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Medical Forum / Diseases and Disorders / Prostate Cancer / December 2007

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Pca in the shadow of breast cancer. New thread.

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MikeHi - 28 Dec 2007 11:54 GMT
This info was included in a post I sent to Safire in a previous thread
-so you may already have read it, with apologies..

I think it deserves a thread of its own. Political correctness, and
the fact it may seem to  disrespect women cancer sufferers has kept
the subject smothered for years. But there is now an awareness
stirring that PCa patients are being put unneccesarily at risk by
unbalanced funding, and that PCa professionals are being stretched and
working with difficulty with growing numbers of patients and
inadequate funds.

This informed newsgroup is an appropriate place to take on
highlighting these facts, because it would help future as well as
present sufferers.  
Thanks for all contributions to help round and focus the picture.

Best wishes to all
MikeHi

http://www.giveafewbob.org/
…a disease which is now killing one man every hour in the UK.
Shockingly, although it's almost as common as breast cancer, it gets a
fraction of the research funding.  (Prostate Cancer Research
Foundation).

http://news.bbc.co.uk/1/low/health/663688.stm (it's been going on for
years)
The announcement of extra funding, while welcomed by the Prostate
Cancer Charity, was criticised for not going far enough in light of
the dramatic rise in cases year on year. It came as the public health
minister admitted that inequality exists between men's and women's
health.

It has previously been estimated that eight times as much is spent on
women's health as men's.

Though breast and cervical cancer are very high profile, more men died
of cancer than women in 1998 - there were 37,150 deaths from cancer in
men under 75 compared to 30,387 in women.

Professor John Waxman, chairman of the Prostate Cancer Charity, said:
"….. £1m will not go very far.  A million pounds will probably only
fund six researchers for three years. Funding for research into
prostate cancer needs to be increased to the level of that for breast
cancer.___________

http://www.nursinginpractice.com/default.asp?title=Governmenturgedtodoublethenum
berofprostatecancerspecialistnurses&page=article.display&article.id=6638


"Every year 35,000 men are diagnosed with prostate cancer in the UK
and specialist nurses play an essential role in their care and
support. It is unacceptable that clinical nurse specialists for men
with prostate cancer have on average the highest workload when
compared with other cancers. The Prostate Cancer Charity calls on the
government and the NHS to double the number of specialist nurses
working in prostate cancer

http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article
_id=499508&in_page_id=1774

4th December 2007 Daily Mail
Ministers have ruled out a prostate cancer screening programme
--saying there is not enough evidence that it would be effective.
Older people are routinely screened for breast and bowel cancer, but
there are no plans to extend this to prostate cancer, despite the fact
it is the biggest cancer killer of UK men.  The Prostate Cancer
Charity attacked ministers for not funding trials of new tests to spot
the cancer.  
Gordon Brown (Prime Minister) announced in September that
breast-cancer screening would be extended to the ages of 47 to 73,
covering 200,000 more women by 2012…Yesterday, Mr Johnson also
announced £100million to be spent on "digital mammography" scanning
equipment, which is better at spotting breast cancer among younger
women. Every cancer specialist hospital should have one of these by
2010.
http://www.uclh.nhs.uk/News/%E2%80%98Give+a+few+Bob%E2%80%99+to+end+prostate+can
cer.htm

(Pca gets one-tenth of the funding.)
Mark Emberton, a Consultant Urologist at UCH who specialises in
prostate cancer, is a Trustee of the Prostate Cancer Research
Foundation, … "Men's health issues often take a backseat in comparison
to other well known diseases," he said. "The disease kills a man every
hour in the UK and has almost as many victims as breast cancer, yet
receives only one-tenth of the funding.

A lot better in USA then, eh, Safire?
http://beoutrageous.com/IYP/prostate1.htm  - (read the whole of it,
Saf.) An estimated 317,000 men were diagnosed with prostate cancer
last year, and some 41,000 of them died….  Meanwhile, 184,000 women
were diagnosed with breast cancer, and 44,000 died. (The American
Cancer Society)

From 1990-1997, the National Cancer Institute has directed $1.8
billion toward breast cancer research. Over the same period, the NCI
gave out $376 million to prostate cancer research projects.

http://www.journalgazette.net/apps/pbcs.dll/article?AID=/20071209/APN/712090622&
template=apart

The prostate coalition is also working to improve funding for
research. Federal funding for breast cancer research is almost twice
that for prostate cancer research, according to the group
safire - 28 Dec 2007 16:04 GMT
<hearsay omitted>

> http://beoutrageous.com/IYP/prostate1.htm  - (read the whole of it,
> Saf.) An estimated 317,000 men were diagnosed with prostate cancer
> last year, and some 41,000 of them died….  Meanwhile, 184,000 women
> were diagnosed with breast cancer, and 44,000 died. (The American
> Cancer Society)

see seer.cancer.gov/csr/1975_2004/sections.html table I-1

Estimated deaths for 2007 All Races, by Sex:
Breast Cancer Female Deaths: 40,460
Prostate Cancer Male Deaths: 27,050

Maybe your source is too outrageous to be credible. His statement that
"An estimated 317,000 men were diagnosed with prostate cancer
last year, and some 41,000 of them died…" is clearly erroneous. Do you
believe that, on diagnosis, you have a 14% risk to die within about a year?

