Incidence trends of prostate cancer in Sarawak, Malaysia: a 20-year population-based analysis

Emmanuel Joseph, Fong and Yee Wong, Kung and Yew Ting, Chung and Diana, Jawa. and Abdullah, Hamdan and Mastulu, Wahab and Azizah, Azhar and Eunice Melissa, Joseph and Johnny, Pangkas and Ooi, Choo Huck (2025) Incidence trends of prostate cancer in Sarawak, Malaysia: a 20-year population-based analysis. Discover Public Health, 22 (496). pp. 1-11. ISSN 3005-0774

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Abstract

This study explored the incidence trends of prostate cancer within the Borneo State of Sarawak, with its unique population demography, over a 20-year period. Data was collected from cancer registries spanning from 1996 to 2015, focusing on annual incidence rates and demographics. Joinpoint regression analysis revealed an increasing trend over the years with significant Annual Percent Change (APC) of 3.86 (95% CI 1.3, 7.2). The mean age at diagnosis was significantly trending downwards with an Average APC of − 0.31 (95% CI − 0.5, − 0.1) over the times. Despite having a lower incidence rate compared to Oceania and North America, the rise in prostate cancer incidence within the Asia-Pacific region has been recognised as an area of public health concern and requires further research. Continued efforts in early detection and treatment advancements are substantial.

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