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JNCI Journal of the National Cancer Institute 2005 97(19):1407-1427; doi:10.1093/jnci/dji289
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© 2005 Oxford University Press

Annual Report to the Nation on the Status of Cancer, 1975–2002, Featuring Population-Based Trends in Cancer Treatment

Brenda K. Edwards, Martin L. Brown, Phyllis A. Wingo, Holly L. Howe, Elizabeth Ward, Lynn A. G. Ries, Deborah Schrag, Patricia M. Jamison, Ahmedin Jemal, Xiao Cheng Wu, Carol Friedman, Linda Harlan, Joan Warren, Robert N. Anderson, Linda W. Pickle

Affiliations of authors: Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD (BKE, MLB, LAGR, LH, JW, LWP); Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA (PAW, PMJ, CF); North American Association of Central Cancer Registries, Springfield, IL (HLH); Epidemiology and Surveillance Research Department, American Cancer Society, Atlanta, GA (EW, AJ); Memorial Sloan Kettering Cancer Center, New York, NY (DS); Louisiana State University Health Science Center, Louisiana State University, New Orleans, LA, and North American Association of Central Cancer Registries, Springfield, IL (XCW); Division of Vital Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD (RNA)

Correspondence to: Brenda K. Edwards, PhD, Division of Cancer Control and Population Sciences, National Cancer Institute, 6116 Executive Blvd., Suite 504, Bethesda, MD 20892–8315 (e-mail: edwardsb{at}mail.nih.gov).

Background: The American Cancer Society (ACS), the Centers for Disease Control and Prevention (CDC), the National Cancer Institute (NCI), and the North American Association of Central Cancer Registries (NAACCR) collaborate annually to provide information on cancer rates and trends in the United States. This year's report updates statistics on the 15 most common cancers in the five major racial/ethnic populations in the United States for 1992–2002 and features population-based trends in cancer treatment. Methods: The NCI, the CDC, and the NAACCR provided information on cancer cases, and the CDC provided information on cancer deaths. Reported incidence and death rates were age-adjusted to the 2000 U.S. standard population, annual percent change in rates for fixed intervals was estimated by linear regression, and annual percent change in trends was estimated with joinpoint regression analysis. Population-based treatment data were derived from the Surveillance, Epidemiology, and End Results (SEER) Program registries, SEER-Medicare linked databases, and NCI Patterns of Care/Quality of Care studies. Results: Among men, the incidence rates for all cancer sites combined were stable from 1995 through 2002. Among women, the incidence rates increased by 0.3% annually from 1987 through 2002. Death rates in men and women combined decreased by 1.1% annually from 1993 through 2002 for all cancer sites combined and also for many of the 15 most common cancers. Among women, lung cancer death rates increased from 1995 through 2002, but lung cancer incidence rates stabilized from 1998 through 2002. Although results of cancer treatment studies suggest that much of contemporary cancer treatment for selected cancers is consistent with evidence-based guidelines, they also point to geographic, racial, economic, and age-related disparities in cancer treatment. Conclusions: Cancer death rates for all cancer sites combined and for many common cancers have declined at the same time as the dissemination of guideline-based treatment into the community has increased, although this progress is not shared equally across all racial and ethnic populations. Data from population-based cancer registries, supplemented by linkage with administrative databases, are an important resource for monitoring the quality of cancer treatment. Use of this cancer surveillance system, along with new developments in medical informatics and electronic medical records, may facilitate monitoring of the translation of basic science and clinical advances to cancer prevention, detection, and uniformly high quality of care in all areas and populations of the United States.



