Abstract
Background/Objectives: Although pediatric and young adult skin cancer is uncommon, recent epidemiologic studies have shown pediatric melanoma to be on the rise in the United States. Using a population-based cancer registry, this study examined skin cancer burden and survival disparities in children and young adults. Methods: Linked data from the Florida Cancer Data System and U.S. Census were analyzed to elucidate skin cancer burden distribution and survival disparities in 1543 Florida children (0-9 years), adolescents (10-19 years), and young adults (20-24 years). These disparities were assessed according to sociodemographic groups such as sex, race, ethnicity, and neighborhood level socioeconomic status. A multivariable Cox regression model adjusted for sociodemographic, clinical, and tumor characteristics was used to predict survival. Results: Boys had a slightly greater burden of skin cancer among children (50.9%), whereas girls had the greatest burden for adolescents (54.5%) and young adults (60%). Survival differed between white, black, and other races; 1-year survival was 91.5% for whites and 77.9% for blacks. Average 3- and 5-year survival was comparable for blacks and whites. "Other" race had a 1- and 3-year survival of 96.2%. Conclusion: Because skin cancer is on the rise, it is important to elucidate the burden and determinants associated with survival outcomes to identify high-risk pediatric and young adult populations. Understanding these factors in the Florida pediatric population may provide a base for future endeavors to create culturally competent cancer prevention programs through screening, health promotion, and literacy.
| Original language | English (US) |
|---|---|
| Journal | Pediatric Dermatology |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- Cancer registry
- Florida
- Melanoma
- Pediatric skin cancer
- Young adult skin cancer
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Dermatology
Cite this
Survival of children and young adults with skin cancer : Analysis of a population-based Florida cancer registry: 1981-2013. / Dunn, Erin C.; Moore, Kevin J.; Miao, Feng; Kirsner, Robert; Sengul, Tulay.
In: Pediatric Dermatology, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Survival of children and young adults with skin cancer
T2 - Analysis of a population-based Florida cancer registry: 1981-2013
AU - Dunn, Erin C.
AU - Moore, Kevin J.
AU - Miao, Feng
AU - Kirsner, Robert
AU - Sengul, Tulay
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Background/Objectives: Although pediatric and young adult skin cancer is uncommon, recent epidemiologic studies have shown pediatric melanoma to be on the rise in the United States. Using a population-based cancer registry, this study examined skin cancer burden and survival disparities in children and young adults. Methods: Linked data from the Florida Cancer Data System and U.S. Census were analyzed to elucidate skin cancer burden distribution and survival disparities in 1543 Florida children (0-9 years), adolescents (10-19 years), and young adults (20-24 years). These disparities were assessed according to sociodemographic groups such as sex, race, ethnicity, and neighborhood level socioeconomic status. A multivariable Cox regression model adjusted for sociodemographic, clinical, and tumor characteristics was used to predict survival. Results: Boys had a slightly greater burden of skin cancer among children (50.9%), whereas girls had the greatest burden for adolescents (54.5%) and young adults (60%). Survival differed between white, black, and other races; 1-year survival was 91.5% for whites and 77.9% for blacks. Average 3- and 5-year survival was comparable for blacks and whites. "Other" race had a 1- and 3-year survival of 96.2%. Conclusion: Because skin cancer is on the rise, it is important to elucidate the burden and determinants associated with survival outcomes to identify high-risk pediatric and young adult populations. Understanding these factors in the Florida pediatric population may provide a base for future endeavors to create culturally competent cancer prevention programs through screening, health promotion, and literacy.
AB - Background/Objectives: Although pediatric and young adult skin cancer is uncommon, recent epidemiologic studies have shown pediatric melanoma to be on the rise in the United States. Using a population-based cancer registry, this study examined skin cancer burden and survival disparities in children and young adults. Methods: Linked data from the Florida Cancer Data System and U.S. Census were analyzed to elucidate skin cancer burden distribution and survival disparities in 1543 Florida children (0-9 years), adolescents (10-19 years), and young adults (20-24 years). These disparities were assessed according to sociodemographic groups such as sex, race, ethnicity, and neighborhood level socioeconomic status. A multivariable Cox regression model adjusted for sociodemographic, clinical, and tumor characteristics was used to predict survival. Results: Boys had a slightly greater burden of skin cancer among children (50.9%), whereas girls had the greatest burden for adolescents (54.5%) and young adults (60%). Survival differed between white, black, and other races; 1-year survival was 91.5% for whites and 77.9% for blacks. Average 3- and 5-year survival was comparable for blacks and whites. "Other" race had a 1- and 3-year survival of 96.2%. Conclusion: Because skin cancer is on the rise, it is important to elucidate the burden and determinants associated with survival outcomes to identify high-risk pediatric and young adult populations. Understanding these factors in the Florida pediatric population may provide a base for future endeavors to create culturally competent cancer prevention programs through screening, health promotion, and literacy.
KW - Cancer registry
KW - Florida
KW - Melanoma
KW - Pediatric skin cancer
KW - Young adult skin cancer
UR - http://www.scopus.com/inward/record.url?scp=85050622138&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85050622138&partnerID=8YFLogxK
U2 - 10.1111/pde.13588
DO - 10.1111/pde.13588
M3 - Article
C2 - 29999198
AN - SCOPUS:85050622138
JO - Pediatric Dermatology
JF - Pediatric Dermatology
SN - 0736-8046
ER -