Evidence map›Paper›PMID 41013593›Full record

ArticleBreast cancer research : BCR2025

Trends in breast cancer death rates from ductal carcinoma in situ versus invasive cancer in the United States.

Hyuna Sung, Chenxi Jiang, Ismail Jatoi, Ahmedin Jemal

Abstract read
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Article in Breast cancer research : BCR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hyuna SungSurveillance and Health Equity Science, American Cancer Society, Atlanta, GA, United States. hyuna.sung@cancer.org.
Chenxi JiangSurveillance and Health Equity Science, American Cancer Society, Atlanta, GA, United States.
Ismail JatoiDivision of Surgical Oncology and Endocrine Surgery, University of Texas Health Science Center, San Antonio, TX, United States.
Ahmedin JemalSurveillance and Health Equity Science, American Cancer Society, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast ductal carcinoma in situ (DCIS), considered a non-obligate precursor to invasive breast cancer, has been widely studied; however, trends in death rate from DCIS remain undocumented.

methodsTo examine the trend in death rate from DCIS among women (age at death, 40 + years) in the US, we quantified annual percent changes (APCs) and average APCs in age-standardized death rates using the Surveillance, Epidemiology, and End Results Program (SEER) 8 incidence-based mortality database and Joinpoint regression. The trend was quantified from 2000 to 2021, capturing deaths among women diagnosed between 1975 and 2021 and allowing for a 25-year follow-back period before each death year. Additionally, we employed the SEER 12 to assess disparities in death rates from DCIS by race and ethnicity during 2017-2021, based on diagnoses from 1992-2021. Trends in death rates from invasive breast cancer were analysed similarly.

resultsDeath rate from DCIS increased by 2.43% annually (95% confidence interval [CI] = 1.34-3.54) from 2000-2015, and then plateaued, leading to an overall statistically non-significant increase from 2000-2021 (1.01% per year; 95%CI = -0.20-2.24). This trend was in stark contrast with an average of 1.61% annual decrease in death rates for invasive breast cancer (95%CI = -1.95 to -1.27). From 2016-2021, death rate from DCIS was 87% higher among non-Hispanic Black women than non-Hispanic White women (2.98 vs 1.60 per 100,000), a relatively larger disparity than the 39% estimated for death rate from invasive cancer (55.96 vs 40.28 per 100,000).

conclusionsDistinct epidemiologic patterns in death rates between DCIS and invasive breast cancer highlight important implications for understanding the natural history and management of these malignancies.

Indexed as

Breast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingAdultAgedAged, 80 and overFemaleHumansIncidenceMiddle AgedMortalityNeoplasm InvasivenessSEER ProgramUnited StatesBreast ductal carcinoma in situ (DCIS)Death rateIncidence-based mortalityRacial disparity

Identifiers

PMID41013593
PMCPMC12465744

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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.