Cancer Incidence and Mortality in Massachusetts, 1995-1999 Bureau of Health Statistics, Research and...
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Transcript of Cancer Incidence and Mortality in Massachusetts, 1995-1999 Bureau of Health Statistics, Research and...
Cancer Incidence and Mortality Cancer Incidence and Mortality in Massachusetts,in Massachusetts,
1995-19991995-1999
Bureau of Health Statistics, Research and Evaluation
Massachusetts Department of Public Health
Massachusetts Cancer RegistryMassachusetts Cancer Registry
Statewide ReportStatewide Report
Cancer Incidence and Mortality (1995-1999)
Cancer Incidence Trends in Massachusetts Over Time
Example of 1970 vs 2000 Standards1995 Cancer Incidence Data*
1970 Standard 2000 Standard
Lung (Males) 76.4 91.0
Lung (Females) 48.5 54.8
* * age-adjusted rates per 100,000
Massachusetts Cancer IncidenceMassachusetts Cancer IncidenceNewly Diagnosed CasesNewly Diagnosed Cases
1995-19991995-1999
156,735 diagnosed cases
- 77,922 in males
- 78,787 in females
Distribution of Cancer Incidence Distribution of Cancer Incidence Massachusetts, 1995-1999Massachusetts, 1995-1999
Males Males Females Females
Colon/Rectum12.3%
Bronchus &Lung15.6%
UrinaryBladder
4.9%
Prostate30.4%Other
36.8%
Other36.6%
Uterine6.1%
Colon/Rectum12.6%
Bronchus & Lung13.1%
Breast31.6%
n = 77,922 n = 78,787
Distribution of Cancer Deaths Distribution of Cancer Deaths Massachusetts, 1995-1999Massachusetts, 1995-1999
Males Males Females Females
Colon/Rectum10.8%
Prostate11.5%
Pancreas4.7%
Bronchus & Lung28.8%Other
44.2%Other42.9%
Pancreas5.6% Colon/Rectum
12.1%
Breast16.3%
Bronchus & Lung23.1%
n = 34,822 n = 34,843
Massachusetts Incidence Rates*1995 vs. 1999
* * rates per 100,000; age-adjusted to 2000 standard million
1995 1999 %Diff.
Males 577.6 583.0 +0.9
Females 432.8 447.4 +3.4
TOTAL 486.8 498.3 +2.4
Massachusetts Mortality Rates*1995 vs. 1999
* * rates per 100,000; age-adjusted to 2000 standard million
1995 1999 %Diff.
Males 287.7 268.4 -6.7
Females 190.9 174.0 -8.9
TOTAL 226.9 209.2 -7.8
Leading Cancers by Race/Ethnicity Males, 1995-1999
White, NH Black, NH Asian, NH Hispanic
Prostate172.6
Prostate293.6
Prostate95.3
Prostate141.7
Lung92.4
Lung109.6
Lung73.1
Lung58.0
C/R74.5
C/R76.9
C/R43.0
C/R40.8
Bladder31.0
Stomach24.1
Liver24.0
Oral19.6
* incidence rates per 100,000; age-adjusted to the 2000 standard million
Leading Cancers by Race/Ethnicity Females, 1995-1999
White, NH Black, NH Asian, NH Hispanic
Breast145.4
Breast113.7
Breast81.6
Breast82.3
Lung58.1
Lung48.9
C/R46.4
C/R27.4
C/R50.9
C/R47.8
Lung35.6
Lung21.9
Uterus28.2
Uterus20.4
Uterus15.2
Uterus17.9
* incidence rates per 100,000; age-adjusted to the 2000 standard million
Leading Cancer Deaths by Race/Ethnicity, Males, 1995-1999
White, NH Black, NH Asian, NH Hispanic
Lung78.5
Lung98.8
Lung50.2
Lung29.1
Prostate33.9
Prostate69.6
Liver18.9
Prostate20.2
C/R30.5
C/R43.3
Prostate18.4
C/R13.6
Pancreas12.9
Pancreas19.1
Stomach15.6
Esophagus7.7
* mortality rates per 100,000; age-adjusted to the 2000 standard million
Leading Cancer Deaths by Race/Ethnicity, Females, 1995-1999
White, NH Black, NH Asian, NH Hispanic
Lung44.8
Lung45.6
Lung25.5
Breast12.6
Breast31.1
Breast38.2
Breast16.8
C/R10.9
C/R20.6
C/R28.3
C/R16.7
Lung9.2
Pancreas10.1
Pancreas15.3
Stomach10.3
NHL5.2
* mortality rates per 100,000; age-adjusted to the 2000 standard million
