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4. Recent Trends in Squamous Cell Carcinoma of the Anus Incidence and Mortality in the United States, 2001–2015

Author

Deshmukh, Ashish A, Suk, Ryan, Shiels, Meredith S, Sonawane, Kalyani, Nyitray, Alan G, Liu, Yuxin, Gaisa, Michael M, Palefsky, Joel M, and Sigel, Keith

Subjects
Aging, Cancer, Clinical Research, Aetiology, 2.4 Surveillance and distribution, Good Health and Well Being, Adult, African Americans, Age Factors, Aged, Aged, 80 and over, Anus Neoplasms, Carcinoma, Squamous Cell, Datasets as Topic, Female, Hispanic or Latino, History, 21st Century, Humans, Incidence, Male, Middle Aged, Mortality, SEER Program, United States, Whites, White People, Black or African American, Oncology and Carcinogenesis, Oncology & Carcinogenesis
Abstract

BackgroundSquamous cell carcinoma of the anus (SCCA) incidence is rising in the United States. Study of incidence trends by stage at diagnosis, age-specific and birth cohort patterns, and trends in mortality could provide evidence for a true increase and etiological clues for the increase in incidence.MethodsUsing the US Cancer Statistics dataset, we examined trends in SCCA incidence (2001-2015) and mortality (2001-2016) rates. Join-point regression was used to compute annual and average annual percentage change (AAPC). Incidence patterns by 5-year age group and birth cohort were evaluated using incidence rate ratios (IRRs) and age-period-cohort modeling.ResultsSCCA incidence increased 2.7% per year (95% confidence interval [CI] = 2.1% to 3.3%), with pronounced increases in age groups 50 years and older. Distant-stage SCCA incidence tripled (AAPC = 8.6%, 95% CI = 5.4% to 12.0%, among men and AAPC = 7.5%, 95% CI = 4.8% to 10.2%, among women) and regional-stage SCCA incidence nearly doubled (AAPC = 4.7% for men and women) in both sexes; the AAPC for localized stage was 1.3% (95% CI = 0.6% to 2.0%) in men and 2.3% (95% CI = 1.8% to 2.8%) in women. Compared with adults born circa 1946, recently born black men (born circa 1986) had a nearly fivefold higher risk (IRR = 4.7, 95% CI = 2.1 to 10.2) of SCCA, and the risk doubled among white men (IRR = 2.0, 95% CI = 1.7 to 2.2) and white women (IRR = 2.1, 95% CI = 1.9 to 2.3) born after circa 1960. Anal cancer mortality rates increased 3.1% per year (95% CI = 2.6% to 3.5%) with statistically significant increases in age groups 50 years and older. SCCA incidence-based mortality increased 1.9% annually (95% CI = 0.5% to 3.4%), with a notable (4.9%, 95% CI = 2.4% to 7.3%, per year) rise in adults ages 60-69 years.ConclusionThe increase in SCCA incidence, particularly advanced-stage disease, and a similar increase in mortality suggest a true increase in the occurrence of SCCA. Future research and improved prevention are urgently needed to mitigate the increasing disease burden.

Published
2020

6. Recent and projected incidence trends and risk of anal cancer among people with HIV in North america

Author

Deshmukh, Ashish A, primary, Lin, Yueh-Yun, additional, Damgacioglu, Haluk, additional, Shiels, Meredith, additional, Coburn, Sally B, additional, Lang, Raynell, additional, Althoff, Keri N, additional, Moore, Richard, additional, Silverberg, Michael J, additional, Nyitray, Alan G, additional, Chhatwal, Jagpreet, additional, Sonawane, Kalyani, additional, and Sigel, Keith, additional

Published
2024
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12. Recent trends in cervical cancer incidence, stage at diagnosis, and mortality according to county‐level income in the United States, 2000–2019.

Author

Amboree, Trisha L., Damgacioglu, Haluk, Sonawane, Kalyani, Adsul, Prajakta, Montealegre, Jane R., and Deshmukh, Ashish A.

Subjects
CERVICAL cancer, HISPANIC American women, RACE, CANCER-related mortality, WHITE women
Abstract

Early evidence suggests that declining cervical cancer incidence reversed in low‐income regions in the United States in recent years; however, it is unclear whether there are distinct patterns by race/ethnicity and stage at diagnosis and if the increase has translated into rising mortality. Using Surveillance, Epidemiology, and End Results data, we evaluated trends in hysterectomy‐corrected cervical cancer incidence rates (2000–2019) and mortality rates (2005–2019) by county‐level income and race/ethnicity, with further stratification of incidence by stage at diagnosis. Following a period of decline, hysterectomy‐corrected cervical cancer incidence increased 1.0%/year (95% CI = 0.1% to 4.5%) among Non‐Hispanic White women in low‐income counties. Particularly, a statistically significant 4.4%/year (95% CI = 1.7% to 7.5%) increase in distant‐stage cancer occurred in this group. Additionally, recent increases in cervical cancer mortality (1.1%/year [95% CI = −1.4% to 3.7%]) were observed among this group and Non‐Hispanic Black women in low‐income counties (2.9%/year [95% CI = −2.3% to 18.2%]), but trends were not statistically significant. Among Hispanic women in low‐income counties, distant‐stage cervical cancer incidence increased 1.5%/year (95% CI = −0.6% to 4.1%), albeit not statistically significant. The increasing incidence of distant‐stage cervical cancer and mortality in specific racial/ethnic groups suggests that the recent introduction of higher sensitivity screening tests may not explain increasing trends in low‐income counties. Our findings suggest that the observed rise in cervical cancer incidence may reflect disruptions along the screening and treatment continuum. Future research to further comprehend these trends and continued enhancements in prevention are crucial to combat rising cervical cancer incidence and mortality in low‐income counties in the United States. [ABSTRACT FROM AUTHOR]

