Nonmelanoma Skin Cancer: Is the Incidence Really Increasing among Patients Younger Than 40? A Reexamination Using 25 years of U.S. Outpatient Data

OBJECTIVE An increasing incidence of basal cell carcinomas and squamous cell carcinomas in patients younger than 40 years old diagnosed during years 1973 to 2003 was found in a recent population‐based study in Olmsted County, Minnesota. We performed additional analyses using nationally representativ...

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Published in:Dermatologic surgery 2006-12, Vol.32 (12), p.1473-1479
Main Authors: BIVENS, MARY‐MARGARET, BHOSLE, MONALI, BALKRISHNAN, RAJESH, CAMACHO, FABIAN T., FELDMAN, STEVEN R., FLEISCHER, ALAN B.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Carcinoma, Basal Cell - epidemiology
Carcinoma, Squamous Cell - epidemiology
Cross-Sectional Studies
Dermatology
Female
Humans
Incidence
Male
Medical sciences
Melanoma - epidemiology
Minnesota - epidemiology
Multivariate Analysis
Skin Neoplasms - epidemiology
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tumors of the skin and soft tissue. Premalignant lesions
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Summary:OBJECTIVE An increasing incidence of basal cell carcinomas and squamous cell carcinomas in patients younger than 40 years old diagnosed during years 1973 to 2003 was found in a recent population‐based study in Olmsted County, Minnesota. We performed additional analyses using nationally representative patient samples to confirm these trends. STUDY DESIGN We analyzed a cross‐sectional survey data on outpatient diagnoses, the National Ambulatory Medical Care Survey data from 1979 to 2003, for melanoma skin cancer. RESULTS A total of 4,100 office visits for nonmelanoma skin cancers were recorded, including 230 in patients younger than 40. Multivariate analysis indicated no significant increase in the number of office visits related to nonmelanoma skin cancer in younger patients [odds ratio (OR), 2.77; 95% CI, 0.75–10.26]. The mean age of office visits for nonmelanoma skin cancer did not change significantly. The ages of the office visit patients were 64.7 years and 69.02 years in the years 1979 and 2003, respectively. CONCLUSIONS Based on a representative sample of outpatient visit diagnoses, visits are not increasing for nonmelanoma skin cancer among patients 40 years and younger in the United States, albeit direct measurement of tumor incidence was not possible with this database.
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2006.32358.x