Recent cervical cancer incidence, stage at diagnosis, and mortality trends in Puerto Rico, 2001-2019

被引:0
作者
Ortiz, Ana P. [1 ,2 ]
Torres-Cintron, Carlos R. [3 ]
Santiago-Rodriguez, Eduardo J. [1 ]
Ramos-Cartagena, Jeslie M. [1 ]
Suarez-Ramos, Tonatiuh [3 ]
Damgacioglu, Haluk [4 ,5 ]
Colon-Lopez, Vivian [1 ]
Ortiz-Ortiz, Karen J. [1 ,2 ,3 ]
Deshmukh, Ashish A. [4 ,5 ]
机构
[1] Univ Puerto Rico, Comprehens Canc Ctr, POB 363027, San Juan, PR 00936 USA
[2] Univ Puerto Rico, Grad Sch Publ Hlth, Med Sci Campus, San Juan, PR 00936 USA
[3] Univ Puerto Rico, Comprehens Canc Ctr, Puerto Rico Cent Canc Registry, Canc Control & Populat Sci Div, San Juan, PR 00936 USA
[4] Med Univ South Carolina, Dept Publ Hlth Sci, Charleston, SC USA
[5] Med Univ South Carolina, Hollings Canc Ctr, Charleston, SC USA
来源
BMC MEDICINE | 2024年 / 22卷 / 01期
关键词
Cervical cancer; Incidence; Mortality; Epidemiology; Puerto Rico;
D O I
10.1186/s12916-024-03535-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundCervical cancer incidence is rising in Puerto Rico (PR). Whether the increase is real or reflective of increased diagnostic scrutiny remains unclear.MethodsUsing data from the PR Central Cancer Registry for 2001-2019, we estimated trends of hysterectomy-corrected cervical cancer incidence and mortality rates, overall, and by stage at diagnosis and age.ResultsOverall, cervical cancer incidence (per 100,000) increased 1.6%/year (95% CI, -0.5% to 3.8%) from 12.5 to 15.3, with a prominent increase in distant-stage disease (4.5%/year [95% CI, 1.6% to 8.0%]), particularly among screening age eligible (25-64-year-old) women (5.8%/year [95% CI, 2.1% to 10.6%]). Mortality rates in this age-group remained stable during the study period.ConclusionsIncreased occurrence of distant-stage disease among screening-eligible women is troubling and may reflect a real increase. Future research is needed to elucidate the factors underlying these trends. Improved prevention is also an urgent priority to reverse the rising cervical cancer incidence in PR.
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页数:6
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