The epidemiology of desmoid tumors in Denmark
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The epidemiology of desmoid tumors in Denmark. / Anneberg, Marie; Svane, Helene M.L.; Fryzek, Jon; Nicholson, Gina; White, Jessica B.; Edris, Badreddin; Smith, L. Mary; Hooda, Naushin; Petersen, Michael M.; Baad-Hansen, Thomas; Keller, Johnny; Jørgensen, Peter H.; Pedersen, Alma B.
In: Cancer Epidemiology, Vol. 77, 102114, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The epidemiology of desmoid tumors in Denmark
AU - Anneberg, Marie
AU - Svane, Helene M.L.
AU - Fryzek, Jon
AU - Nicholson, Gina
AU - White, Jessica B.
AU - Edris, Badreddin
AU - Smith, L. Mary
AU - Hooda, Naushin
AU - Petersen, Michael M.
AU - Baad-Hansen, Thomas
AU - Keller, Johnny
AU - Jørgensen, Peter H.
AU - Pedersen, Alma B.
N1 - Publisher Copyright: © 2022 Elsevier Ltd
PY - 2022
Y1 - 2022
N2 - Introduction/aim: The epidemiology, demographic, clinical, treatment, and healthcare resource utilization (HRU) characteristics of desmoid tumor (DT) patients treated at two sarcoma centers in Denmark is described. Methods: Using Danish health registers, we studied DT patients treated at two sarcoma centers between 2009 and 2018. For each patient, ten persons from the general population were randomly matched on birth year, sex, and region of residence. Results: Of the 179 DT patients identified, 76% were female and the median patient age was 38 years at diagnosis (interquartile range: 31–50). An average annual incidence of DTs over the study period was 3.2 per 1000,000 individuals with the observed annual incidence of DTs ranging from 2.2 (2011) to 4.3 (2017) per 1000,000 individuals. No notable linear time trend in incidence was observed. Anatomical DT sites included extra-abdominal (49%), abdominal wall (40%), and intra-abdominal or retroperitoneal areas (8%). In total, 56% of patients were initially treated surgically. However, while 75% of patients diagnosed with DT between 2009 and 2014 were initially treated surgically, this was true for only 32% of patients diagnosed with DT between 2015 and 2018. A total of 56% of DT patients used chemotherapeutic agents, tyrosine kinase inhibitors, NSAIDs, opioids, antidepressants, or steroids at some point during the three years before their DT diagnoses. In contrast, 70% of surgically treated and 63% of non-surgically treated patients used one of these drugs in the subsequent three years, including NSAIDs (45% surgical vs. 33% non-surgical), opioids (39% surgical vs. 27% non-surgical), and steroids (22% surgical vs. 18% non-surgical). The average number of inpatient and outpatient visits, days of hospitalization, and additional surgical procedures were higher among DT patients than the comparison cohort. Conclusion: DTs are rare but have a large impact on patients’ health, HRU, and medication utilization.
AB - Introduction/aim: The epidemiology, demographic, clinical, treatment, and healthcare resource utilization (HRU) characteristics of desmoid tumor (DT) patients treated at two sarcoma centers in Denmark is described. Methods: Using Danish health registers, we studied DT patients treated at two sarcoma centers between 2009 and 2018. For each patient, ten persons from the general population were randomly matched on birth year, sex, and region of residence. Results: Of the 179 DT patients identified, 76% were female and the median patient age was 38 years at diagnosis (interquartile range: 31–50). An average annual incidence of DTs over the study period was 3.2 per 1000,000 individuals with the observed annual incidence of DTs ranging from 2.2 (2011) to 4.3 (2017) per 1000,000 individuals. No notable linear time trend in incidence was observed. Anatomical DT sites included extra-abdominal (49%), abdominal wall (40%), and intra-abdominal or retroperitoneal areas (8%). In total, 56% of patients were initially treated surgically. However, while 75% of patients diagnosed with DT between 2009 and 2014 were initially treated surgically, this was true for only 32% of patients diagnosed with DT between 2015 and 2018. A total of 56% of DT patients used chemotherapeutic agents, tyrosine kinase inhibitors, NSAIDs, opioids, antidepressants, or steroids at some point during the three years before their DT diagnoses. In contrast, 70% of surgically treated and 63% of non-surgically treated patients used one of these drugs in the subsequent three years, including NSAIDs (45% surgical vs. 33% non-surgical), opioids (39% surgical vs. 27% non-surgical), and steroids (22% surgical vs. 18% non-surgical). The average number of inpatient and outpatient visits, days of hospitalization, and additional surgical procedures were higher among DT patients than the comparison cohort. Conclusion: DTs are rare but have a large impact on patients’ health, HRU, and medication utilization.
KW - Adults
KW - Aggressive
KW - Desmoid-type fibromatosis
KW - Desmoids
KW - DT
KW - Epidemiology
KW - Fibromatosis
KW - Soft tissue tumor
U2 - 10.1016/j.canep.2022.102114
DO - 10.1016/j.canep.2022.102114
M3 - Journal article
C2 - 35121405
AN - SCOPUS:85123858581
VL - 77
JO - Cancer Epidemiology
JF - Cancer Epidemiology
SN - 1877-7821
M1 - 102114
ER -
ID: 299558916