To evaluate hysterectomy-corrected and uncorrected cervical cancer incidence trends in Puerto Rico from 2001 to 2023, highlighting the differences in trends.
Key Findings:
4636 cervical cancer cases diagnosed in PR from 2001 to 2023.
Hysterectomy-corrected incidence rates exceeded 11.5 cases per 100,000 women.
Significant increase in cervical cancer incidence among women aged 35 to 49 years (AAPC 2.0%).
Decline in incidence rates observed among women younger than 35 years since 2019, indicating a potential impact of HPV vaccination.
Interpretation:
The decline in cervical cancer incidence among younger women may be linked to HPV vaccination efforts, while the increase in older women highlights the need for improved screening and follow-up care, particularly in light of recent public health challenges.
Limitations:
Lack of individual-level data on HPV vaccination and cervical cancer screening may introduce biases.
Potential impact of health service disruptions due to hurricanes and the COVID-19 pandemic.
Conclusion:
Cervical cancer incidence trends are stabilizing in PR, with a notable decline among younger women and an increase in the 35-49 age group necessitating public health interventions to address screening and care.
by Ana P. Ortiz, Jeslie M. Ramos-Cartagena, Carlos R. Torres-Cintrón, Eduardo J. Santiago-Rodríguez, Sandra I. García-Camacho, Ashish A. Deshmukh, Karen J. Ortiz-Ortiz
Over the past 10 years, the treatment landscape and prognosis for Chronic Lymphocytic Leukemia (CLL) has dramatically improved, even among older adults.
