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Breast cancer statistics, 2019.

Carol E DeSantis1, Jiemin Ma1, Mia M Gaudet2

  • 1Surveillance and Health Services Research, American Cancer Society, Atlanta, Georgia.

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PubMed
Summary

Breast cancer incidence is rising slightly, but mortality rates continue to decline overall. However, the pace of decline has slowed, and racial disparities in breast cancer deaths persist, particularly for Black women.

Keywords:
breast neoplasmsepidemiologyhealth disparitiesincidencemolecular subtypemortality

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Area of Science:

  • Oncology
  • Epidemiology
  • Public Health

Background:

  • The American Cancer Society provides biennial updates on female breast cancer statistics in the U.S.
  • Key statistics include incidence, mortality, survival rates, and screening data.

Purpose of the Study:

  • To present the latest U.S. breast cancer statistics, highlighting trends in incidence and mortality.
  • To analyze changes in the pace of mortality decline and persistent racial disparities.
  • To identify geographic variations and specific populations affected by breast cancer mortality.

Main Methods:

  • Analysis of national cancer data for incidence, mortality, survival, and screening.
  • Examination of trends over specific 5-year periods (e.g., 2012-2016, 2011-2017).
  • Comparison of breast cancer mortality rates across different racial and ethnic groups and by state.

Main Results:

  • Breast cancer incidence increased slightly (0.3% annually, 2012-2016), driven by local stage and hormone receptor-positive disease.
  • Breast cancer death rates declined 40% from 1989 to 2017, averting 375,900 deaths, but the decline's pace has slowed since 2011.
  • A 40% higher mortality rate persists in Black women compared to white women, with disparities magnified in women under 50. Mortality rates are stabilizing or no longer declining in certain states and populations.

Conclusions:

  • While overall breast cancer mortality is decreasing, the slowing pace and persistent racial disparities require attention.
  • Expanding access to high-quality prevention, early detection, and treatment services is crucial to accelerate mortality declines for all women.
  • Targeted interventions may be needed to address disparities in specific states and demographic groups.