TY - JOUR
T1 - Surveillance of high-grade cervical cancer precursors (CIN III/AIS) in four population-based cancer registries, United States, 2009–2012
AU - Watson, Meg
AU - Soman, Ashwini
AU - Flagg, Elaine W.
AU - Unger, Elizabeth
AU - Deapen, Dennis
AU - Chen, Vivien W.
AU - Peres, Lauren C.
AU - Copeland, Glenn
AU - Tucker, Thomas C.
AU - Garnett, Erin
AU - Saraiya, Mona
N1 - Publisher Copyright:
© 2017
PY - 2017/10
Y1 - 2017/10
N2 - Surveillance of cervical intraepithelial neoplasia grade III (CIN III) and adenocarcinoma in situ (AIS) is important for determining the burden of a preventable disease, identifying effects of vaccination on future diagnoses, and developing targeted programs. We analyzed population-based rates of high-grade cervical cancer precursor lesions using data from four central cancer registries (diagnosis years 2009–2012 from Louisiana, Kentucky, Michigan, and diagnosis years 2011–2012 from Los Angeles) by age, race, and histology. We also compared rates of precursors to invasive cancers. With 4 complete years of data from Michigan, we were able to conduct a trend analysis for that state. Data analysis was conducted in Atlanta during 2016. Kentucky reported the highest rate of CIN III/AIS (69.8), followed by Michigan (55.4), Louisiana (42.3), and Los Angeles (19.2). CIN III/AIS rates declined among women in Michigan by 37% each year for women aged 15–19, 14% for those aged 20–24, and 7% for those aged 25–29. Rates of CIN III/AIS vary by registry, and were higher than invasive cancer. In Michigan, declines in CIN III/AIS among women aged 15–29 are likely related in part to updated screening recommendations, and to the impact of human papillomavirus vaccination.
AB - Surveillance of cervical intraepithelial neoplasia grade III (CIN III) and adenocarcinoma in situ (AIS) is important for determining the burden of a preventable disease, identifying effects of vaccination on future diagnoses, and developing targeted programs. We analyzed population-based rates of high-grade cervical cancer precursor lesions using data from four central cancer registries (diagnosis years 2009–2012 from Louisiana, Kentucky, Michigan, and diagnosis years 2011–2012 from Los Angeles) by age, race, and histology. We also compared rates of precursors to invasive cancers. With 4 complete years of data from Michigan, we were able to conduct a trend analysis for that state. Data analysis was conducted in Atlanta during 2016. Kentucky reported the highest rate of CIN III/AIS (69.8), followed by Michigan (55.4), Louisiana (42.3), and Los Angeles (19.2). CIN III/AIS rates declined among women in Michigan by 37% each year for women aged 15–19, 14% for those aged 20–24, and 7% for those aged 25–29. Rates of CIN III/AIS vary by registry, and were higher than invasive cancer. In Michigan, declines in CIN III/AIS among women aged 15–29 are likely related in part to updated screening recommendations, and to the impact of human papillomavirus vaccination.
KW - Cervical cancer
KW - Cervical intraepithelial neoplasia
KW - HPV
KW - HPV vaccines
KW - Population-based cancer registries
UR - http://www.scopus.com/inward/record.url?scp=85028703934&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028703934&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2017.07.027
DO - 10.1016/j.ypmed.2017.07.027
M3 - Article
C2 - 28765084
AN - SCOPUS:85028703934
SN - 0091-7435
VL - 103
SP - 60
EP - 65
JO - Preventive Medicine
JF - Preventive Medicine
ER -