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Scand J Public Health. 2016 May;44(3):228-32. doi: 10.1177/1403494815613184. Epub 2015 Oct 28.

The Movember campaign: Impact on referral patterns and diagnosis of prostate cancer.

Author information

1
Department of Urology, Bispebjerg and Frederiksberg Hospital, Denmark thomsen.frederik@gmail.com.
2
Department of Urology, Bispebjerg and Frederiksberg Hospital, Denmark.
3
Copenhagen Prostate Cancer Center, Department of Urology, Rigshospitalet, University of Copenhagen, Denmark.

Abstract

AIMS:

The aims of the present study were to investigate referral patterns and the diagnosis of prostate cancer (PCa) before and after the Movember campaign was initiated in Denmark.

METHODS:

All men (n=2817) referred to the Department of Urology at Frederiksberg Hospital with suspicion of having PCa in the period 1 January 2007-31 January 2014 were identified. Based on the referral date, patients were categorised as pre-Movember (1 January 2007-31 January 2011) and Movember (1 February 2011-31 January 2014), respectively. Annual referral-rates/100.000 inhabitants were calculated and compared with rate-ratio (RR) tests.

RESULTS:

The median prostate-specific antigen (PSA) at referral dropped significantly from 9.8 ng/mL in 2007-2011 to 7.9 ng/mL in 2011-2014,p< 0.001. The incidence rate of men referred with suspicion of PCa increased from 134/100.000 in the pre-Movember period to 168/100.000 in the Movember period (RR 1.25 [95% CI 1.16-1.35]). In contrast to what we anticipated, there was no increase in referral in the months following the campaign. The incidence rates of men diagnosed with PCa and low-risk PCa were similar in the Movember period and the pre-Movember period (PCa: RR 1.08 [0.97-1.21]; low-risk PCa: RR 1.29 [0.98-1.73]).

CONCLUSIONS:

After the initiation of the Movember campaign a significant decline in the PSA level at referral and an increase in the number of patients referred under suspicion of PCa was observed; however, only minor differences in referral patterns and PCa diagnosis were detected. The results indicate that the Movember campaign had a limited immediate effect on referral, however, it may have contributed to an increased awareness of PCa.

KEYWORDS:

Movember; Prostate cancer; awareness; diagnosis; incidence; referral

PMID:
26511591
DOI:
10.1177/1403494815613184
[Indexed for MEDLINE]

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