author_facet Simard, Edgar P.
Watson, Meg
Saraiya, Mona
Clarke, Christina A.
Palefsky, Joel M.
Jemal, Ahmedin
Simard, Edgar P.
Watson, Meg
Saraiya, Mona
Clarke, Christina A.
Palefsky, Joel M.
Jemal, Ahmedin
author Simard, Edgar P.
Watson, Meg
Saraiya, Mona
Clarke, Christina A.
Palefsky, Joel M.
Jemal, Ahmedin
spellingShingle Simard, Edgar P.
Watson, Meg
Saraiya, Mona
Clarke, Christina A.
Palefsky, Joel M.
Jemal, Ahmedin
Cancer
Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
Cancer Research
Oncology
author_sort simard, edgar p.
spelling Simard, Edgar P. Watson, Meg Saraiya, Mona Clarke, Christina A. Palefsky, Joel M. Jemal, Ahmedin 0008-543X 1097-0142 Wiley Cancer Research Oncology http://dx.doi.org/10.1002/cncr.28252 <jats:sec><jats:title>BACKGROUND</jats:title><jats:p>Although screening of human immunodeficiency virus (HIV)‐positive individuals for anal intraepithelial neoplasia (AIN; a precursor of anal cancer) has been practiced in San Francisco among HIV health care providers since the early 1990s, to the authors' knowledge no study to date has focused on evaluating recent AIN trends.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>Cases of high‐grade AIN 3 and invasive anal cancer from 2000 to 2009 were obtained from the San Francisco/Oakland Surveillance, Epidemiology, and End Results (SEER) population‐based cancer registry. Age‐standardized rates of AIN 3 and anal cancer were calculated overall and by demographic characteristics (sex, race, and age group). Log‐linear regression calculated annual percent change in rates during 2000 to 2009, and rate ratios (RRs) and 95% confidence intervals (95% CIs), evaluated differences in rates during 2000 through 2004 and 2005 through 2009.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>During 2000 through 2009, the majority of AIN 3 cases occurred among men (1152 of 1320 men; 87.3%). Rates of AIN 3 during the corresponding period increased by 11.48% per year (<jats:italic>P</jats:italic> &lt; .05) among men and were stable among women. Comparing rates among men during 2000 to 2004 with those during 2005 to 2009, the largest increases were noted among those aged 50 years to 64 years (RR, 2.47; 95% CI, 1.93‐3.17) and among black individuals (RR, 3.49; 95% CI, 2.14‐5.85). During the same period, anal cancer rates were stable among men and women.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Rates of AIN 3 increased in San Francisco during 2000 through 2009, in conjunction with an anal cytology screening program for high‐risk groups, whereas rates of invasive anal cancer were unchanged. Continued surveillance is necessary to evaluate the impact of screening and human papillomavirus vaccination on the prevention of human papillomavirus‐related AIN and anal cancer. <jats:bold><jats:italic>Cancer</jats:italic> 2013;119:3539–3545.</jats:bold>. © <jats:italic>2013 American Cancer Society</jats:italic>.</jats:p></jats:sec> Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009 Cancer
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title Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_unstemmed Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_full Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_fullStr Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_full_unstemmed Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_short Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_sort trends in the occurrence of high‐grade anal intraepithelial neoplasia in san francisco: 2000‐2009
topic Cancer Research
Oncology
url http://dx.doi.org/10.1002/cncr.28252
publishDate 2013
physical 3539-3545
description <jats:sec><jats:title>BACKGROUND</jats:title><jats:p>Although screening of human immunodeficiency virus (HIV)‐positive individuals for anal intraepithelial neoplasia (AIN; a precursor of anal cancer) has been practiced in San Francisco among HIV health care providers since the early 1990s, to the authors' knowledge no study to date has focused on evaluating recent AIN trends.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>Cases of high‐grade AIN 3 and invasive anal cancer from 2000 to 2009 were obtained from the San Francisco/Oakland Surveillance, Epidemiology, and End Results (SEER) population‐based cancer registry. Age‐standardized rates of AIN 3 and anal cancer were calculated overall and by demographic characteristics (sex, race, and age group). Log‐linear regression calculated annual percent change in rates during 2000 to 2009, and rate ratios (RRs) and 95% confidence intervals (95% CIs), evaluated differences in rates during 2000 through 2004 and 2005 through 2009.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>During 2000 through 2009, the majority of AIN 3 cases occurred among men (1152 of 1320 men; 87.3%). Rates of AIN 3 during the corresponding period increased by 11.48% per year (<jats:italic>P</jats:italic> &lt; .05) among men and were stable among women. Comparing rates among men during 2000 to 2004 with those during 2005 to 2009, the largest increases were noted among those aged 50 years to 64 years (RR, 2.47; 95% CI, 1.93‐3.17) and among black individuals (RR, 3.49; 95% CI, 2.14‐5.85). During the same period, anal cancer rates were stable among men and women.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Rates of AIN 3 increased in San Francisco during 2000 through 2009, in conjunction with an anal cytology screening program for high‐risk groups, whereas rates of invasive anal cancer were unchanged. Continued surveillance is necessary to evaluate the impact of screening and human papillomavirus vaccination on the prevention of human papillomavirus‐related AIN and anal cancer. <jats:bold><jats:italic>Cancer</jats:italic> 2013;119:3539–3545.</jats:bold>. © <jats:italic>2013 American Cancer Society</jats:italic>.</jats:p></jats:sec>
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author Simard, Edgar P., Watson, Meg, Saraiya, Mona, Clarke, Christina A., Palefsky, Joel M., Jemal, Ahmedin
author_facet Simard, Edgar P., Watson, Meg, Saraiya, Mona, Clarke, Christina A., Palefsky, Joel M., Jemal, Ahmedin, Simard, Edgar P., Watson, Meg, Saraiya, Mona, Clarke, Christina A., Palefsky, Joel M., Jemal, Ahmedin
author_sort simard, edgar p.
