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1. Overview of Utah Cancer
Incidence and Mortality
October 27, 2011
Produced by the Data Acquisition, Utilization, and Management Team
Presented by Kim Herget

2. What is Cancer Mortality?
• A cancer mortality rate is the number of
deaths, with cancer as the underlying cause of
death, occurring in a specified population during
a year or a given time period. Cancer mortality is
usually expressed as the number of deaths due
to cancer per 100,000 population.

3. What affects cancer mortality?
• Overall health (obesity, diet, physical
activity, etc...)
• Screening Behavior
• Access to Care (cost, location, language,
etc...)
• Education about treatment options
• Availability of most current treatments

4. Citations
• 1 – Mortality: Surveillance, Epidemiology, and End Results (SEER) Program
(www.seer.cancer.gov) SEER*Stat Database: Mortality - All COD, Aggregated With State, Total
U.S. (1969-2007) <Katrina/Rita Population Adjustment>, National Cancer Institute, DCCPS,
Surveillance Research Program, Cancer Statistics Branch, released June 2010. Underlying
mortality data provided by NCHS (www.cdc.gov/nchs).
• 2 - Incidence: Surveillance, Epidemiology, and End Results (SEER) Program
(www.seer.cancer.gov) SEER*Stat Database: Incidence - SEER 17 Regs Research Data +
Hurricane Katrina Impacted Louisiana Cases, Nov 2010 Sub (2000-2008) <Katrina/Rita
Population Adjustment> - Linked To County Attributes - Total U.S., 1969-2009 Counties,
National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch,
released April 2011, based on the November 2010 submission.
• 3 - http://www.cancer-rates.info/ut/index.php
• 4 – Utah Department of Health

5. Utah Incidence and Mortality 1,2
2003-2007
Mortality Incidence
Lung Prostate
Colorectal Breast
Breast Colorectal
Prostate Lung
Pancreas Melanoma
Non Hodgkin
Leukemia
Lymphoma
Non Hodgkin
Bladder
Lymphoma
Ovary Endocrine
Brain and CNS Leukemia
Corpus and
Liver
Uterus
100 80 60 40 20 0 20 40 60 80 100
Rates per 100,000, age adjusted to the US Standard Population

6. US Incidence and Mortality 1,2
2003-2007
Mortality Incidence
Lung Prostate
Colorectal Breast
Breast Lung
Pancreas Colorectal
Prostate Bladder
Leukemia Melanoma
Non Hodgkin Non Hodgkin
Lymphoma Lymphoma
Liver Kidney
Corpus and
Ovary
Uterus
Esophagus Leukemia
100 80 60 40 20 0 20 40 60 80 100
Rates per 100,000, age adjusted to the US Standard Population

7. 1
Cancer Mortality Trends over Time
Overall Cancer Mortality, 1973-2007
250
200
150
Utah
100
US
50 Overall Cancer Mortality By Sex,
1973-2007
0
300
1993
1995
1991
1997
1989
1999
1979
1983
1985
1973
1975
1981
1987
1977
2003
2005
2001
2007
250
200
Utah Males
150
US Males
100 Utah Females
50 US Females
0
1979
1981
1987
1989
1991
1993
1995
1997
1999
1973
1975
1977
1983
1985
2001
2003
2005
2007
Rates per 100,000, age adjusted to
the US Standard Population

8. Utah Mortality By County , 2003-2007
3
•Utah Average Rate – 135.7
•US Average Rate – 183.8
•Healthy People Goal – 160.6

10. Female Breast Cancer Incidence2
120
100
Incidence per 100,000 Females
80
60
106.3 Utah
89.4 U.S.
40
51.1 52.4
20
9.6 10.6 1.5 3.6
0
Localized Regional Distant Unstaged
Aged 20+, Diagnosed 2003-2007
Rates are age-adjusted to the 2000 US standard population.

