{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T20:25:31Z","timestamp":1773347131237,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T00:00:00Z","timestamp":1587945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the contemporary incidence of cancers using American Samoa as a learning set for insights into similar populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational analysis of de\u2010identified data held in public\u2010access databases (2004\u20132014) and data on uterine cancer from a hospital, both in American Samoa (2015\u20132016).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 341 new cases of cancer in 2004\u20132014 (111 per 100\u00a0000 women\/year), including breast (20.2%), uterine (19.4%), and cervical (5.0%); and 287 in 2011\u20132015 (103 per 100\u00a0000 women\/year), including uterine (24.0%), breast (18.5%), and cervical (5.2%). Uterine cancer increased from 21.4 to 60.3 per 100\u00a0000 women\/year, becoming the most common cancer in American Samoa. In 2011\u20132015, the incidence\u2010rate ratio of uterine cancer to other cancers in American Samoa was 1.3\u2010, 3.8\u2010, 4.6\u2010, 7.7\u2010, and 23\u2010fold higher than breast, colon, cervical, ovarian, and lung cancer, respectively. Among the most recent cases (n=33), median age was 55\u00a0years (10 [30.3%] &lt;50\u00a0years), median BMI was 38.2; and 11 (33.3%) cases had grade 3 histology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The pattern of cancers in American Samoa differs from that in the US mainland. The findings reflect significant changes in cancer incidence. Cancer control programs should evaluate the potential of uterine screening in accordance with their community's needs and characteristics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13130","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T17:03:51Z","timestamp":1582995831000},"page":"330-334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The rising relative and absolute incidence of uterine cancer in specific populations"],"prefix":"10.1002","volume":"153","author":[{"given":"Ianeta","family":"Timoteo\u2010Liaina","sequence":"first","affiliation":[{"name":"Department of Ob\u2010Gyn Lyndon B. Johnson Tropical Medical Center  Faga'alu American Samoa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem","family":"Khozaim","sequence":"additional","affiliation":[{"name":"Department of Ob\u2010Gyn John A. Burns School of Medicine University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010Ju A.","family":"Chen","sequence":"additional","affiliation":[{"name":"BronxCare Health System Department of Ob\u2010Gyn Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Buenconsejo\u2010Lum","sequence":"additional","affiliation":[{"name":"Department of Family Medicine &amp; Community Health John A. Burns School of Medicine University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan A.","family":"Arslan","sequence":"additional","affiliation":[{"name":"Departments of Population Health and Environmental Medicine New York University School of Medicine  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Matthews","sequence":"additional","affiliation":[{"name":"Department of Ob\u2010Gyn Grady Hospital Morehouse School of Medicine  Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Del Priore","sequence":"additional","affiliation":[{"name":"Department of Ob\u2010Gyn Grady Hospital Morehouse School of Medicine  Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"U.S. Cancer Statistics Working Group.U.S. Cancer Statistics Data Visualizations Tool based on November 2017 submission data (1999\u20132015).www.cdc.gov\/cancer\/dataviz. 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