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Showing content from https://pubmed.ncbi.nlm.nih.gov/29205300/ below:

Cervical cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study

. 2017 Dec 15;123 Suppl 24(Suppl 24):5119-5137. doi: 10.1002/cncr.30906. Cervical cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study

Affiliations

¹ Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
² Cancer Survival Group, Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
³ Department of Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey.
⁴ Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.

PMID: 29205300
PMCID: PMC6386458
DOI: 10.1002/cncr.30906

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Cervical cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study

Vicki B Benard et al. Cancer. 2017.

. 2017 Dec 15;123 Suppl 24(Suppl 24):5119-5137. doi: 10.1002/cncr.30906. Affiliations

¹ Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
² Cancer Survival Group, Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
³ Department of Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey.
⁴ Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.

PMID: 29205300
PMCID: PMC6386458
DOI: 10.1002/cncr.30906

Item in Clipboard

Abstract

Background: Overall, cervical cancer survival in the United States has been reported to be among the highest in the world, despite slight decreases over the last decade. Objective of the current study was to describe cervical cancer survival trends among US women and examine differences by race and stage.

Methods: This study used data from the CONCORD-2 study to compare survival among women (aged 15-99 years) diagnosed in 37 states covering 80% of the US population. Survival was adjusted for background mortality (net survival) with state- and race-specific life tables and was age-standardized with the International Cancer Survival Standard weights. Five-year survival was compared by race (all races, blacks, and whites). Two time periods, 2001-2003 and 2004-2009, were considered because of changes in how the staging variable was collected.

Results: From 2001 to 2009, 90,620 women were diagnosed with invasive cervical cancer. The proportion of cancers diagnosed at a regional or distant stage increased over time in most states. Overall, the 5-year survival was 63.5% in 2001-2003 and 62.8% in 2004-2009. The survival was lower for black women versus white women in both calendar periods and in most states; black women had a higher proportion of distant-stage cancers.

Conclusions: The stability of the overall survival over time and the persistent differences in survival between white and black women in all US states suggest that there is a need for targeted interventions and improved access to screening, timely treatment, and follow-up care, especially among black women. Cancer 2017;123:5119-37. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

Keywords: cervical neoplasms; population-based survival; prevention and control; trends.

Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

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Conflict of interest statement

CONFLICT OF INTEREST DISCLOSURES

The authors made no disclosures.

Figures
Figure 1.

Five-year age-standardized net survival for…

Figure 1.

Five-year age-standardized net survival for females (15–99 years old) diagnosed between 2001–2003 and…

Figure 1.

Five-year age-standardized net survival for females (15–99 years old) diagnosed between 2001–2003 and 2004–2009 and absolute changes. The states are grouped by US Census region. States are ranked within the US Census region by the survival estimate for 2004–2009. Dark colors denote states affiliated with the National Program of Cancer Registries; pale colors denote states affiliated with the Surveillance, Epidemiology, and End Results Program; and an asterisk denotes registries affiliated with both federal surveillance programs. Changes were not plotted if at least 1 calendar period estimate was not age-standardized.

Figure 2.

Cervical cancer: 5-year age-standardized net…

Figure 2.

Cervical cancer: 5-year age-standardized net survival for females (15–99 years old) by state…

Figure 2.

Cervical cancer: 5-year age-standardized net survival for females (15–99 years old) by state (circles), race, and calendar period of diagnosis. The pooled (US) survival estimates for each calendar period are shown by the horizontal (solid) line with corresponding 95.0% and 99.8% control limits (dotted lines).