Trends in Cancer Incidence in US Adolescents and Young Adults, 1973-2015
| العنوان: | Trends in Cancer Incidence in US Adolescents and Young Adults, 1973-2015 |
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| المؤلفون: | Nicholas G. Zaorsky, Archie Bleyer, Kelsey C. Stoltzfus, Eric J. Lehrer, Daniel M. Trifiletti, Alyssa R. Scott, Pooja Rao, Leila T. Tchelebi |
| المصدر: | JAMA Network Open |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Cross-sectional study, Population, Adolescent Health, Young Adult, Neoplasms, Epidemiology, Epidemiology of cancer, medicine, Humans, Registries, Young adult, education, Retrospective Studies, Original Investigation, education.field_of_study, business.industry, Incidence (epidemiology), Incidence, Research, Cancer, General Medicine, medicine.disease, humanities, United States, Online Only, Cross-Sectional Studies, Oncology, Population study, Female, business, SEER Program |
| الوصف: | This cross-sectional population-based study characterizes the epidemiology of cancer in US adolescents and young adults aged 15 to 39 years with respect to (1) patient demographic characteristics, (2) cancer type frequencies, and (3) cancer incidence trends over time. Key Points Question What are the epidemiological characteristics and trends of cancers in US adolescents and young adults (AYAs) from 1973 to 2015? Findings In this serial cross-sectional, US population-based study using cancer registry data from 497 452 AYAs, the rate of cancer increased by 29.6% from 1973 to 2015, with kidney carcinoma increasing at the greatest rate. Breast carcinoma and testicular cancer were the most common cancer diagnoses for female and male AYAs, respectively. Meaning The results of this study provide further understanding of the distinct characteristics of cancer in AYAs, including incidence trends of cancer subtypes, which is valuable to guide more targeted research and interventions specifically to AYAs. Importance Previous studies have demonstrated that adolescents and young adults (AYAs) with cancer are a distinct cancer population; however, research on long-term epidemiological trends and characteristics of cancers in AYAs is lacking. Objective To characterize the epidemiology of cancer in AYAs aged 15 to 39 years with respect to (1) patient demographic characteristics, (2) frequencies of cancer types, and (3) cancer incidence trends over time. Design, Setting, and Participants This retrospective, serial cross-sectional, population-based study used registry data from the Surveillance, Epidemiology, and End Results (SEER) database from January 1, 1973, to December 31, 2015 (SEER 9 and SEER 18). The study population was from geographically distinct US regions, chosen to represent the racial and ethnic heterogeneity of the country. Initial analyses were performed from January 1 to August 31, 2019. Main Outcomes and Measures Incidence rates and descriptive epidemiological statistics for patients aged 15 to 39 years with invasive cancer. Results A total of 497 452 AYAs diagnosed from 1973 to 2015 were included in this study, with 293 848 (59.1%) female and 397 295 (79.9%) White participants. As AYAs aged, an increase in the relative incidence of carcinomas and decrease in the relative incidence of leukemias, lymphomas, germ cell and trophoblastic neoplasms, and neoplasms of the central nervous system occurred. Among the female AYAs, 72 564 (24.7%) were diagnosed with breast carcinoma; 48 865 (16.6%), thyroid carcinoma; and 33 828 (11.5%), cervix and uterus carcinoma. Among the male AYAs, 37 597 (18.5%) were diagnosed with testicular cancer; 20 850 (10.2%), melanoma; and 19 532 (9.6%), non-Hodgkin lymphoma. The rate of cancer in AYAs increased by 29.6% from 1973 to 2015, with a mean annual percentage change (APC) per 100 000 persons of 0.537 (95% CI, 0.426-0.648; P |
| تدمد: | 2574-3805 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5cd7621eb86f3dd2b6d1bf6963525d37 https://pubmed.ncbi.nlm.nih.gov/33258907 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5cd7621eb86f3dd2b6d1bf6963525d37 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25743805 |
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