Hysterectomy-corrected incidence rates of cervical and uterine cancers in Massachusetts, 1995 to 2010 |
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| Institution: | 1. Institute of Clinical Epidemiology, Medical Faculty, Martin-Luther-University of Halle-Wittenberg, Halle, Germany;2. Department of Epidemiology, Boston University, School of Public Health, Boston, MA;3. Massachusetts Department of Public Health, Massachusetts Cancer Registry, Bureau of Health Information, Statistics, Research and Evaluation, Boston, MA;4. Center for Health and Society, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany;5. Institute for Biometrics and Epidemiology, German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University, Düsseldorf, Germany;1. Danish Cancer Society Research Center, Copenhagen, Denmark;2. Department of Oncology, Finsen Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark;3. Danish Breast Cancer Cooperative Group, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark;1. Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis;2. Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill;3. Division of General Internal Medicine, Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD;4. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD;5. Department of Epidemiology, University of Washington, Seattle;6. Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis;7. Department of Medicine, University of Vermont, Burlington;8. Department of Pathology, University of Vermont, Burlington;1. Obesity Prevention Program, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA;2. Department of Nutrition, Harvard School of Public Health, Boston, MA;3. Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA;1. Department of Neurology and Psychiatry, Sapienza University, Rome, Italy;2. Sleep Unit, Institute of Neurology, Catholic University, A. Gemelli, Rome, Italy;1. School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada;2. Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, ON, Canada;3. Ontario Tobacco Research Unit, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada |
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| Abstract: | PurposeThe aim was to provide ethnicity-specific incidence trends of cervical and uterine cancers uncorrected and corrected for the prevalence of hysterectomy in Massachusetts.MethodsWe used incidence data of invasive cervical (International Classification of Diseases for Oncology, Third Edition: C53) and uterine cancer (International Classification of Diseases for Oncology, Third Edition: C54-C55) diagnosed from 1995 to 2010 from the Massachusetts Cancer Registry. Data from the Behavioral Risk Factor Surveillance Survey for Massachusetts were used to model the ethnicity-specific prevalence of hysterectomy. We standardized rates by the US 2000 population standard for the periods 1995 to 1998, 1999 to 2002, 2003 to 2006, and 2007 to 2010.ResultsDepending on the period, corrected cervical cancer rates increased by 1.2 to 2.8, 5.6 to 8.3, and 3.2 to 8.2 per 100,000 person-years, and uterine cancer rates increased by 14.3 to 16.7, 14.8 to 29.3, and 6.7 to 15.4 per 100,000 person-years among white non-Hispanic women, black non-Hispanic women, and Hispanic women, respectively. Corrected estimated annual percentage changes increased for uterine cancer among black non-Hispanic women aged 60 years and older. Ethnic disparities between white non-Hispanic women and the other groups became smaller for uterine cancer and larger for cervical cancer after correction.DiscussionCorrections of cervical and uterine cancer rates for hysterectomy prevalence are important as ethnic disparities, age patterns and time trends of cervical and uterine cancer incidence rates change. |
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| Keywords: | Hysterectomy Prevalence Incidence Uterine neoplasms Uterine cervical neoplasms Massachusetts United States Epidemiology |
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