1995 vs. 1999 Incidence Rates*, MA Males1995 vs. 1999 Incidence Rates*, MA Males
* * rates per 100,000; age-adjusted to 2000 standard million
Annual Age-Adjusted Cancer Incidence Rates*Annual Age-Adjusted Cancer Incidence Rates*Massachusetts Males, 1995-1999Massachusetts Males, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
m
ales
Annual Age-Adjusted Cancer Mortality Rates*Annual Age-Adjusted Cancer Mortality Rates*Massachusetts Males, 1995-1999Massachusetts Males, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
mal
es
1995 vs. 1999 Incidence Rates*, MA Females1995 vs. 1999 Incidence Rates*, MA Females
* * rates per 100,000; age-adjusted to 2000 standard million
Annual Age-Adjusted Cancer Incidence Rates*Annual Age-Adjusted Cancer Incidence Rates*Massachusetts Females, 1995-1999Massachusetts Females, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
fem
ales
Annual Age-Adjusted Cancer Mortality Rates*Annual Age-Adjusted Cancer Mortality Rates*Massachusetts Females, 1995-1999Massachusetts Females, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
fe
mal
es
Lung Cancer Incidence Rates* Lung Cancer Incidence Rates* MA, 1995-1999MA, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
pe
rson
s
Prostate and Breast Cancer Incidence Rates* Prostate and Breast Cancer Incidence Rates* MA, 1995-1999MA, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
pe
rson
s
Prostate CancerProstate Cancer
Fall toward an equilibrium reflecting truly incident cases
Outpatient diagnoses
Decreased utilization of PSA screening tests
Colo-Rectal Cancer Incidence Rates* Colo-Rectal Cancer Incidence Rates* MA, 1995-1999 MA, 1995-1999
* * age-adjusted to 2000 standard million
per
100
,000
pe
rson
s
Colo-Rectal CancerColo-Rectal Cancer
Diet (increased intake of vegetables and other sources of fiber)
Use of nonsteroidal anti-inflammatory drugs such as aspirin
Earlier detection/screening
Removal of polyps
ConclusionsConclusions
• Prostate cancer rates have increased 5.7% between 1995 and 1999, but there still has been an overall decrease from its peak incidence in 1992.
• Breast cancer, the leading cancer in females, increased 1.7% between 1995 and 1999.
• Lung cancer in females has increased 7.7% between 1995 and 1999.
Conclusions (cont.)Conclusions (cont.)• Melanoma increased in both males and females; 17.4%
in males and 31.4% in females.• Leading cancers with increased incidence of at least
5% from 1995 through 1999 include: prostate and melanoma in males; lung and melanoma in females.
• Leading cancers with decreased incidence of at least 5% from 1995 through 1999 include: oral cavity and pharynx and bladder cancer in males; ovarian and cervical in females.
Estimated % of Total Cancer Deaths Estimated % of Total Cancer Deaths Attributable to Established Risk Factors (U.S.)Attributable to Established Risk Factors (U.S.)
Tobacco..................... 30%
Adult Diet / Obesity... 30%
All Other Factors....... 40%
Risk factor
source: “Harvard Report on Cancer Prevention” in Cancer Causes & Control, International Association of Cancer Registries, 1996
MDPH Cancer Prevention and MDPH Cancer Prevention and Early Detection ProgramsEarly Detection Programs
• Mass. Tobacco Control Program
• Women’s Health Network
• Chronic Disease Prevention Programs
• Men’s Health Partnership
• Skin Cancer Prevention Program
• MA Skin Cancer Prevention Collaborative
• Colorectal Cancer Awareness Program
• Oral Cancer Partnership