title: Prostate cancer in the Baby Boomer generation: results from CaPSURE.
abstract: OBJECTIVE
  Baby Boomers (those born in 1946 to 1964) are thought to place a high value on quality of life, and have a higher propensity to consume healthcare services than previous generations. We sought to characterize prostate cancer (CaP) presentation among this group, and determine whether treatment patterns differ between Baby Boomers and the preceding generation.
  
  
  METHODS
  We defined two birth cohorts: men born in 1927 to 1945 (pre-Boomers) and Baby Boomers. Our study cohort included men less than 65 years old, diagnosed with CaP between 1999 and 2003 (Baby Boomers, n = 812; pre-Boomers, n = 1843). We compared the two groups for clinical presentation, sociodemographics, and primary treatment, controlling for age effects. The primary endpoint was selection of radical prostatectomy as primary treatment.
  
  
  RESULTS
  Most Baby Boomers were diagnosed with stage T1 disease (466, 61%), biopsy Gleason sums less than 7 (572, 73%), and prostate-specific antigen levels of 4.1 to 10.0 (509, 66%). This presentation was not clinically different from pre-Boomers. Baby Boomers had higher socioeconomic status than pre-Boomers. On multivariate analysis, Baby Boomers were more likely to undergo radical prostatectomy as primary therapy (odds ratio [OR] 1.63, 95% confidence interval [CI] 1.13 to 2.35). Controlling for age effects, however, there were no significant differences in treatment choice (OR 0.86, 95% CI 0.40 to 1.87) or sociodemographics between these groups.
  
  
  CONCLUSIONS
  Differences in CaP presentation and treatment between Baby Boomers and pre-Boomers may be related to age at diagnosis rather than innate differences in behavior. As more Baby Boomers are diagnosed with CaP, further research will be required to characterize this generation's impact on CaP care.
authors.affiliation: Duke Prostate Center, Division of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Scales
authors.forename: Judd W
authors.initials: JW
authors.lastname: Moul
authors.forename: Lesley H
authors.initials: LH
authors.lastname: Curtis
authors.forename: Eric P
authors.initials: EP
authors.lastname: Elkin
authors.forename: M E
authors.initials: ME
authors.lastname: Hughes
authors.forename: Peter R
authors.initials: PR
authors.lastname: Carroll
mesh_terms: D000367:Age Factors; D001294:Attitude to Health; D015331:Cohort Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011158:Population Growth; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000628:therapy*; D012959:Socioeconomic Factors
chemical_list: D017430:Prostate-Specific Antigen