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29 November 2020: Database Analysis

Comparison of Incidence and Outcomes of Neuroblastoma in Children, Adolescents, and Adults in the United States: A Surveillance, Epidemiology, and End Results (SEER) Program Population Study

Ping Yan 1AB* , Feng Qi 2BE* , Lanzheng Bian 3BC* , Yajuan Xu 1BD , Jing Zhou 3D , Jiajie Hu 3F , Lei Ren 3CE , Mei Li 3AG* , Weibing Tang 1AFG*

DOI: 10.12659/MSM.927218

Med Sci Monit 2020; 26:e927218

Table 1 Characteristics of patients with neuroblastoma, stratified by age group.

VariablesTotalChildrenAdolescents/adultsP value
N4,2803,998282
Age, year
 Median (IQR)1 (0–4)1 (0–3)31 (20–53)
 Mean±SD4.43±10.282.15±2.73536.77±19.463
Sex, n (%)0.768
 Male2,237 (52.27)2,092 (52.33)145 (51.42)
 Female2,043 (47.73)1,906 (47.67)137 (48.58)
Race, n (%)0.172
 White3,367 (78.67)3,156 (78.94)211 (74.82)
 Black547 (12.78)499 (12.48)48 (17.02)
 Other324 (7.57)304 (7.60)20 (7.09)
 Unknown42 (0.98)39 (0.98)3 (1.06)
SEER stage, n (%)
 Localized861 (20.12)787 (19.68)74 (26.24)
 Regional999 (23.34)947 (23.69)52 (18.44)
 Distant2,009 (46.94)1,929 (48.25)80 (28.37)
 Unstaged/blank411 (9.60)335 (8.38)76 (26.95)
Treatment era, n (%)
 1975–1984556 (12.99)487 (12.18)69 (24.47)
 1985–1994682 (15.93)631 (15.78)51 (18.09)
 1995–20041,338 (31.26)1,259 (31.49)79 (28.01)
 2005–20131,704 (39.81)1,621 (40.55)83 (29.43)
Surgery, n (%)0.208
 No/unknown1,138 (26.59)1,054 (26.36)84 (29.79)
 Yes3,142 (73.41)2,944 (73.64)198 (70.21)
Median household income, n (%)* 0.814
 Low2,305 (53.87)2,155 (53.92)150 (53.19)
 High1,974 (46.13)1,842 (46.08)132 (46.81)
Histological stage, n (%)
 Neuroblastoma3,580 (83.64)3,364 (84.14)216 (76.60)
 Ganglioneuroblastoma700 (16.36)634 (15.86)66 (23.40)
Place of residence, n (%)0.556
 Urban3,488 (81.50)3,265 (81.67)223 (79.08)
 Rural713 (16.66)660 (16.51)53 (18.79)
 Missing/unknown79 (1.85)73 (1.83)6 (2.13)
Primary site, n (%)
 Abdomen2,708 (63.27)2,610 (65.28)98 (34.75)
 Mediastinum/thorax697 (16.29)674 (16.86)23 (8.16)
 Nerve system341 (7.97)248 (6.20)93 (32.98)
 Head and neck150 (3.50)122 (3.05)28 (9.93)
 Pelvis/extremities/vertebral150 (3.50)130 (3.25)20 (7.09)
 NOS, unknown234 (5.47)214 (5.35)20 (7.09)
Primary malignancies, n (%)
 First primary4,245 (99.18)3,981 (99.57)264 (93.62)
 1 total4,164 (97.29)3,914 (97.90)250 (88.65)
 2 total100 (2.34)74 (1.85)26 (9.22)
 >2 total16 (0.37)610 (0.25)6 (2.13)
Vital status, n (%)
 Alive2,840 (66.36)2,754 (68.88)86 (30.50)
 Dead1,440 (33.64)1,244 (31.12)196 (69.50)
IQR – interquartile range, SD – standard deviation, SEER – Surveillance, Epidemiology and End Results.
* One patient was excluded because of the unknown median household income.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750