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Renal Mass Core Biopsy: Accuracy and Impact on Clinical Management
Am. J. Roentgenol., February 1, 2007; 188(2): 563 - 570.
[Abstract] [Full Text] [PDF]


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JCOHome page
N. J. Meropol and K. A. Schulman
Cost of Cancer Care: Issues and Implications
J. Clin. Oncol., January 10, 2007; 25(2): 180 - 186.
[Abstract] [Full Text] [PDF]


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Arch DermatolHome page
J. K. Robinson, R. Turrisi, and J. Stapleton
Efficacy of a Partner Assistance Intervention Designed to Increase Skin Self-examination Performance
Arch Dermatol, January 1, 2007; 143(1): 37 - 41.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
X. Yao, C.-N. Qian, Z.-F. Zhang, M.-H. Tan, E. J. Kort, X. J. Yang, J. H. Resau, and B. T. Teh
Two Distinct Types of Blood Vessels in Clear Cell Renal Cell Carcinoma Have Contrasting Prognostic Implications
Clin. Cancer Res., January 1, 2007; 13(1): 161 - 169.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
M. J. Hayat, N. Howlader, M. E. Reichman, and B. K. Edwards
Cancer Statistics, Trends, and Multiple Primary Cancer Analyses from the Surveillance, Epidemiology, and End Results (SEER) Program
Oncologist, January 1, 2007; 12(1): 20 - 37.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
A. Bardia, L. C. Hartmann, C. M. Vachon, R. A. Vierkant, A. H. Wang, J. E. Olson, T. A. Sellers, and J. R. Cerhan
Recreational Physical Activity and Risk of Postmenopausal Breast Cancer Based on Hormone Receptor Status
Arch Intern Med, December 11, 2006; 166(22): 2478 - 2483.
[Abstract] [Full Text] [PDF]


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AJPHHome page
F. Sassi, H. S. Luft, and E. Guadagnoli
Reducing Racial/Ethnic Disparities in Female Breast Cancer: Screening Rates and Stage at Diagnosis
Am J Public Health, December 1, 2006; 96(12): 2165 - 2172.
[Abstract] [Full Text] [PDF]


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AJPHHome page
P. M. Lantz, M. Mujahid, K. Schwartz, N. K. Janz, A. Fagerlin, B. Salem, L. Liu, D. Deapen, and S. J. Katz
The Influence of Race, Ethnicity, and Individual Socioeconomic Factors on Breast Cancer Stage at Diagnosis
Am J Public Health, December 1, 2006; 96(12): 2173 - 2178.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
C. Blazquez, A. Carracedo, L. Barrado, P. J. Real, J. L. Fernandez-Luna, G. Velasco, M. Malumbres, and M. Guzman
Cannabinoid receptors as novel targets for the treatment of melanoma
FASEB J, December 1, 2006; 20(14): 2633 - 2635.
[Abstract] [Full Text] [PDF]


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JCOHome page
A. B. Chen, A. V. D'Amico, B. A. Neville, and C. C. Earle
Patient and Treatment Factors Associated With Complications After Prostate Brachytherapy
J. Clin. Oncol., November 20, 2006; 24(33): 5298 - 5304.
[Abstract] [Full Text] [PDF]


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American Journal of Medical QualityHome page
C.-R. Chien and M.-S. Lai
Trends in the Pattern of Care for Lung Cancer and Their Correlation With New Clinical Evidence: Experiences in a University-Affiliated Medical Center
American Journal of Medical Quality, November 1, 2006; 21(6): 408 - 414.
[Abstract] [PDF]


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J. Clin. Endocrinol. Metab.Home page
H. J. Litman, S. Bhasin, C. L. Link, A. B. Araujo, J. B. McKinlay, and for the Boston Area Community Health Survey Invest
Serum Androgen Levels in Black, Hispanic, and White Men
J. Clin. Endocrinol. Metab., November 1, 2006; 91(11): 4326 - 4334.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. Singh and L. Johnson
Using genetically engineered mouse models of cancer to aid drug development: an industry perspective.
Clin. Cancer Res., September 15, 2006; 12(18): 5312 - 5328.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
W. E. Barlow, E. White, R. Ballard-Barbash, P. M. Vacek, L. Titus-Ernstoff, P. A. Carney, J. A. Tice, D. S. M. Buist, B. M. Geller, R. Rosenberg, et al.
Prospective breast cancer risk prediction model for women undergoing screening mammography.
J Natl Cancer Inst, September 6, 2006; 98(17): 1204 - 1214.
[Abstract] [Full Text] [PDF]


