
The Central Brain Tumor Registry of the United States (CBTRUS) is a
not-for-profit corporation established to provide a resource for descriptive
statistical data on all primary brain tumors irrespective of behavior. The
CBTRUS database is the largest aggregation of population-based data on the
incidence of all primary brain and central nervous system tumors in the United
States. CBTRUS developed this database by compiling data from state cancer
registries that include information on both non-malignant and malignant
primary brain tumors. Its latest call for data was issued in November 2004
for cases diagnosed 1998-2002.
CBTRUS was incorporated with a founding and sustaining grant from the Pediatric Brain Tumor Foundation of the United States in 1992 following a two-year study conducted by the American Brain Tumor Association to determine the feasibility of a central registry for all brain tumor cases. Until that time, standard data reporting in the United States had been limited to malignant cases only. Benign brain tumors, however, may, and often do, impose the same costs to society in terms of medical care, case fatality and lost productivity as malignant tumors. A histologically benign tumor may produce devastating effects based on its location, while a malignant tumor may not produce visible symptoms. In addition, as molecular markers have been discovered, it has become clear that certain benign brain tumors may become malignant over time. In order to present a complete picture of this disease, CBTRUS believes non-malignant (benign and borderline) brain tumor data must be collected and reported along with malignant data.
The statistical reports found on this website represent the efforts CBTRUS has
made to provide accurate, population-based incidence rates for all primary
brain tumors by histology, age, gender, and race. Statistical Report: Primary
Brain Tumors in the United States, 1998-2002 is its most up-to-date report. As
in previous reports found on this website, data has been listed in histologic
groupings with improved clinical relevance. The 2000 U.S. Population Standard
has been used in reporting the 1998-2002 incidence data. The differences in
incidence rates between these standards are an artifact of the aging of the
population over this time period and should not be misinterpreted as an
increase in brain tumor incidence. Only data adjusted to the same population
standard are comparable.
All CBTRUS reports list data in histologic groupings with improved clinical
relevance. These data are useful for surveillance and may serve as a baseline
for comparison with regional rates. They are also important for the allocation
and planning of specialty health care services, for planning programs for
disease prevention and control, and in the development of research proposals
including those that investigate etiology.
All cancer surveillance registries in the United States have expanded their
primary brain tumor data collection to include tumors of benign and uncertain
behavior for cases diagnosed in 2004 and beyond. By having complete data
CBTRUS believes that clues will be found to investigate the causes of this
terrible disease.
In addition to collecting and disseminating data, CBTRUS conducts special
studies aimed at broadening the scope of descriptive epidemiology. CBTRUS has
estimated survival rates for different types of brain tumors using data from
other surveillance sources and can do specialized data runs upon request using
the CBTRUS or other brain tumor databases. Press Manuscripts for a listing of
published studies.
CBTRUS is a sustaining member of the North American Association of Central
Cancer Registries (NAACCR). It serves as a consultant on brain tumor
classification, coding and collection to national and international
organizations including the International Agency for Research on Cancer of the
World Health Organization and the National Coordinating Council for Cancer
Surveillance (NCCCS) in the United States.
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