Published
2024
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22. Consumption of health-related videos and HPV awareness: Cross-sectional Analyses of a US national survey and YouTube® from the urban-rural context (Preprint)

Author

Garg, Ashvita, primary, Nyitray, Alan G, additional, Roberts, James R, additional, Shungu, Nicholas, additional, Ruggiero, Kenneth J, additional, Chandler, Jessica, additional, Damgacioglu, Haluk, additional, Zhu, Yenan, additional, Brownstein, Naomi C, additional, Sterba, Katherine R, additional, Deshmukh, Ashish A, additional, and Sonawane, Kalyani, additional

Published
2023
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30. State Variation in Squamous Cell Carcinoma of the Anus Incidence and Mortality, and Association With HIV/AIDS and Smoking in the United States

Author

Damgacioglu, Haluk, primary, Lin, Yueh-Yun, additional, Ortiz, Ana Patricia, additional, Wu, Chi-Fang, additional, Shahmoradi, Zahed, additional, Shyu, Shiang Shiuan, additional, Li, Ruosha, additional, Nyitray, Alan G., additional, Sigel, Keith, additional, Clifford, Gary M., additional, Jay, Naomi, additional, Lopez, Vivian Colon, additional, Barnell, Gregory M., additional, Chiao, Elizabeth Y., additional, Stier, Elizabeth A., additional, Ortiz-Ortiz, Karen J., additional, Ramos-Cartagena, Jeslie M., additional, Sonawane, Kalyani, additional, and Deshmukh, Ashish A., additional

Published
2022
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37. State Variation in Squamous Cell Carcinoma of the Anus Incidence and Mortality, and Association With HIV/AIDS and Smoking in the United States.

Author

Damgacioglu, Haluk, Lin, Yueh-Yun, Ortiz, Ana Patricia, Wu, Chi-Fang, Shahmoradi, Zahed, Shyu, Shiang Shiuan, Li, Ruosha, Nyitray, Alan G., Sigel, Keith, Clifford, Gary M., Jay, Naomi, Lopez, Vivian Colon, Barnell, Gregory M., Chiao, Elizabeth Y., Stier, Elizabeth A., Ortiz-Ortiz, Karen J., Ramos-Cartagena, Jeslie M., Sonawane, Kalyani, and Deshmukh, Ashish A.

Published
2023
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38. Global burden of HPV‐attributable squamous cell carcinoma of the anus in 2020, according to sex and HIV status: A worldwide analysis.

Author

Deshmukh, Ashish A., Damgacioglu, Haluk, Georges, Damien, Sonawane, Kalyani, Ferlay, Jacques, Bray, Freddie, and Clifford, Gary M.

Subjects
SQUAMOUS cell carcinoma, HIV status, ANUS, HUMAN Development Index, GENITAL warts, HUMAN papillomavirus vaccines, ANAL cancer
Abstract

Squamous cell carcinoma of the anus (SCCA) is caused by HPV, and is elevated in persons living with HIV (PLWHIV). We aimed to estimate sex‐ and HIV‐stratified SCCA burden at a country, regional and global level. Using anal cancer incidence estimates from 185 countries available through GLOBOCAN 2020, and region/country‐specific proportions of SCCA vs non‐SCCA from the Cancer Incidence in Five Continents (CI5) Volume XI database, we estimated country‐ and sex‐specific SCCA incidence. Proportions of SCCA diagnosed in PLWHIV, and attributable to HIV, were calculated using estimates of HIV prevalence (UNAIDS 2019) and relative risk applied to SCCA incidence. Of 30 416 SCCA estimated globally in 2020, two‐thirds occurred in women (19 792) and one‐third among men (10 624). Fifty‐three percent of male SCCA and 65% of female SCCA occurred in countries with a very high Human Development Index (HDI). Twenty‐one percent of the global male SCCA burden occurred in PLWHIV (n = 2203), largely concentrated in North America, Europe and Africa. While, only 3% of global female SCCA burden (n = 561) occurred in PLWHIV, mainly in Africa. The global age‐standardized incidence rate of HIV‐negative SCCA was higher in women (0.55 cases per 100 000) than men (0.28), whereas HIV‐positive SCCA was higher in men (0.07) than women (0.02). HIV prevalence reached >40% in 22 countries for male SCCA and in 10 countries for female SCCA, mostly in Africa. Understanding global SCCA burden by HIV status can inform SCCA prevention programs (through HPV vaccination, screening and HIV control) and help raise awareness to combat the disease. [ABSTRACT FROM AUTHOR]

Published
2023
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46. HPV vaccine: the key to eliminating cervical cancer inequities.

Author

Amboree, Trisha L., Paguio, Joslyn, and Sonawane, Kalyani

Subjects
IMMUNIZATION, HEALTH services accessibility, CERVIX uteri tumors, HUMAN services programs, HERD immunity, SOCIOECONOMIC status, SMOKING, EARLY detection of cancer, HUMAN papillomavirus vaccines, VACCINATION coverage, HEALTH equity, ALCOHOLISM, SOCIAL classes
Published
2024
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