{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T09:40:31Z","timestamp":1773481231978,"version":"3.50.1"},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2002,1,4]],"date-time":"2002-01-04T00:00:00Z","timestamp":1010102400000},"content-version":"vor","delay-in-days":521,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:p><jats:bold>Abstract \u2013<\/jats:bold>  <jats:italic>Objectives:<\/jats:italic> To explore changes in demographic distribution, incidence and survival rates of oral cancer in the United States from 1973 through 1996. <jats:italic>Methods:<\/jats:italic> From the Surveillance, Epidemiology, and End Results (SEER) data, we computed the proportion of oral cancer by demographic characteristics, site, and stage at diagnosis for 1973\u201384 and 1985\u201396. We estimated incidence and 5\u2010year relative survival rates of oral cancer by age, gender, and race\/ethnicity, and compared survival rates between the two periods. The estimated annual percent change (EAPC) was used to explore trends in incidence rate from 1973 through 1996. <jats:italic>Results:<\/jats:italic> Most of the tongue and floor of mouth cancers (&gt;54%) reported during 1973\u201384 and 1985\u201396 had spread to a distant site at time of diagnosis. The age\u2010adjusted annual incidence rates of oral cancer decreased among white men from 1973 through 1996, but increased among black men aged 65\u201369 years, and among young white men (aged 30\u201334 years) and women (aged 25\u201329 years). These changes in trend were all statistically significant (testing EAPC=0 at the 0.05 level). Overall, there was no improvement in the 5\u2010year relative survival rate of either whites or blacks with oral cancer. <jats:italic>Conclusion:<\/jats:italic> There was little change in early detection of oral cancer or in 5\u2010year relative survival rates between 1973\u201384 and 1985\u201396 in nine SEER regions. This suggests a deficiency in professional and public education regarding early diagnosis of oral cancer. Furthermore, the increasing trend of oral cancer among older black men and among younger whites merits further investigation.<\/jats:p>","DOI":"10.1034\/j.1600-0528.2000.280402.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T13:08:51Z","timestamp":1047388131000},"page":"249-256","source":"Crossref","is-referenced-by-count":147,"title":["Trends in oral cancer rates in the United States, 1973\u20131996"],"prefix":"10.1111","volume":"28","author":[{"given":"Caroline H.","family":"Shiboski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen C.","family":"Shiboski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Sol","family":"Silverman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,1,4]]},"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1034%2Fj.1600-0528.2000.280402.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1034%2Fj.1600-0528.2000.280402.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1034\/j.1600-0528.2000.280402.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T09:31:18Z","timestamp":1698571878000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1034\/j.1600-0528.2000.280402.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,8]]}},"alternative-id":["10.1034\/j.1600-0528.2000.280402.x"],"URL":"https:\/\/doi.org\/10.1034\/j.1600-0528.2000.280402.x","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,8]]}}}