Evidence map›Paper›PMID 37623930›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2023

Long-term Cancer Survival Trends by Updated Summary Stage.

Gonçalo Forjaz, Lynn Ries, Theresa P Devasia, Gretchen Flynn, Jennifer Ruhl, Angela B Mariotto

Open access · bronzeAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. When coverage is not enough: the case for strengthening uro-oncology Worldwide.International journal of surgery (London, England) · 2026
    Article
  6. Article
  7. Article
  8. Long-term Trends in Bladder Cancer Incidence Using a Harmonized Staging Variable: A SEER-Based Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Cancer statistics, 2025.CA: a cancer journal for clinicians
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Gonçalo ForjazPublic Health Practice, Westat, Inc., Rockville, Maryland.ORCID 0000-0001-8855-2042
Lynn RiesRiesSearch LLC, Rockville, Maryland.ORCID 0000-0003-3754-1479
Theresa P DevasiaDivision of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.ORCID 0000-0002-0348-1407
Gretchen FlynnInformation Management Services, Inc., Calverton, Maryland.ORCID 0009-0006-8693-4892
Jennifer RuhlDivision of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.ORCID 0009-0003-7270-0583
Angela B MariottoDivision of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.ORCID 0000-0003-2423-1834
National Cancer Institute · USCarrier (United States) · USInformation Management Services · USWestat (United States) · US

Funding

Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

backgroundStage is the most important prognostic factor for understanding cancer survival trends. Summary stage (SS) classifies cancer based on the extent of spread: In situ, Localized, Regional, or Distant. Continual updating of staging systems poses challenges to stage comparisons over time. We use a consistent summary stage classification and present survival trends for 25 cancer sites using the joinpoint survival (JPSurv) model.

methodsWe developed a modified summary stage variable, Long-Term Site-Specific Summary Stage, based on as consistent a definition as possible and applied it to a maximum number of diagnosis years, 1975-2019. We estimated trends by stage by applying JPSurv to relative survival data for 25 cancer sites in SEER-8, 1975-2018, followed through December 31, 2019. To help interpret survival trends, we report incidence and mortality trends using the joinpoint model.

resultsFive-year relative survival improved for nearly all sites and stages. Large improvements were observed for localized pancreatic cancer [4.25 percentage points annually, 2007-2012 (95% confidence interval, 3.40-5.10)], distant skin melanoma [2.15 percentage points annually, 2008-2018 (1.73-2.57)], and localized esophagus cancer [1.18 percentage points annually, 1975-2018 (1.11-1.26)].

conclusionsThis is the first analysis of survival trends by summary stage for multiple cancer sites. The largest survival increases were seen for cancers with a traditionally poor prognosis and no organized screening, which likely reflects clinical management advances. IMPACT: Our study will be particularly useful for understanding the population-level impact of new treatments and identifying emerging trends in health disparities research.

Indexed as

MelanomaSkin NeoplasmsHumansIncidenceLongitudinal StudiesNeoplasm StagingSEER Program

Identifiers

PMID37623930
PMCPMC10840866
OpenAlexW4386152718

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.