%0 Journal Article
%A Jansen, Lina
%A Holleczek, Bernd
%A Kraywinkel, Klaus
%A Weberpals, Janick
%A Schröder, Chloé Charlotte
%A Eberle, Andrea
%A Emrich, Katharina
%A Kajüter, Hiltraud
%A Katalinic, Alexander
%A Kieschke, Joachim
%A Nennecke, Alice
%A Sirri, Eunice
%A Heil, Jörg
%A Schneeweiss, Andreas
%A Brenner, Hermann
%T Divergent Patterns and Trends in Breast Cancer Incidence, Mortality and Survival Among Older Women in Germany and the United States.
%J Cancers
%V 12
%N 9
%@ 2072-6694
%C Basel
%I MDPI
%M DKFZ-2020-01763
%P 2419
%D 2020
%X Breast cancer treatment has changed tremendously over the last decades. In addition, the use of mammography screening for early detection has increased strongly. To evaluate the impact of these developments, long-term trends in incidence, mortality, stage distribution and survival were investigated for Germany and the United States (US).Using population-based cancer registry data, long-term incidence and mortality trends (1975-2015), shifts in stage distributions (1998-2015), and trends in five-year relative survival (1979-2015) were estimated. Additionally, trends in five-year relative survival after standardization for stage were explored (2004-2015).Age-standardized breast cancer incidence rates were much higher in the US than in Germany in all periods, whereas age-standardized mortality began to lower in the US from the 1990s on. The largest and increasing differences were observed for patients aged 70+ years with a 19
%F PUB:(DE-HGF)16
%9 Journal Article
%$ pmid:32858964
%R 10.3390/cancers12092419
%U https://inrepo02.dkfz.de/record/157708