This is partly due to the early implementation of PCa screening, which caused a decrease in PCa incidence in the USA to some extent, while gradual westernization—which causes a loss of cultural protective factors, and development of diagnostic methods ( 22 , 23 ) may induce an increasing trend in China ( 24 ).
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Different Trends in the Incidence and Mortality Rates of Prostate Cancer Between China and the USA: A Joinpoint and Age-Period-Cohort Analysis.
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This study also found that the birth cohort impacts the PCa incidence and mortality with a decreasing trend.