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September 26, 1959


JAMA. 1959;171(4):428. doi:10.1001/jama.1959.03010220052013

FINAL analysis of valuable new data on cancer in the United States appears in a monograph published by the United States Public Health Service.1 The basic data were obtained in a survey begun in 1938 by the National Cancer Institute, and they relate to 10 metropolitan areas. The study of intercity differences therefore is possible. The 1937-1938 morbidity study of the 10 cities was published in 1944.2 Since two decades have elapsed from the time the survey began, it is possible to examine the data for secular trends.

Preliminary study of the basic data showed that office patients were much less likely than hospital patients to have the diagnosis of malignancy verified by histological examination of biopsy or autopsy material. The relation of socioeconomic status to the incidence of cancer in various sites is one significant feature of this study. The difference between office and hospital patients and