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Incidence of vestibular schwannomas in the United States

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Abstract

There is a paucity of population-based data evaluating the incidence of vestibular schwannomas according to age, gender, race, and ethnicity. Such data are necessary to assess the burden of vestibular schwannomas on varying populations and to inform future research and healthcare planning. The Central Brain Tumor Registry of the United States, which contains the largest aggregation of population-based data on the incidence of primary central nervous system tumors in the US, was used. Age-adjusted incidence rates and incidence rate ratios (IRR) of vestibular schwannomas from 2004 to 2010 were calculated by age at diagnosis, gender, race, and ethnicity. Annual percent change (APC) was calculated using Joinpoint to characterize temporal trends. From 2004 to 2010, there were 23,729 newly diagnosed vestibular schwannomas in the US; overall incidence was 1.09 per 100,000 population. Incidence was stable over time (APC −0.41 %, 95 % confidence interval −3.4, 2.7). Incidence increased with age to a peak of 2.93 per 100,000 in the 65–74 year old age group. Overall, there was no difference in incidence by gender. Compared to Whites, incidence was highest in Asian Pacific Islanders (IRR 1.37, p < 0.001) and lowest in African Americans (IRR 0.36, p < 0.001). Incidence was lower in Hispanics than non-Hispanics (IRR 0.69, p < 0.001). Over 3300 vestibular schwannomas are diagnosed per year in the US and incidence is 1.09 per 100,000 population. Incidence increases with age up to the 65–74 year old age group. Incidence is higher in Asian Pacific Islanders and lower in African Americans and Hispanics.

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Acknowledgments

The following organizations contributed to the maintenance of the CBTRUS database: the Centers for Disease Control and Prevention (CDC) under Agreement 5U58DP00381-04, The Sontag Foundation (www.sontagfoundation.org), Genentech (www.gene.com), the Pediatric Brain Tumor Foundation (www.curethekids.org), Novocure, Inc. (www.novocure.com), along with the Musella Foundation (www.virtualtrials.com), Voices Against Brain Cancer (www.voicesagainstbraincancer.org), Elekta (www.elekta.com) as well as private and in kind donations. Contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.

Conflict of interest

The authors of this manuscript report no conflicts of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Neurological Institute, Cleveland Clinic, 9500 Euclid Ave, S40, Cleveland, OH, 44195, USA

    Varun R. Kshettry

  2. Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    Jason K. Hsieh

  3. Case Comprehensive Cancer Center, Case Western Reserve University School of Medicine, 11100 Euclid Ave., Wearn 152, Cleveland, OH, 44106-5065, USA

    Quinn T. Ostrom & Jill S. Barnholtz-Sloan

  4. Central Brain Tumor Registry of the United States, 244 East Ogden Ave, Suite 116, Hinsdale, IL, 60521, USA

    Quinn T. Ostrom, Carol Kruchko & Jill S. Barnholtz-Sloan

Authors
  1. Varun R. Kshettry
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  2. Jason K. Hsieh
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  3. Quinn T. Ostrom
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  4. Carol Kruchko
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  5. Jill S. Barnholtz-Sloan
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Corresponding authors

Correspondence to Varun R. Kshettry or Jill S. Barnholtz-Sloan.

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Supplemental Fig. 1 Temporal trends in age-adjusted incidence of vestibular schwannomas by age group

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Kshettry, V.R., Hsieh, J.K., Ostrom, Q.T. et al. Incidence of vestibular schwannomas in the United States. J Neurooncol 124, 223–228 (2015). https://doi.org/10.1007/s11060-015-1827-9

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  • DOI: https://doi.org/10.1007/s11060-015-1827-9

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