The fifty-year decline of cancer in America.
OBJECTIVE
From 1950 to 1990, the overall cancer mortality rate increased steadily in the United States, a trend which ran counter to declining mortality from other major diseases. The purpose of this study was to assess the impact of lung cancer on all-cancer mortality over the past 50 years.


METHODS
Data from the National Centers for Health Statistics were used to develop mortality rates for all forms of cancer combined, lung cancer, and other-cancer (all-cancer minus lung cancer) from 1950 to 1998.


RESULTS
When lung cancer is excluded, mortality from all other forms of cancer combined declined continuously from 1950 to 1998, dropping 25% during this period. The decline in other-cancer mortality was approximately 0.4% annually from 1950 to 1990 but accelerated to 0.9% per year from 1990 to 1996 and to 2.2% per year from 1996 to 1998.


CONCLUSIONS
The long-term decline is likely due primarily to improvements in medical care, including screening, diagnosis, and treatment.
Rodu
B
B
Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294-0007, USA. rodu@uab.edu
Cole
P
P
D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality*; D009026:Mortality / Q000639:trends; D009369:Neoplasms / Q000401:mortality*; D014481:United States / Q000453:epidemiology