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Besides the highest incidence, African-American men are more likely to be diagnosed at an advanced stage of cancer and are more than twice as likely to die of prostate cancer as white men. 
(American Cancer Society)
 
In a study examining the difference in treatment between African-American and Caucasian men, African American men were offered treatment with curative intent (TCI) less often than white men (85% versus 91%, respectively) even though there they were not more likely to refuse TCI when it was offered. 
Richert, KE, et al. “Racial differences in treatment of early-stage prostate cancer.” Urology. 2008: 71(6)1172-6.