| Title: |
Recent cervical cancer incidence, stage at diagnosis, and mortality trends in Puerto Rico, 2001–2019. |
| Authors: |
Ortiz, Ana P., Torres-Cintrón, Carlos R., Santiago-Rodríguez, Eduardo J., Ramos-Cartagena, Jeslie M., Suárez-Ramos, Tonatiuh, Damgacioglu, Haluk, Colón-López, Vivian, Ortiz-Ortiz, Karen J., Deshmukh, Ashish A. |
| Source: |
BMC Medicine; 8/13/2024, Vol. 22 Issue 1, p1-6, 6p |
| Subject Terms: |
CERVICAL cancer, EPIDEMIOLOGY of cancer, CANCER-related mortality, DEATH rate, MEDICAL screening |
| Abstract: |
Background: Cervical cancer incidence is rising in Puerto Rico (PR). Whether the increase is real or reflective of increased diagnostic scrutiny remains unclear. Methods: Using 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. Results: Overall, 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. Conclusions: Increased 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. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
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