Table. Incidence of HCC in the VHA, 2002-2018.
| Year of first HCC diagnosis | VHA population, No.a | HCC in all VHA users | HCC in VHA users with HCV (HCV-related HCC) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| All-cause HCC | HCC not associated with HCV (HCC/non-HCV) | HCV-related HCC (HCC/HCV total) | HCC with HCV viremia (HCC/HCV viremic) | HCC with previously treated HCV (HCC/HCV cured) | ||||||||||
| All veterans | HCV | Cases, No. | Incidenceb | Cases, No. | Incidenceb | Cases, No. | Incidenceb | Cases, No. | Incidenceb | Cases, No. | Incidenceb | Cases, No. | Incidencec | |
| 2002 | 4 246 084 | 152 412 | 774 | 18.2 | 609 | 14.3 | 165 | 3.9 | 165 | 3.9 | 0 | 0.00 | 165 | 108.3 |
| 2003 | 4 494 425 | 160 155 | 927 | 20.6 | 651 | 14.5 | 276 | 6.1 | 274 | 6.1 | 2 | 0.04 | 276 | 172.3 |
| 2004 | 4 659 196 | 167 216 | 1120 | 24.0 | 726 | 15.6 | 394 | 8.5 | 384 | 8.2 | 9 | 0.19 | 394 | 235.6 |
| 2005 | 4 806 345 | 170 985 | 1195 | 24.9 | 697 | 14.5 | 498 | 10.4 | 484 | 10.1 | 12 | 0.25 | 498 | 291.3 |
| 2006 | 4 900 800 | 173 898 | 1389 | 28.3 | 755 | 15.4 | 634 | 12.9 | 611 | 12.5 | 22 | 0.45 | 634 | 364.6 |
| 2007 | 4 950 501 | 177 024 | 1589 | 32.1 | 793 | 16.0 | 796 | 16.1 | 781 | 15.8 | 15 | 0.30 | 796 | 449.7 |
| 2008 | 4 999 106 | 181 074 | 1670 | 33.4 | 779 | 15.6 | 891 | 17.8 | 862 | 17.2 | 25 | 0.50 | 891 | 492.1 |
| 2009 | 5 139 285 | 186 668 | 2042 | 39.7 | 848 | 16.5 | 1194 | 23.2 | 1157 | 22.5 | 36 | 0.70 | 1194 | 639.6 |
| 2010 | 5 351 873 | 190 274 | 2253 | 42.1 | 899 | 16.8 | 1354 | 25.3 | 1304 | 24.4 | 47 | 0.88 | 1354 | 711.6 |
| 2011 | 5 499 498 | 191 946 | 2366 | 43.0 | 930 | 16.9 | 1436 | 26.1 | 1393 | 25.3 | 43 | 0.78 | 1436 | 748.1 |
| 2012 | 5 598 829 | 191 955 | 2614 | 46.7 | 1014 | 18.1 | 1600 | 28.6 | 1544 | 27.6 | 54 | 0.96 | 1600 | 833.5 |
| 2013 | 5 720 614 | 181 168 | 2649 | 46.3 | 990 | 17.3 | 1659 | 29.0 | 1598 | 27.9 | 59 | 1.0 | 1659 | 915.7 |
| 2014 | 5 869 487 | 180 439 | 2716 | 46.3 | 972 | 16.6 | 1744 | 29.7 | 1670 | 28.5 | 74 | 1.3 | 1744 | 966.5 |
| 2015 | 5 958 849 | 174 027 | 2863 | 48.0 | 1016 | 17.1 | 1847 | 31.0 | 1694 | 28.4 | 153 | 2.6 | 1847 | 1061.3 |
| 2016 | 5 995 048 | 180 337 | 2824 | 47.1 | 1034 | 17.2 | 1790 | 29.9 | 1390 | 23.2 | 400 | 6.7 | 1790 | 992.6 |
| 2017 | 6 040 248 | 177 924 | 2590 | 42.9 | 1080 | 17.9 | 1510 | 25.0 | 964 | 16.0 | 546 | 9.0 | 1510 | 848.7 |
| 2018 | 6 128 988 | 172 886 | 2468 | 40.3 | 1132 | 18.5 | 1336 | 21.8 | 666 | 10.9 | 670 | 10.9 | 1336 | 772.8 |
Abbreviations: HCC, hepatocellular carcinoma; HCV, hepatitis C virus; VHA, Veterans Health Administration.
a
Total VHA population receiving health care was obtained from the Office of the Assistant Deputy Undersecretary for Health for Policy and Planning as of October 11, 2019.
b
Incidence calculated as the number of HCC cases per 100 000 veterans in care in each year.
c
Incidence calculated as the number of HCC cases per 100 000 veterans with a lifetime history of HCV (viremic plus cured) in care in each year.