 1981 15.2 14.2 1982 14.7 14.4 1983 15.1 14.7 1984 14.7 14.6 1985 14.3 14.7 1986 15.0 15.2 1987 14.1 15.1 1988 16.0 15.4 1989 19.3 16.0 1990 18.1 16.7 1991 17.4 16.8 1992 17.0 16.6 1993 15.8 16.4 1994 16.2 16.0 1995 17.8 15.5 1996 16.3 14.8 1997 15.5 -- * Age-adjusted rates per 100,000 population. Age-adjusted to the 1940 standard population. Figure 18 20-18 - Prostate Cancer Mortality / ^M ¦ Age-Adjusted ^ . Mortality per ?---* --?-Utah 100,000 Poulation 14 " ¦--» -¦-U.S. 12-in . 1U 1 i i N^ #" # ^ # <\ <-> A. ®) ®) ^ \ > N 76 |