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Squamous-Cell Lung Cancer in the United States, 2022-2042: Cancer Populations USA Report and Data Dashboard

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    Report

  • 48 Pages
  • May 2023
  • Region: United States
  • Epivantage Ltd
  • ID: 5792372

The Cancer Populations USA report series provides detailed descriptive epidemiology estimates, forecast out to 20 years, and insights, to support clinical trial design and enrolment, market opportunity assessment and post-marketing authorization activities.

Cancer Populations USA is unique in routinely stratifying key cancer populations by race and ethnicity, which can be used to assess the representativeness of clinical trial populations, as well as identify areas of health inequities between different race-ethnicity population groups.

All estimates in this report are based on nationally representative datasets, such as population-based cancer registries, large epidemiological studies and published national population forecasts. Modelled estimates are based on the best practice industry methods to estimate recurrence events and, where required, make imputations and extrapolations.

The analyst provides estimates for the year 2022 and forecast estimates to 2032 and 2042 in the main body of this report. Annualized forecast estimates are provided in supplementary tables at the end of the report, and also in the accompanying data dashboard, if purchased.

Stratification of incident cases by stage is based on the scheme specified by the American Joint Committee on Cancer (AJCC) 8th edition (i.e. stage groups I, IIA, IIB, IIC, IIIA, IIIB, IIIC, ). Due to small numbers, some stage groups have been aggregated in this report. Wherever possible, this has been into meaningful groupings based on recommended clinical practice (NCCN, 2023).

In this report on squamous-cell lung cancer (SqC-LC), forecast estimates are provided of incident cases by stage, age and gender, race-ethnicity, anatomical subsite, and PD-1/PD-L1 status. Additionally, the author forecasts those cases each year that become eligible for 1st line treatment for advanced disease, which is further stratified by oncogene driver mutations and amplifications.

The analyst's forecast model uses a proprietary algorithm taking account of historical trends, long-term evolution - at the age- and gender-specific level within each race-ethnicity group - in the size and composition of the national population at risk, and inter-generational trends in exposures to both known and unknown risk factors. In addition to national estimates, the publisher also estimates the state-specific size of key populations for the year 2022 for almost all US states, and Puerto Rico, with corresponding heat maps and tabulated results.

All of the key populations included in the report are also reported for each year of the forecast period, along with interactive tables, patient journey diagrams and heat maps, in the accompanying data dashboard.

Purchase of the report and dashboard comes with 12 months client support, with guaranteed response to client queries within 1 working day. The Cancer Populations USA report series is available for a wide range of tumors, both solid tumors and hematological malignancies. Similar reports can be provided for other indications (including non-oncology indications), or for other country(s).

