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May 30, 2026Journal of Clinical Oncology0 citations

Trends and Projections of Brain Tumor Mortality Among Older Adults in the U.S.

Five-decade national trends and forecasting of brain tumor mortality among older adults in the United States, 1968–2035.

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Why the study?

Contemporary population-level evaluations of long-term malignant brain tumor mortality trajectories in older adults are limited despite therapeutic advances.

Population

311,680 malignant brain tumor-related deaths among US adults aged ≥65 years

Comparison

Mortality trends stratified by age group, sex, race/ethnicity, census region, state, and urban-rural classification

Design

Retrospective population-based time-series and forecasting analysis

Key result

Malignant brain tumor mortality among U.S. adults aged ≥65 years increased steadily from 1968 to 2023 (AAPC 1.90%; 95% CI 1.6-2.2) and is projected to reach an AAMR of 18.06 by 2035.

Authors

KCKaran ChouhanAZAli ZubairNTNAYANIKA TUMMALA

Discussion

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Overview

Rising mortality burden in older adults warrants clinical awareness; extends surveillance trends but leaves open etiologic and preventive research.

Key Points

  • This study aims to evaluate long-term trends and future projections of brain tumor mortality among older adults in the U.S.
  • Conducted a retrospective population-based analysis using CDC WONDER database from 1968–2023
  • Calculated age-adjusted mortality rates and assessed temporal trends using Joinpoint regression
  • Projected future mortality using autoregressive integrated moving average models
  • 311,680 malignant brain tumor deaths among adults aged ≥65 years from 1968 to 2023, with a mean AAMR of 15.2 per 100,000
  • Mortality projected to reach an AAMR of 18.06 by 2035 (p<0.00001)
  • Non-Hispanic Black individuals showed the steepest mortality increase (AAPC: 2.70%)

Study Design

Type

Observational (n=311,680)

Multicenter

Yes

Structured PICO

P
Population
U.S. adults aged ≥65 years who died from malignant brain tumors between 1968 and 2023 (n=311,680 deaths).
O
Outcome
Age-adjusted mortality rates (AAMRs) per 100,000 population and temporal trends (average annual percent change [AAPC]).hard clinical

Malignant brain tumor mortality among older U.S. adults has risen significantly over the past five decades and is projected to remain elevated through 2035, with accelerating trends among women, Black populations, and Southern regions.

Main Result

Effect estimate: AAPC 1.90% (95% CI 1.6-2.2)

Cite This Study

Chouhan et al. (2026) conducted an observational in Malignant brain tumors (n=311,680). Malignant brain tumor mortality among U.S. adults aged ≥65 years increased steadily from 1968 to 2023 (AAPC 1.90%; 95% CI 1.6-2.2) and is projected to reach an AAMR of 18.06 by 2035.

synapsesocial.com/papers/6a1a82370307b78509433dc7https://doi.org/10.1200/jco.2026.44.16_suppl.e14051
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