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Table 4.4

Cancer of the Female Breast (In Situ)

Trends in SEER Incidencea b Using the Joinpoint Regression Program,
1975-2014 With up to Five Joinpoints, 1992-2014 With up to Four Joinpoints,
All Ages by Race/Ethnicity

SEER 9 Observed Incidencea, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-81 -3.0 1981-87 24.9* 1987-95 4.2* 1995-98 11.8 1998-14 0.5*     0.5* 0.5*
White 1975-81 -2.9 1981-87 25.4* 1987-95 3.9* 1995-98 11.1 1998-09 0.9* 2009-14 -1.6 -0.5 -1.6
Black 1975-83 6.1 1983-87 23.8* 1987-98 8.2* 1998-14 1.5*         1.5* 1.5*

SEER 13 Observed Incidenceb, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-99 7.3* 1999-14 0.4                 0.4 0.4
White 1992-94 -0.3 1994-98 10.2* 1998-09 0.7* 2009-14 -1.5         -0.5 -1.5
White NHe f 1992-94 0.7 1994-99 9.2* 1999-05 -0.8 2005-08 3.6 2008-14 -1.9*     -0.1 -1.9*
Black 1992-98 9.1* 1998-14 1.6*                 1.6* 1.6*
Black NHe f 1992-98 9.0* 1998-14 1.7*                 1.7* 1.7*
APIe 1992-01 7.6* 2001-14 1.3*                 1.3* 1.3*
AI/ANe g 1992-14 1.7*                     1.7* 1.7*
Hispanicf 1992-98 8.5* 1998-14 1.6*                 1.6* 1.6*

Footnotes:

Joinpoint Regression Program Version 4.4, January 2017, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/).

The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta).

b Trends are from the SEER 13 areas (SEER 9 Areas, Los Angeles, San Jose-Monterey, Rural Georgia, and the Alaska Native Registry).

c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention.

d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint.

e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic

f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

g Data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

* The APC/AAPC is significantly different from zero (p<.05).

- Joinpoint regression line analysis could not be performed on data series.

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