>  From 1990-1997, the National Cancer Institute has directed $1.8
> billion toward breast cancer research. Over the same period, the NCI
> gave out $376 million to prostate cancer research projects.

And what does that have to do with your original complaint that not
enough was available for treatment? Oh, I see, it's just one big female
conspiracy against men.
ronju99 - 28 Dec 2007 20:28 GMT
Hi Mike,
If you would email me I'll send you a PM.

Ron S.

--
Message posted using http://www.talkaboutsupport.com/group/alt.support.cancer.prostate/
More information at http://www.talkaboutsupport.com/faq.html
Alan Meyer - 28 Dec 2007 22:32 GMT
> ...
> Maybe your source is too outrageous to be credible. His statement that
> "An estimated 317,000 men were diagnosed with prostate cancer
> last year, and some 41,000 of them died…" is clearly erroneous. Do you
> believe that, on diagnosis, you have a 14% risk to die within about a
> year?

I think the numbers may be right but the wording was imprecise.  It
should
have said 317,000 men diagnosed last year, 41,000 died last year, not
41,000 "of them" died.
safire - 28 Dec 2007 22:57 GMT
>> ...
>> Maybe your source is too outrageous to be credible. His statement that
[quoted text clipped - 7 lines]
> have said 317,000 men diagnosed last year, 41,000 died last year, not
> 41,000 "of them" died.

I agree with you that that is what he actually meant to say. But based
on an error like that, I seriously doubt that his interpretation of the
numbers is correct. As discussed, there is a wide margin between the
NCI/SEER mortality numbers and the number he presented.

More to the point, the idea that High Intensity Focused Ultrasound
*treatment* is limited because cancer *research* funding is
predominantly spent on "female" cancers is not "politically incorrect"
but just nonsensical.
A.J Todd - 29 Dec 2007 00:56 GMT
Mmmm,   my calculator says 12.93375% but who's counting.

It should have been clear to the meanest intelligence that 41k men died
that year and that 317k were newly diagnosed, ie it's pretty serious!

What are the comparable figures for breast cancer,  ovarian cancer and
lung cancer, so that we can get some perspective.

And, come on, the squeaking wheel always gets the grease, so breast
cancer will, so far, always get more political and social attention, and
therefore money,for all sorts of reasons.  The aim should be to increase
political and social attention on prostate cancer not moan that breast
cancer gets too much.

And don't mention Iraq. Arguably the worst "disease" in recent history
and one that was totally preventable.

tt
Alan Meyer - 28 Dec 2007 23:00 GMT
> ...
> I think it deserves a thread of its own. Political correctness, and
[quoted text clipped - 5 lines]
> inadequate funds.
> ...

These issues are complicated and hard to evaluate.  There
are many interrelated issues and focusing on one, gender,
doesn't tell the whole story.

Research funds often follow key discoveries.  If someone
discovers an important new fact that opens new areas of
research, more money is often allocated for that.  For example,
a lot of money went into tamoxifen related research when it
was discovered that that compound made from the bark of the
yew tree could help breast cancer patients.

Another issue is advocacy.  Women's groups have been very
active in advocating breast cancer research.  When a congressman
gets a lot of appeals for more funds from people, he is more
likely to respond than if he doesn't.  It's not necessarily a matter
of political correctness.

Political correctness probably does play a role, but perhaps it's
not as wrong headed as it may seem.  I think the women are right
that more money had been spent on illnesses of men than of
women up until the big breast cancer advocacy movement.

But whatever the case may be, I think it's probably a mistake
to see the world in terms of men vs. women and prostate
cancer vs. breast cancer.

Personally, if research funds were limited, as they are, I might
be inclined to take a bit from both kinds of cancer research to
stimulate Alzheimer's research.  Dying of cancer is bad, but
we do have treatments and pain palliatives.  Alzheimer's may
affect just as many people, there are no treatments, and the
impact is devastating both on the patients and their families.

Or, better still, forgive me for saying this, if we could take the
money spent in one single week in Iraq (said to be $4 billion)
and give it to medical research.  It would be a tremendous
boost to all fields.

   Alan

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