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JCOHome page
O. W. Press, J. M. Unger, R. M. Braziel, D. G. Maloney, T. P. Miller, M. LeBlanc, and R. I. Fisher
Phase II Trial of CHOP Chemotherapy Followed by Tositumomab/Iodine I-131 Tositumomab for Previously Untreated Follicular Non-Hodgkin's Lymphoma: Five-Year Follow-Up of Southwest Oncology Group Protocol S9911
J. Clin. Oncol., September 1, 2006; 24(25): 4143 - 4149.
[Abstract] [Full Text] [PDF]


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Clin Med ResHome page
D. Cross and J. K. Burmester
Gene therapy for cancer treatment: past, present and future.
Clin. Med. Res., September 1, 2006; 4(3): 218 - 227.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
A. Calcabrini, J. M. Garcia-Martinez, L. Gonzalez, M. J. Tendero, M. T. A. Ortuno, P. Crateri, A. Lopez-Rivas, G. Arancia, P. Gonzalez-Porque, and J. Martin-Perez
Inhibition of proliferation and induction of apoptosis in human breast cancer cells by lauryl gallate
Carcinogenesis, August 1, 2006; 27(8): 1699 - 1712.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. M. Caffarel, D. Sarrio, J. Palacios, M. Guzman, and C. Sanchez
{Delta}9-Tetrahydrocannabinol Inhibits Cell Cycle Progression in Human Breast Cancer Cells through Cdc2 Regulation.
Cancer Res., July 1, 2006; 66(13): 6615 - 6621.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
A. Carracedo, M. Gironella, M. Lorente, S. Garcia, M. Guzman, G. Velasco, and J. L. Iovanna
Cannabinoids Induce Apoptosis of Pancreatic Tumor Cells via Endoplasmic Reticulum Stress-Related Genes.
Cancer Res., July 1, 2006; 66(13): 6748 - 6755.
[Abstract] [Full Text] [PDF]


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ScienceHome page
H. Varmus
The new era in cancer research.
Science, May 26, 2006; 312(5777): 1162 - 1165.
[Abstract] [Full Text] [PDF]


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JCOHome page
L. A. Jones, J. A. Chilton, R. A. Hajek, N. K. Iammarino, and L. Laufman
Between and Within: International Perspectives on Cancer and Health Disparities
J. Clin. Oncol., May 10, 2006; 24(14): 2204 - 2208.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
V. R. Grann and F. M. Muggia
Completion rates of adjuvant chemotherapy for colon cancer: a historical perspective.
J Natl Cancer Inst, May 3, 2006; 98(9): 570 - 571.
[Full Text] [PDF]


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JCOHome page
C. C. Gotay
Increasing Trial Generalizability
J. Clin. Oncol., February 20, 2006; 24(6): 846 - 847.
[Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
R. J. Robbins, Q. Wan, R. K. Grewal, R. Reibke, M. Gonen, H. W. Strauss, R. M. Tuttle, W. Drucker, and S. M. Larson
Real-Time Prognosis for Metastatic Thyroid Carcinoma Based on 2-[18F]Fluoro-2-Deoxy-D-Glucose-Positron Emission Tomography Scanning
J. Clin. Endocrinol. Metab., February 1, 2006; 91(2): 498 - 505.
[Abstract] [Full Text] [PDF]


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Ann OncolHome page
J. L. Steel, D. T. Eton, D. Cella, M. C. Olek, and B. I. Carr
Clinically meaningful changes in health-related quality of life in patients diagnosed with hepatobiliary carcinoma
Ann. Onc., February 1, 2006; 17(2): 304 - 312.
[Abstract] [Full Text] [PDF]



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