11. Breast Cancer Incidence by Stage2
Utah and US, 2003-2007
Utah US
Regional Regional
33.8% 30.2%
Distant
6.3%
Distant
6.2%
Unstaged
1.1% Unstaged
2.3%
Localized
61.3%
Localized
58.7%
Female Breast Cancer Only
Estimates are age-adjusted to the 2000 US standard population.

12. 1,3
Breast Cancer Mortality
Breast Cancer Mortality, 2003-2007
35
30
25
20
15 Utah
US
10
5
0
1983
1985
1993
1995
1981
1987
1991
1997
1977
1989
1999
1979
1973
1975
2001
2003
2005
2007
Female Breast Cancer Only
Rates per 100,000, age adjusted to
the US Standard Population

13. 4
Healthy People Goals
Utah Breast Cancer Mortality & HP 2020 Percent of Utah Women Aged 40 or Older
Target, Age-Adjusted per 100,000 Who Have Had a Mammogram in the
Females Past 2 Years, Age-Adjusted
100 %
30
75 %
25.25
20 72.6
23.56
23.13
22.98
68.8
22.38
67.8 67.3 67.6
22.3
66.4 66.4
21.76
21.47
50 %
19.63
19.55
19.45
10
25 %
0 0%
2010
2006
2009
2001
2000
2001
2002
2003
2004
2005
2007
2008
2010
2000
2008
2002
2004
2003
2005
2007
2006
2009
Utah HP 2020 Target=22.3 Utah HP 2020 Target=80.0%

15. Colon Cancer Incidence2
30
25
Incidence per 100,000 Population
20
15
27.9
25.6
23.1
10
16.2
12.8
5
9
3.8
1.8
0
Localized Regional Distant Unstaged
Utah U.S.
Aged 20+, Diagnosed 2003-2007
Rates are age-adjusted to the 2000 US standard population.

16. Colon Cancer Incidence by Stage2
Utah and US, 2003-2007
Utah US
Unstaged Localized
30.8% Localized Unstaged 18.9%
17.1% 34.2%
Regional
Regional 5.6%
3.4%
Distant Distant
48.7% 41.3%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

17. 1,3
Colorectal Cancer Mortality
Colorectal Cancer Mortality, 2003-2007
35
30
25
20
15 Utah
US
10
5
0
1989
1983
1985
1993
1995
1981
1987
1991
1997
1977
1999
1979
1973
1975
2001
2007
2003
2005
Rates per 100,000, age adjusted to
the US Standard Population

18. 4
Healthy People Goals
Percent of Utah Adults Aged 50 And Older
Utah Colon Cancer Mortality & HP 2020 Target Who Had a FOBT Within the Last Year or
Sigmoidoscopy or Colonoscopy Within the
Last 10 Years
20
100%
17.38
75%
14.89
13.89
13.15
12.83
68.7
12.43
66.8
10
12.11
12.03
11.96
11.42
61.5
50%
10.76
57.7
51.2
49.4
48.2
48.0
25%
0
0%
2010
2001
2007
2000
2008
2002
2004
2003
2005
2006
2009
2002
2010
2000
2006
2009
2004
2003
2005
2001
2007
2008
Utah HP 2020 Target=14.5 Utah HP 2020 Target = 70.5
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

20. Prostate Cancer Incidence2
300
Prostate Cancer Incidence per 100,000 Males
250
200
150
239.1
100 199.1
50
7.5 9.8 4 10.3
0
Localized/regional (Prostate cases) Distant Unstaged
Utah U.S.
Males Aged 20+, Diagnosed 2003-2007
Rates are age-adjusted to the 2000 US standard population.