Table of Contents

1. Overview
  • List of Figures and Tables
  • Table of Abbreviations
  • Case Definition and Staging Scheme
2. Summary of Results3. Newly Diagnosed Incident Cases4. Advanced 1st Line Drug-Treatable Cases5. Tumor Genetics and Biomarker Expression6. State-Level Epidemiology7. 10 and 20 Year Epidemiological Forecasts8. Detailed Methods9. National Population Projections10. Bibliography11. Supplementary Data Tables12. Additional Support13. Further Information
List of Figures
  • Figure 2.1. Historical and forecast number of incident cases of SqC-LC in the United States 2002 to 2042, by race- ethnicity group.
  • Figure 2.2. Heat map of state-specific risk of SqC-LC by US state in 2022.
  • Figure 2.3. Patient journey of  SqC-LC patients in the United States, 2022.
  • Figure 6.1. Heat map of state-specific risk of SqC-LC by US state in 2022.
  • Figure 6.2. Heat map of the number of SqC-LC incident cases by US state in 2022.
  • Figure 7.1. Historical trends in crude incidence of SqC-LC with forecast to 2042 by race-ethnicity group.
  • Figure 8.1. Historical trends in age-standardized incidence of SqC-LC with forecast to 2042 by race-ethnicity.
  • Figure 9.1. Racial and ethnic composition of the United States population in 2022 and 2042.
  • Figure 9.2. Changes in the proportion of the population within each race-ethnicity group that is aged 65 or over in 2022 and 2042.
  • Figure 9.3. Changes in the proportion of the population within each race-ethnicity group that is aged under 20 in 2022 and 2042.
List of Tables
  • Table 2.1. Summary incidence and survival of SqC-LC by race-ethnicity group in 2022.
  • Table 3.1. Newly diagnosed incident cases and incidence of SqC-LC by sex and race-ethnicity in 2022.
  • Table 3.2. Newly diagnosed incident casesof SqC-LC by stage at diagnosis and race-ethnicity.
  • Table 3.3. Stage distribution of SqC-LC incident cases by race-ethnicity in 2022.
  • Table 3.4. Incident cases of SqC-LC by broad age group and stage at diagnosis in 2022.
  • Table 3.5. Percentage distribution of incident cases of SqC-LC by broad age group and stage at diagnosis in 2022.
  • Table 3.6. Newly diagnosed incident cases of SqC-LC and Stage M1/III unres. incident cases by broad age group at diagnosis in 2022.
  • Table 3.7. Incidence and incident cases of SqC-LC by sex in 2022.
  • Table 3.8. Newly diagnosed incident cases of SqC-LC by anatomical tumor subsite in 2022.
  • Table 3.9. Isolated locoregional recurrence events among definitively treatable (stage I-III res.) SqC-LC  cases in 2022.
  • Table 3.10. Incident cases of SqC-LC by stage at diagnosis and histology in 2022.
  • Table 4.1. Advanced 1st line drug-treatable cases (1L DTCs) in 2022 and estimated annualized advanced disease risk of SqC-LC by race-ethnicity.
  • Table 4.2. Oberved survival of incident Stage M1/III unres. SqC-LC by race-ethnicity.
  • Table 4.3. Advanced 1st line drug-treatable cases of SqC-LC alive at subsequent follow-up points, by race-ethnicity.
  • Table 5.1. Significant mutations and corresponding number of  advanced 1st line drug-treatable cases of SqC-LC in 2022, 2032 and 2042.
  • Table 5.2. Significant gene amplifications and corresponding number of  advanced 1st line drug-treatable cases of SqC-LC in 2022, 2032 and 2042.
  • Table 5.3. PD-L1 positive incident cases of SqC-LC in 2022, 2032 and 2042.
  • Table 6.1. Top ten US states and Puerto Rico ranked by incidence of SqC-LC in 2022 and associated cases.
  • Table 6.2. Top ten US states and Puerto Rico ranked by number of advanced 1st line drug-treatable cases of SqC- LC in 2022 and associated incidence and incident cases.
  • Table 7.1. Incident cases of SqC-LC by demographic and tumor characteristics at diagnosis forecast for the years 2022, 2032 and 2042.
  • Table 7.2. Advanced 1st line drug-treatable cases (1L DTCs) of SqC-LC by demographic characteristics at diagnosis  and recurrence status  forecast for the years 2022, 2032 and 2042.
  • Table 9.1. Population projections by race-ethnicity group in 2022 and 2042 for all ages and for those aged 65 or over over the forecast period.
  • Table 11.1. US states and Puerto Rico ranked by the incidence rate and number of corresponding cases of SqC-LC in 2022.
  • Table 11.2. US states and Puerto Rico ranked by number of advanced 1st line drug-treatable cases of SqC-LC in 2022 and associated incidence and incident cases.
  • Table 11.4. Annualized 20-year forecast of incident cases of SqC-LC by stage at diagnosis.
  • Table 11.5. 20-year forecast of advanced 1st line drug-treatable cases (1L DTCs) of SqC-LC by demographic characteristics at diagnosis and recurrence status.

Samples

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Executive Summary

Nationally, the analyst estimates 43,315 newly diagnosed incident cases of Squamous-cell lung cancer (SqC-LC) in 2022, of which 44% were initially diagnosed at stages of disease amenable to definitive treatment.

It is estimated that 34,883 advanced 1st line drug-treatable cases nationally in 2022. Of these, estimates show 21,697 (62%) are drug-treated at 1st line, and 9,527 (27%) drug-treated at 2nd line.

Nationally, the number of incident cases over our 20-year forecast period will increase by 10%.

When considering trends in the risk of SqC-LC within each race-ethnicity group, according to the forecast model, the crude incidence rate across the national population will remain relatively constant, from an estimated 13.3 per 100,000 per year in 2022 to 12.6 per 100,000 per year in 2042.

The age-adjusted risk of SqC-LC is highest among black non-Hispanics. The risk of SqC-LC is lower among females than in males.