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

被引：82

作者：

Benard, Vicki B. ^{[1
]}

Watson, Meg ^{[1
]}

Saraiya, Mona ^{[1
]}

Harewood, Rhea ^{[2
]}

Townsend, Julie S. ^{[1
]}

Stroup, Antoinette M. ^{[3
,4
]}

Weir, Hannah K. ^{[1
]}

Allemani, Claudia ^{[2
]}

机构：

[1] Ctr Dis Control & Prevent, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Highway Northeast, Atlanta, GA 30341 USA

[2] London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, Canc Survival Grp, London, England

[3] Rutgers Sch Publ Hlth, Dept Epidemiol, Piscataway, NJ USA

[4] Rutgers Canc Inst New Jersey, New Brunswick, NJ USA

来源：

CANCER | 2017年 / 123卷

关键词：

cervical neoplasms; population-based survival; prevention and control; trends; EARLY-DETECTION PROGRAM; HEALTH-CARE ACCESS; NATIONAL BREAST; VACCINATION RECOMMENDATIONS; ADVISORY-COMMITTEE; UNDERSERVED WOMEN; POPULATION; DISPARITIES; MORTALITY; US;

D O I：

10.1002/cncr.30906

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BACKGROUNDOverall, 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. METHODSThis 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. RESULTSFrom 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. CONCLUSIONSThe 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. The 5-year survival for women with cervical cancer in the United States was 63.5% between 2001-2003 and remained constant between 2004-2009. However, the survival for black women was lower than survival for white women, in both time periods.

引用

页码：5119 / 5137

页数：19