OBJECTIVE: Plateau in testicular cancer incidence in some parts of the United States (US) especially among non-Hispanic white males in Los Angeles had been observed. We conducted three decades temporal trends analysis to assess the evidence of such a plateau, and to examine whether the rate remains stable across racial/ethnic groups as well as the influence of age at diagnosis on the incidence rate.
STUDY DESIGN:Population-based temporal trends analysis.
METHODS:Using the Surveillance Epidemiology and End Results (SEER), we identified between 1975 and 2004, 16,580 of newly diagnosed testicular cancer cases, aged 15−49 years. The incidence rates were examined by calculating the age-adjusted rates and their 95% Confidence Interval (CI) for the age at diagnosis, SEER areas, and race by the year of diagnosis. The percent change and annual percent change were examined for trends.
RESULTS:Incidence of testicular cancer continues to increase among US males, albeit the plateau of the 1990s. Between 1975 and 2004 the age-adjusted incidence rate for ages, 15−49 years increased from 2.9 (1975) to 5.1(2004) per 100,000. The trends indicated a percent change of 71.9% and a statistically significant annual percent change of 1.6 %,( 95% CI, 1.3−2.0), p < 0.05. Though the rates in blacks remained strikingly low, 0.3 to 1.4 per 100,000, the highest annual percent change was observed among blacks, 2.3%, (95%, CI, 0.8−3.9), p < 0.05 for trends. The rates were intermediate among Asians/ Pacific Islanders and American Indian and Alaska Natives 0.7 to 2.9 per 100,000, percent change (117.3%) and a statistically significant annual change of 1.5%, (95% CI, 0.3−2.7) p < 0.05 for trends. The highest rates were reported among Whites, 3.2 to 6.3 per 100,000, percent change (90.4%) , with a statistically significant annual percent change of 2.0%, (95% CI, 1.6 −2.3), p < 0.05. The peak age at diagnosis was, 30−34 years while the lowest rates were reported in