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. 2019 Sep 1;8(14):6458–6467. doi: 10.1002/cam4.2516

Table 3.

Trends in meningioma incidence rates (2004‐2015): The SEER‐18 registry database

Characteristic Overall (2004‐2015) Trend
1 2 3
APC (95% CI) P Year APC (95% CI) P Year APC (95% CI) P Year APC (95% CI) P
Overall 1.9 (1.0 to 2.7) <.001 2004‐2009 4.6 (3.4 to 5.9) <.001 2009‐2015 0 (−0.8 to 0.8) .969      
Sex
Male 1.8 (0.9 to 2.7) .001 2004‐2009 4.7 (3.2 to 6.1) <.001 2009‐2015 ‐0.2 (−1.1 to 0.8) .679      
Female 2.0 (1.1 to 2.8) <.001 2004‐2009 4.6 (3.2 to 6.1) <.001 2009‐2015 0.2 (−0.8 to 1.1) .688      
Race
White 2.0 (1.2 to 2.9) <.001 2004‐2009 4.6 (3.2 to 6.1) <.001 2009‐2015 0.2 (−0.7 to 1.2) .589      
Black 1.1 (−0.1 to 2.4) .070 2004‐2010 4.3 (3.3 to 5.2) <.001 2010‐2015 ‐2.3 (−3.4 to −1.3) .001      
AIANa 2.7 (−1.1 to 6.7) .150                  
APIa 0.4 (−0.5 to 1.3) .402                  
Age at diagnosis
<20a 3.6 (0.5 to 6.9) .029                  
20‐39a 2.5 (1.8 to 3.3) <.001                  
40‐59a 1.8 (1.3 to 2.4) <.001                  
60‐79 1.5 (0.5 to 2.5) .008 2004‐2009 4.8 (3.0 to 6.6) <.001 2009‐2015 ‐0.7 (−1.8 to 0.5) .207      
≥80 2.4 (1.0 to 3.8) .004 2004‐2009 7.0 (4.9 to 9.1) <.001 2009‐2015 ‐0.6 (−1.9 to 0.7) .289      
Histologic type
Meningioma, NOS 2.5 (1.5 to 3.4) <.001 2004‐2009 5.5 (4.0 to 7.0) <.001 2009‐2015 0.5 (−0.5 to 1.4) .280      
Meningotheliala −1.3 (−2.5 to −0.1) .041                  
Fibrous −5.8 (−7.6 to −3.9) <.001 2004‐2012 −3.7 (−5.7 to −1.6) .004 2012‐2015 −15.7 (−25.6 to −4.3) .015      
Psammomatousa −2.4 (−5.0 to 0.3) .080                  
Angiomatousa −1.4 (−4.2 to 1.4) .286                  
Transitionala −5.0 (−6.9 to −3.0) <.001                  
Clear cella 3.0 (0.2 to 5.9) .040                  
Atypicala 4.0 (3.0 to 5.0) <.001                  
WHO grade
I 1.9 (1.0 to 2.8) <.001 2004‐2009 4.9 (3.5 to 6.3) <.001 2009‐2015 −0.1 (−1.0 to 0.8) .799      
II 2.8 (1.8 to 3.9) <.001 2004‐2008 7.1 (3.8 to 10.6) .004 2008‐2011 ‐2.6 (−11.2 to 6.8) .471 2011‐2015 5.4 (2.6 to 8.3) .006
IIIa −5.6 (−8.5 to −2.6) .002                  
Tumor size, cm
≤3 4.9 (3.3 to 6.6) <.001 2004‐2009 10.6 (8.2 to 13.1) <.001 2009‐2015 1.6 (0.2 to 2.9) .027      
>3 to ≤5 2.5 (1.4 to 3.7) <.001 2004‐2009 5.9 (3.0 to 8.9) .002 2009‐2015 0.3 (−1.5 to 2.2) .682      
>5a 3.2 (1.9 to 4.5) <.001                  
Unknowna −7.5 (−8.9 to −6.0) <.001                  

Abbreviations: AIAN, American Indian/Alaskan Native; APC, annual percent change; API, Asian/Pacific Islander; SEER, Surveillance, Epidemiology, and End Results.

Note Each time period is determined by Joinpoint Program when a statistically significant change in the APC occurred.

a

Denotes only an overall trend for this subgroup after joinpoint analysis.