Evidence map›Paper›PMID 40637693›Full record

ArticleJournal of the National Cancer Institute2025

Incidence of rare cancers during the COVID-19 pandemic: a US population-based study.

Cameron B Haas, Jeremy Miller, Meredith S Shiels, Ruth M Pfeiffer, Eric A Engels

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Cameron B HaasDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0002-8211-0806
Jeremy MillerInformation Management Services Inc, Rockville, MD, United States.ORCID 0000-0002-3068-5990
Meredith S ShielsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0001-8390-6091
Ruth M PfeifferDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0001-7791-2698
Eric A EngelsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0003-0203-6958

Funding

Intramural Research Program at the National Cancer Institute
6 · The paper itself

Abstract

introductionRecent media reporting has suggested an increase in the incidence of rare cancers in 2021 as a result of the COVID-19 pandemic, raising concern for possible carcinogenic effects of severe acute respiratory syndrome coronavirus 2 infection. We aimed to identify cancers that increased in incidence in the United States during 2021 compared with 2018-2019.

methodsWe analyzed data from Surveillance, Epidemiology, and End Results (SEER-22) using a systematic classification schema including rare cancers. We estimated age-standardized incidence rate ratios (aIRRs) comparing the year 2021 to 2018-2019 for 693 individual cancer types and highlight those with an aIRR > 1 based on a Bonferroni-corrected P-value threshold. Cancer types of particular interest included cholangiocarcinoma, diffuse large B-cell lymphoma, Kaposi sarcoma, and lung cancer.

resultsAmong 693 unique cancer types evaluated, 9 showed a significant increase in incidence in 2021 compared with 2018-2019 and did not also increase in prior years, including 4 subtypes of thymoma (type-A aIRR = 2.50; type-AB aIRR = 2.78; type-B aIRR = 1.90; type not otherwise specified aIRR = 1.60), granulosa cell tumor of the ovary (aIRR = 2.72), peripheral neuroectodermal tumors of the bone (aIRR = 10.6) and soft tissue (aIRR = 3.20), pheochromocytoma (aIRR = 4.59), and paraganglioma (aIRR = 3.30). Increases for all 9 cancer types could be attributed to changes in cancer registry reporting practice. Cancer types of particular interest did not increase in incidence during 2021. DISCUSSION AND

conclusionOur study does not support an increase in cancer incidence in the United States in 2021 due to the COVID-19 pandemic. It is important to monitor future trends, which may reveal longer-term effects of COVID-19.

Indexed as

COVID-19NeoplasmsRare DiseasesAdultAgedFemaleHumansIncidenceMaleMiddle AgedPandemicsSARS-CoV-2SEER ProgramUnited States

Identifiers

PMID40637693
PMCPMC12756994

What OpenQuestion holds

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Registered trials

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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.