21. Prostate Cancer Incidence by Stage2
Utah and US, 2003-2007
Utah
US
Distant
Distant 4.17%
Local/ 2.77%
Local/ Unstaged
Regional Unstaged 4.21%
95.65% Regional
1.57%
91.62%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

22. 1,3
Prostate Cancer Mortality
Prostate Cancer Mortality,
2003-2007
50
45
40
35
30
25
Utah
20
15 US
10
5
0
1999
1983
1985
1993
1995
1973
1975
1981
1987
1991
1997
1977
1989
1979
2003
2005
2001
2007
Rates per 100,000, age adjusted to
the US Standard Population

23. 4
Healthy People Goals
Utah Prostate Cancer Mortality & HP Percent of Men Aged 40+ Who Ever
2020 Target Had PSA Test by Year, 2000-2010
40 100 %
25.97
25.35
24.87
24.62
24.24
24.31
23.16
30 75 %
21.82
21.95
21.46
17.32
62.3 60.9 63.1
20 50 % 57.6 59.0
54.6 57.0
10 25 %
0 0%
2010
2000
2002
2004
2003
2005
2001
2007
2006
2008
2009
2002
2010
2000
2006
2009
2004
2003
2005
2001
2007
2008
Utah HP 2020 Target=21.2 PSA State Target = 65.0%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

25. Lung Cancer Incidence2
50
45
Lung Cancer Incidence per 100,000 Population
40
35
30
25
45.1 Utah
20 U.S.
15
22.4
10 20.4
16.3
5
9
6.8 7
2.5
0
Localized Regional Distant Unstaged
Aged 20+, Diagnosed 2003-2007
Rates are age-adjusted to the 2000 US standard population.

26. Lung Cancer Incidence by Stage
Utah and US2, 2003-2007
Utah US
Unstaged Localized Unstaged Localized
6.1% 16.7% 7.9% 18.4%
Regional
22.1% Regional
23.0%
Distant Distant
55.0% 50.8%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

27. 1,3
Lung Cancer Mortality
Lung Cancer Mortality, 2003-2007
70
60
50
40
30 Utah
US
20
10
0
1999
1983
1985
1993
1995
1973
1975
1981
1987
1991
1997
1977
1989
1979
2003
2005
2001
2007
Rates per 100,000, age adjusted to
the US Standard Population

28. 4
Healthy People Goals
Utah Lung Mortality & HP 2020 Target
50
40
30
20
17.38
10 14.89 13.89
13.15 12.03 12.83 12.43 11.96 10.76 12.11 11.42
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Utah HP 2020 Target=45.5
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

30. Pancreatic Cancer Incidence 2
14
12
10
Colon Cancer Incidence
8
6
4
6
4.8
2
3.2 3.1
1 1 0.8 1.7
0
Localized Regional Distant Unstaged
Utah US
Aged 20+, Diagnosed 2003-2007
Rates are age-adjusted to the 2000 US standard population.

31. Pancreatic Cancer Incidence by Stage
Utah and US2, 2003-2007
Utah US
Distant
49.1%
Distant
50.8%
Unstaged
Unstaged 14.4%
7.4%
Localized Localized
10.2% 8.5%
Regional Regional
33.3% 26.3%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.

32. 1,3
Pancreatic Cancer Mortality
Pancreatic Cancer Mortality,
2003-2007
12
10
8
6
Utah
4 US
2
0
1999
1983
1985
1993
1995
1973
1975
1981
1987
1991
1997
1977
1989
1979
2003
2005
2001
2007
Rates per 100,000, age adjusted to
the US Standard Population

33. Wrap Up
• Future reports
• Comments
• Questions

34. Data Acquisition, Utilization, and
Management Team Members
• Meghan Balough, UDOH
• Banning Leonard, UDOH
• Kathie Marti, UDOH
• Antoinette Stroup, UCR
• Shelly Wagstaff, UDOH
• Kim Herget, UCR

35. Utah Cancer Registry Acknowledgement
• Research was supported by the Utah Cancer
Registry, which is funded by Contract No.
HHSN261201000026C from the National
Cancer Institute's SEER Program with
additional support from the Utah State
Department of Health and the University of
Utah.