Endocrine oncology

Incidence and Geographical Distribution of Adrenocortical Carcinoma: Retrospective Analysis of a State Cancer Registry

Endocr PractPublished Retrospective cohort study

Authors' conclusion

Our analysis is the first report to create ACC heatmap and could not detect any geographic clustering of ACC in Texas. The incidence of ACC remained stable and consistent with data from other large databases.

Study context

Population
Patients with adrenocortical carcinoma (ACC) diagnosed 2000–2018, Texas Cancer Registry
Participants
448 ACC cases
Outcome
ACC incidence and county-level geographic distribution
Methodological detailsstate cancer registry, county-level heatmaps, Heatmaps compared with breast, prostate and lung cancer
  • State cancer registry
  • County-level heatmaps
  • Heatmaps compared with breast, prostate and lung cancer

Main finding

As reported in the abstract

ACC incidence · 2000–2018
Median incidence, new cases/y (range 14-33)
23
Mean population-adjusted ACC incidence rate per 100 000 per year
0.104 (SD 0.005; 95% CI, 0.092-0.116)
Counties with registered cases
110 of the 254 counties (43.3%)
Seven counties (6.3%), >10 cases each: cases
215 (48.0%)
Median standardized incidence ratio (SIR) in these 7 counties (range, 0.0-0.9)
0.1
103 counties (93.7%), <10 cases each: cases
233 (52%)

Observational data: associations, not effects.

Original publication

Incidence and Geographical Distribution of Adrenocortical Carcinoma: Retrospective Analysis of a State Cancer Registry. Endocr Pract. Published 18 October 2023. doi:10.1016/j.eprac.2023.10.004

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