container_issue 19
container_start_page 3539
container_title Cancer
container_volume 119
description <jats:sec><jats:title>BACKGROUND</jats:title><jats:p>Although screening of human immunodeficiency virus (HIV)‐positive individuals for anal intraepithelial neoplasia (AIN; a precursor of anal cancer) has been practiced in San Francisco among HIV health care providers since the early 1990s, to the authors' knowledge no study to date has focused on evaluating recent AIN trends.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>Cases of high‐grade AIN 3 and invasive anal cancer from 2000 to 2009 were obtained from the San Francisco/Oakland Surveillance, Epidemiology, and End Results (SEER) population‐based cancer registry. Age‐standardized rates of AIN 3 and anal cancer were calculated overall and by demographic characteristics (sex, race, and age group). Log‐linear regression calculated annual percent change in rates during 2000 to 2009, and rate ratios (RRs) and 95% confidence intervals (95% CIs), evaluated differences in rates during 2000 through 2004 and 2005 through 2009.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>During 2000 through 2009, the majority of AIN 3 cases occurred among men (1152 of 1320 men; 87.3%). Rates of AIN 3 during the corresponding period increased by 11.48% per year (<jats:italic>P</jats:italic> &lt; .05) among men and were stable among women. Comparing rates among men during 2000 to 2004 with those during 2005 to 2009, the largest increases were noted among those aged 50 years to 64 years (RR, 2.47; 95% CI, 1.93‐3.17) and among black individuals (RR, 3.49; 95% CI, 2.14‐5.85). During the same period, anal cancer rates were stable among men and women.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Rates of AIN 3 increased in San Francisco during 2000 through 2009, in conjunction with an anal cytology screening program for high‐risk groups, whereas rates of invasive anal cancer were unchanged. Continued surveillance is necessary to evaluate the impact of screening and human papillomavirus vaccination on the prevention of human papillomavirus‐related AIN and anal cancer. <jats:bold><jats:italic>Cancer</jats:italic> 2013;119:3539–3545.</jats:bold>. © <jats:italic>2013 American Cancer Society</jats:italic>.</jats:p></jats:sec>
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spelling Simard, Edgar P. Watson, Meg Saraiya, Mona Clarke, Christina A. Palefsky, Joel M. Jemal, Ahmedin 0008-543X 1097-0142 Wiley Cancer Research Oncology http://dx.doi.org/10.1002/cncr.28252 <jats:sec><jats:title>BACKGROUND</jats:title><jats:p>Although screening of human immunodeficiency virus (HIV)‐positive individuals for anal intraepithelial neoplasia (AIN; a precursor of anal cancer) has been practiced in San Francisco among HIV health care providers since the early 1990s, to the authors' knowledge no study to date has focused on evaluating recent AIN trends.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>Cases of high‐grade AIN 3 and invasive anal cancer from 2000 to 2009 were obtained from the San Francisco/Oakland Surveillance, Epidemiology, and End Results (SEER) population‐based cancer registry. Age‐standardized rates of AIN 3 and anal cancer were calculated overall and by demographic characteristics (sex, race, and age group). Log‐linear regression calculated annual percent change in rates during 2000 to 2009, and rate ratios (RRs) and 95% confidence intervals (95% CIs), evaluated differences in rates during 2000 through 2004 and 2005 through 2009.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>During 2000 through 2009, the majority of AIN 3 cases occurred among men (1152 of 1320 men; 87.3%). Rates of AIN 3 during the corresponding period increased by 11.48% per year (<jats:italic>P</jats:italic> &lt; .05) among men and were stable among women. Comparing rates among men during 2000 to 2004 with those during 2005 to 2009, the largest increases were noted among those aged 50 years to 64 years (RR, 2.47; 95% CI, 1.93‐3.17) and among black individuals (RR, 3.49; 95% CI, 2.14‐5.85). During the same period, anal cancer rates were stable among men and women.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Rates of AIN 3 increased in San Francisco during 2000 through 2009, in conjunction with an anal cytology screening program for high‐risk groups, whereas rates of invasive anal cancer were unchanged. Continued surveillance is necessary to evaluate the impact of screening and human papillomavirus vaccination on the prevention of human papillomavirus‐related AIN and anal cancer. <jats:bold><jats:italic>Cancer</jats:italic> 2013;119:3539–3545.</jats:bold>. © <jats:italic>2013 American Cancer Society</jats:italic>.</jats:p></jats:sec> Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009 Cancer
spellingShingle Simard, Edgar P., Watson, Meg, Saraiya, Mona, Clarke, Christina A., Palefsky, Joel M., Jemal, Ahmedin, Cancer, Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009, Cancer Research, Oncology
title Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_full Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_fullStr Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_full_unstemmed Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_short Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
title_sort trends in the occurrence of high‐grade anal intraepithelial neoplasia in san francisco: 2000‐2009
title_unstemmed Trends in the occurrence of high‐grade anal intraepithelial neoplasia in San Francisco: 2000‐2009
topic Cancer Research, Oncology
url http://dx.doi.org/10.1002/cncr.28252