CBTRUS Statistical Report: Primary Brain and Other Central Nervous System Tumors Diagnosed in the United States in 2012-2016

Abstract

The Central Brain Tumor Registry of the United States (CBTRUS), in collaboration with the Centers for Disease Control and Prevention and National Cancer Institute, is the largest population-based registry focused exclusively on primary brain and other central nervous system (CNS) tumors in the United States (US) and represents the entire US population. This report contains the most up-to-date population-based data on primary brain tumors available and supersedes all previous reports in terms of completeness and accuracy. All rates are age-adjusted using the 2000 US standard population and presented per 100,000 population. The average annual age-adjusted incidence rate (AAAIR) of all malignant and non-malignant brain and other CNS tumors was 23.41 (Malignant AAAIR = 7.08, non-Malignant AAAIR = 16.33). This rate was higher in females compared to males (25.84 versus 20.82), Whites compared to Blacks (23.50 versus 23.34), and non-Hispanics compared to Hispanics (23.84 versus 21.28). The most commonly occurring malignant brain and other CNS tumor was glioblastoma (14.6% of all tumors), and the most common non-malignant tumor was meningioma (37.6% of all tumors). Glioblastoma was more common in males, and meningioma was more common in females. In children and adolescents (age 0-19 years), the incidence rate of all primary brain and other CNS tumors was 6.06. An estimated 86,010 new cases of malignant and non-malignant brain and other CNS tumors are expected to be diagnosed in the US in 2019 (25,510 malignant and 60,490 non-malignant). There were 79,718 deaths attributed to malignant brain and other CNS tumors between 2012 and 2016. This represents an average annual mortality rate of 4.42. The five-year relative survival rate following diagnosis of a malignant brain and other CNS tumor was 35.8%, and the five-year relative survival rate following diagnosis of a non-malignant brain and other CNS tumors was 91.5%.

© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Figures

Fig. 1

Availability by Central Cancer Registry for A) SEER and NPCR Incidence Data (2000–2016) and B) NPCR Survival Data (2001–2015)

Fig. 2

Overview of CBTRUS Data Edits Workflow

Fig. 3

Average Annual Age-Adjusted Incidence Ratesa with 95% Confidence Intervals of All Primary Brain and Other CNS Tumors in Comparison To Top Eight Highest Incidence Cancers for A) Children Age 0–14 Years, B) Adolescents and Young Adults Age 15–39 Years, and C) Older Adults Age 40+ Years, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER 2012–2016

Fig. 4

Average Annual Age-Adjusted Mortality Ratesa with 95% Confidence Intervals of All Primary Brain and Other CNS Tumors in Comparison To Top Five Causes of Cancer Death and Top Three Non-Cancer Causes of Death (COD) for A) Children Age 0–14 Years, B) Adolescents and Young Adults Age 15–39 Years, and C) Older Adults Age 40+ Years, CBTRUS Statistical Report: NVSS 2012–2016

Fig. 5

Distributiona of Primary Brain and Other CNS Tumors by Behavior (Five-Year Total = 405,740; Annual Average Cases = 81,148), CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 6

Annual Age-Adjusted Incidence Ratesa of Primary Brain and Other CNS Tumors by Year and Behavior, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 7

Distributiona of All Primary Brain and Other CNS Tumors (Five-Year Total = 405,740; Annual Average Cases = 81,148), by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 8

Distributiona of Malignant Primary Brain and Other CNS Tumors (Five-Year Total = 122,569; Annual Average Cases = 24,514), by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 9

Distributiona of Non-Malignant Primary Brain and Other CNS Tumors (Five-Year Total = 283,171; Annual Average Cases = 56,634), by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 10

Distributiona of Primary Brain and Other CNS Gliomasb (Five-Year Total = 39,917; Annual Average Cases = 7,983) by A) Site and B) Histology Subtypes, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 11

Average Annual Age-Adjusted Incidence Ratesa of All Primary Brain and Other CNS Tumors by Age and Behavior, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 12

Age-Adjusted Incidence Ratesa of Brain and Other CNS Tumors by Selected Histologies and Age Group A) Age 20+ Yearsb and B) Age 0–19 Yearsb, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 13

Incidence Rate Ratios by Sex (Males:Females) for Selected Primary Brain and Other CNS Tumor Histologies, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 14

Average Annual Age-Adjusted Incidence Ratesa of A) Malignant and B) Non-Malignant Primary Brain and Other CNS Tumors by Central Cancer Registry, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 15

Average Annual Age-Adjusted Incidence Ratesa with 95% Confidence Intervals of Selected Primary Brain and Other CNS Tumor Histologies by Urban Or Rural Location of Residenceb, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 16

Incidence Rate Ratios by Race (Whites:Blacks and Whites:Asian Or Pacific Islanders [API]) for Selected Selected Primary Brain and Other CNS Tumor Histologies, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 17

Distributiona in Children and Adolescents (Age 0–19 Years) of Primary Brain and CNS Tumors (Five-Year Total = 24,931; Annual Average Cases = 4,986) by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 18

Distributiona in Children (Age 0–14 Years) of Primary Brain and Other CNS Tumors (Five-Year Total = 17,540; Annual Average Cases = 3,508) by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 19

Distributiona in Adolescents (Age 15–19 Years) of Primary Brain and Other CNS Tumors (Five-Year Total = 7,391; Annual Average Cases = 1,478) by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 20

Average Annual Age-Adjusted Mortality Ratesa for Malignant Primary Brain and Other CNS Tumors by Central Cancer Registry, CBTRUS Statistical Report: NVSS, 2012–2016

Fig. 21

Distributiona of Primary Spinal Cord, Spinal Meninges, and Cauda Equina Tumors by Histology in A) Children and Adolescents (Age 0–19 Years, Five-Year Total = 1,322; Annual Average Cases = 264) and B) Adults (Age 20+ Years, Five-Year Total = 18,184; Annual Average Cases = 3,637), CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 22

Distributiona in Adolescents and Young Adultsb (Age 15–39 Years) of All Primary Brain and Other CNS Tumors (Five-Year Total = 59,515; Annual Average Cases = 11,903) by A) Site and B) Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2012–2016

Fig. 23

Annual Age-Adjusted Incidence Rates of Primary Brain and Other CNS Tumors, and Incidence Trends by Behavior and Age Group, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2000–2016 (Varying)

Fig. 24

Annual Age-Adjusted Incidence Rates of Primary Brain and Other CNS Gliomas and Glioblastoma, and Incidence Trends by Age Group, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2000–2016

Fig. 25

Annual Age-Adjusted Incidence Rates of Selected Primary Brain and Other CNS Tumors, and Incidence Trends by Behavior and Histology, CBTRUS Statistical Report: US Cancer Statistics - NPCR and SEER, 2000–2016 (Varying).