Overview of Utah CancerIncidence and MortalityOctober 27, 2011Produced by the Data Acquisition, Utilization, and Managemen...
What is Cancer Mortality?• A cancer mortality rate is the number of  deaths, with cancer as the underlying cause of  death...
What affects cancer mortality?• Overall health (obesity, diet, physical    activity, etc...)• Screening Behavior• Access t...
Citations•   1 – Mortality: Surveillance, Epidemiology, and End Results (SEER) Program    (www.seer.cancer.gov) SEER*Stat ...
Utah Incidence and Mortality                                                      1,2                 2003-2007           ...
US Incidence and Mortality                                                1,2                    2003-2007            Mort...
1               Cancer Mortality Trends over Time       Overall Cancer Mortality, 1973-2007 250 200 150                   ...
Utah Mortality By County , 2003-2007                               3•Utah Average Rate – 135.7 •US Average Rate – 183.8•He...
Female Breast Cancer Incidence2                                120                                100Incidence per 100,000...
Breast Cancer Incidence by Stage2               Utah and US, 2003-2007                        Utah                        ...
1,3             Breast Cancer Mortality      Breast Cancer Mortality, 2003-20073530252015                                 ...
4                                     Healthy People Goals     Utah Breast Cancer Mortality & HP 2020                     ...
Colon Cancer Incidence2                                   30                                   25Incidence per 100,000 Pop...
Colon Cancer Incidence by Stage2                 Utah and US, 2003-2007                             Utah                  ...
1,3        Colorectal Cancer Mortality        Colorectal Cancer Mortality, 2003-2007 35 30 25 20 15                       ...
4                                     Healthy People Goals                                                                ...
Prostate Cancer Incidence2                                              300Prostate Cancer Incidence per 100,000 Males    ...
Prostate Cancer Incidence by Stage2               Utah and US, 2003-2007                            Utah                  ...
1,3          Prostate Cancer Mortality       Prostate Cancer Mortality,              2003-2007504540353025                ...
4                                     Healthy People Goals      Utah Prostate Cancer Mortality & HP                       ...
Lung Cancer Incidence2                                               50                                               45Lu...
Lung Cancer Incidence by Stage                           Utah and US2, 2003-2007                             Utah         ...
1,3                Lung Cancer Mortality     Lung Cancer Mortality, 2003-20077060504030                                   ...
4                          Healthy People Goals                                       Utah Lung Mortality & HP 2020 Target...
Pancreatic Cancer Incidence 2                         14                         12                         10Colon Cancer...
Pancreatic Cancer Incidence by Stage                    Utah and US2, 2003-2007                            Utah           ...
1,3       Pancreatic Cancer Mortality       Pancreatic Cancer Mortality,               2003-20071210 8 6                  ...
Wrap Up• Future reports  • Comments  • Questions
Data Acquisition, Utilization, andManagement Team Members•   Meghan Balough, UDOH•   Banning Leonard, UDOH•   Kathie Marti...
Utah Cancer Registry Acknowledgement• Research was supported by the Utah Cancer  Registry, which is funded by Contract No....
Overview of Utah Cancer Incidence and Mortality
Overview of Utah Cancer Incidence and Mortality
Overview of Utah Cancer Incidence and Mortality
Overview of Utah Cancer Incidence and Mortality
Overview of Utah Cancer Incidence and Mortality
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Overview of Utah Cancer Incidence and Mortality

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Overview of Utah Cancer Incidence and Mortality

  1. 1. Overview of Utah CancerIncidence and MortalityOctober 27, 2011Produced by the Data Acquisition, Utilization, and Management Team Presented by Kim Herget
  2. 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. 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. 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. 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 Uterus100 80 60 40 20 0 20 40 60 80 100 Rates per 100,000, age adjusted to the US Standard Population
  6. 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 Leukemia100 80 60 40 20 0 20 40 60 80 100 Rates per 100,000, age adjusted to the US Standard Population
  7. 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 2007Rates per 100,000, age adjusted tothe US Standard Population
  8. 8. Utah Mortality By County , 2003-2007 3•Utah Average Rate – 135.7 •US Average Rate – 183.8•Healthy People Goal – 160.6
  9. 9. Female Breast Cancer Incidence2 120 100Incidence 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.
  10. 10. 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 OnlyEstimates are age-adjusted to the 2000 US standard population.
  11. 11. 1,3 Breast Cancer Mortality Breast Cancer Mortality, 2003-20073530252015 Utah US10 5 0 1983 1985 1993 1995 1981 1987 1991 1997 1977 1989 1999 1979 1973 1975 2001 2003 2005 2007Female Breast Cancer OnlyRates per 100,000, age adjusted tothe US Standard Population
  12. 12. 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 % 25.2520 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 19.4510 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%
  13. 13. Colon Cancer Incidence2 30 25Incidence 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.
  14. 14. 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.
  15. 15. 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 2005Rates per 100,000, age adjusted tothe US Standard Population
  16. 16. 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 Years20 100% 17.38 75% 14.89 13.89 13.15 12.83 68.7 12.43 66.810 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.
  17. 17. Prostate Cancer Incidence2 300Prostate 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.
  18. 18. 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.
  19. 19. 1,3 Prostate Cancer Mortality Prostate Cancer Mortality, 2003-2007504540353025 Utah2015 US10 5 0 1999 1983 1985 1993 1995 1973 1975 1981 1987 1991 1997 1977 1989 1979 2003 2005 2001 2007Rates per 100,000, age adjusted tothe US Standard Population
  20. 20. 4 Healthy People Goals Utah Prostate Cancer Mortality & HP Percent of Men Aged 40+ Who Ever 2020 Target Had PSA Test by Year, 2000-201040 100 % 25.97 25.35 24.87 24.62 24.24 24.31 23.1630 75 % 21.82 21.95 21.46 17.32 62.3 60.9 63.120 50 % 57.6 59.0 54.6 57.010 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.
  21. 21. Lung Cancer Incidence2 50 45Lung 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.
  22. 22. 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.
  23. 23. 1,3 Lung Cancer Mortality Lung Cancer Mortality, 2003-20077060504030 Utah US2010 0 1999 1983 1985 1993 1995 1973 1975 1981 1987 1991 1997 1977 1989 1979 2003 2005 2001 2007Rates per 100,000, age adjusted tothe US Standard Population
  24. 24. 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=45.5Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
  25. 25. Pancreatic Cancer Incidence 2 14 12 10Colon 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.
  26. 26. 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.
  27. 27. 1,3 Pancreatic Cancer Mortality Pancreatic Cancer Mortality, 2003-20071210 8 6 Utah 4 US 2 0 1999 1983 1985 1993 1995 1973 1975 1981 1987 1991 1997 1977 1989 1979 2003 2005 2001 2007Rates per 100,000, age adjusted tothe US Standard Population
  28. 28. Wrap Up• Future reports • Comments • Questions
  29. 29. Data Acquisition, Utilization, andManagement Team Members• Meghan Balough, UDOH• Banning Leonard, UDOH• Kathie Marti, UDOH• Antoinette Stroup, UCR• Shelly Wagstaff, UDOH• Kim Herget, UCR
  30. 30. Utah Cancer Registry Acknowledgement• Research was supported by the Utah Cancer Registry, which is funded by Contract No. HHSN261201000026C from the National Cancer Institutes SEER Program with additional support from the Utah State Department of Health and the University of Utah.
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