Breast cancer statistics, 2019

doi:10.3322/caac.21583

. 2019 Nov;69(6):438-451.

doi: 10.3322/caac.21583. Epub 2019 Oct 2.

Breast cancer statistics, 2019

Carol E DeSantis¹, Jiemin Ma¹, Mia M Gaudet², Lisa A Newman³, Kimberly D Miller¹, Ann Goding Sauer¹, Ahmedin Jemal¹, Rebecca L Siegel¹

Affiliations

¹ Surveillance and Health Services Research, American Cancer Society, Atlanta, Georgia.
² Behavioral and Epidemiology Research, American Cancer Society, Atlanta, Georgia.
³ Department of Surgery, Weill Cornell Medical Center, New York, New York.

PMID: 31577379
DOI: 10.3322/caac.21583

Free article

Breast cancer statistics, 2019

Carol E DeSantis et al. CA Cancer J Clin. 2019 Nov.

Free article

. 2019 Nov;69(6):438-451.

doi: 10.3322/caac.21583. Epub 2019 Oct 2.

Authors

Carol E DeSantis¹, Jiemin Ma¹, Mia M Gaudet², Lisa A Newman³, Kimberly D Miller¹, Ann Goding Sauer¹, Ahmedin Jemal¹, Rebecca L Siegel¹

Affiliations

¹ Surveillance and Health Services Research, American Cancer Society, Atlanta, Georgia.
² Behavioral and Epidemiology Research, American Cancer Society, Atlanta, Georgia.
³ Department of Surgery, Weill Cornell Medical Center, New York, New York.

PMID: 31577379
DOI: 10.3322/caac.21583

Abstract

This article is the American Cancer Society's biennial update on female breast cancer statistics in the United States, including data on incidence, mortality, survival, and screening. Over the most recent 5-year period (2012-2016), the breast cancer incidence rate increased slightly by 0.3% per year, largely because of rising rates of local stage and hormone receptor-positive disease. In contrast, the breast cancer death rate continues to decline, dropping 40% from 1989 to 2017 and translating to 375,900 breast cancer deaths averted. Notably, the pace of the decline has slowed from an annual decrease of 1.9% during 1998 through 2011 to 1.3% during 2011 through 2017, largely driven by the trend in white women. Consequently, the black-white disparity in breast cancer mortality has remained stable since 2011 after widening over the past 3 decades. Nevertheless, the death rate remains 40% higher in blacks (28.4 vs 20.3 deaths per 100,000) despite a lower incidence rate (126.7 vs 130.8); this disparity is magnified among black women aged <50 years, who have a death rate double that of whites. In the most recent 5-year period (2013-2017), the death rate declined in Hispanics (2.1% per year), blacks (1.5%), whites (1.0%), and Asians/Pacific Islanders (0.8%) but was stable in American Indians/Alaska Natives. However, by state, breast cancer mortality rates are no longer declining in Nebraska overall; in Colorado and Wisconsin in black women; and in Nebraska, Texas, and Virginia in white women. Breast cancer was the leading cause of cancer death in women (surpassing lung cancer) in four Southern and two Midwestern states among blacks and in Utah among whites during 2016-2017. Declines in breast cancer mortality could be accelerated by expanding access to high-quality prevention, early detection, and treatment services to all women.

Keywords: breast neoplasms; epidemiology; health disparities; incidence; molecular subtype; mortality.

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[1] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: Incidence-SEER 9 Regs Research Data with Delay-Adjustment, Malignant Only, based on the November 2018 submission. National Cancer Institute, Surveillance Research Program, Surveillance Systems Branch; 2019.

[2] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: Incidence-SEER 9 Regs Research Data with Delay-Adjustment, Malignant Only, based on the November 2018 submission. National Cancer Institute, Surveillance Research Program, Surveillance Systems Branch; 2019.

[3] Surveillance, Epidemiology, and End Results (SEER) Program. Breast Schema for 1988-2015 Based on AJCC 6th Edition. Accessed August 8, 2019. seer.cancer.gov/seerstat/variables/seer/ajcc-stage/6th/breast.html

[4] Surveillance, Epidemiology, and End Results (SEER) Program. Breast Schema for 1988-2015 Based on AJCC 6th Edition. Accessed August 8, 2019. seer.cancer.gov/seerstat/variables/seer/ajcc-stage/6th/breast.html

[5] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: Incidence-SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2018 Submission (2000-2016) <Katrina/Rita Population Adjustment>-Linked To County Attributes-Total U.S., 1969-2017 Counties. National Cancer Institute, Division of Cancer Control and Population Sciences, Surveillance Research Program; 2019.

[6] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: Incidence-SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2018 Submission (2000-2016) <Katrina/Rita Population Adjustment>-Linked To County Attributes-Total U.S., 1969-2017 Counties. National Cancer Institute, Division of Cancer Control and Population Sciences, Surveillance Research Program; 2019.

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[8] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: North American Association of Central Cancer Registries (NAACCR) Incidence Data-Cancer in North America (CiNA) Analytic File, 1995-2015, for NHIAv2 Origin, Custom File With County, American Cancer Society (ACS) Facts and Figures Projection Project (which includes data from the Centers for Disease and Prevention's [CDC's] National Program of Cancer Registries [NPCR], the Canadian Council of Cancer Registry's [CCCR's] Provincial and Territorial Registries, and the National Cancer Institute's [NCI's] SEER Registries). NAACCR; 2018.

[9] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: North American Association of Central Cancer Registries (NAACCR) Incidence Data-Cancer in North America (CiNA) Analytic File, 1995-2016, for Expanded Races, Custom File With County, American Cancer Society (ACS) Facts and Figures Projection Project (which includes data from the Centers for Disease and Prevention's [CDC's] National Program of Cancer Registries [NPCR], the Canadian Council of Cancer Registry's [CCCR's] Provincial and Territorial Registries, and the National Cancer Institute's [NCI's] SEER Registries). NAACCR; 2018.

[10] Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: North American Association of Central Cancer Registries (NAACCR) Incidence Data-Cancer in North America (CiNA) Analytic File, 1995-2016, for Expanded Races, Custom File With County, American Cancer Society (ACS) Facts and Figures Projection Project (which includes data from the Centers for Disease and Prevention's [CDC's] National Program of Cancer Registries [NPCR], the Canadian Council of Cancer Registry's [CCCR's] Provincial and Territorial Registries, and the National Cancer Institute's [NCI's] SEER Registries). NAACCR; 2018.

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Breast cancer statistics, 2019

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Breast cancer statistics, 2019

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