cancer facts & figures louisiana, 2013 - public...
TRANSCRIPT
Cancer Facts & Figures
Louisiana, 2013
Louisiana Tumor Registry
Xiang-Rong Li, MD, MSPH
October, 2013
• About 24,930 new cancer cases are expected to be
diagnosed in Louisiana 2013. This estimate does not
include carcinoma in situ of any site except urinary
bladder, and does not include basal cell and
squamous cell skin cancers, which are non-reportable
cancer; almost 68 cases per day.
• About 9,040 persons are expected to die of cancer in
Louisiana in 2013; almost 25 deaths per day.
1. Data source: American Cancer Society, Cancer Facts & Figures 2013.
Incidence Rates1 of All Cancers Combined,
Louisiana vs. US,2 2006-2010
579
659
410 413
539
610
424 398
0
200
400
600
800
1000
White Male Black Male White Female Black Female
Louisiana US
3%*
4%*
7%*
8%*
1Age-adjusted to the 2000 US standard population. 2US Incidence data source: Surveillance, Epidemiology and End Results (SEER), 18 registries.
*Incidence rate of Louisiana was significantly different from that of SEER18.
Rate
Per
100,0
00
Trend of Incidence Rates1 of all Cancers Combined,
Louisiana vs. US2, Male, 1988-2010
Rate
Per
100,0
00
Year of Diagnosis
1. Age-adjusted to the 2000 US Standard Population.2. US incidence data source:18 SEER registries.
0
100
200
300
400
500
600
700
800
1988 1991 1994 1997 2000 2003 2006 2009
LA Blacks
US Blacks
LA Whites
US Whites
Trend of Incidence Rates1 of all Cancers Combined,
Louisiana vs. US2, Female,1988-2010
1. Age-adjusted to the 2000 US Standard Population.2. US incidence data source:18 SEER registries.
Rate
Per
100,0
00
Year of Diagnosis
0
100
200
300
400
500
600
700
800
1988 1991 1994 1997 2000 2003 2006 2009
US Whites
LA Blacks
LA Whites
US Blacks
Rate
Per
100,0
00
Year of Diagnosis
1. Age-adjusted to the 2000 US Standard Population.2. US incidence data source:18 SEER registries.
Trend of Incidence Rates1 of all Cancers Combined,
Louisiana vs. US2 by Race,1988-2010
0
100
200
300
400
500
600
700
800
1988 1991 1994 1997 2000 2003 2006 2009
LA Blacks
US Blacks
LA Whites
US Whites
Trend of Incidence Rates1 of all Cancers Combined,
Louisiana vs. US2 by Gender,1988-2010
1. Age-adjusted to the 2000 US Standard Population.2. US incidence data source:18 SEER registries.
Rate
Per
100,0
00
Year of Diagnosis
0
100
200
300
400
500
600
700
800
1988 1991 1994 1997 2000 2003 2006 2009
LA Male
US Male
LA Female
US Female
Cancer Incidence Rates1 among Males,
Louisiana, 1988-2010
1Age-adjusted to the 2000 US Standard Population.
Rate
Per
100,0
00
Year of Diagnosis
0
50
100
150
200
250
1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
Prostate
Lung
Colon and Rectum
Urinary Bladder
Non-Hodgkin Lymphoma
Kidney
Cancer Incidence Rates1 among Females,
Louisiana, 1988-2010
1Age-adjusted to the 2000 US Standard Population.
Rat
e P
er 1
00,0
00
Year of Diagnosis
0
20
40
60
80
100
120
140
1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
Kidney
Breast
Lung
Colon and Rectum
Corpus and Uterus
Non-Hodgkin Lymphoma
Incidence Rates1 of Common Cancer Sites,
Louisiana vs. US,2 2010
7.4
7.5
7.8
10.7
11.9
12.1
12.7
13.2
14.9
19.5
20.2
21.3
24.8
41.3
57.4
120.9
136.6
8.4
9.2
7.4
12.7
9.5
13.1
11.1
11.7
20.3
19.5
18.7
15
17.5
50.4
72.3
121.4
156.6
0 40 80 120 160 200
Stomach*
Cervix*
Liver and Intrahepatic Bile Duct
Oral Cavity and Pharynx*
Ovary*
Pancreas
Leukemia*
Thyroid*
Kidney and Renal Pelvis*
Non-Hodgkin Lymphoma
Urinary Bladder*
Melanoma of Skin*
Corpus and Uterus *
Colon and Rectum*
Lung*
Female Breast
Prostate*
LA US
Age-Adjusted Rate Per 100,000
All cancers combined:
LA: 477.2*
US: 445.2
1 Age-adjusted to the 2000 US Standard Population.2 US incidence data source: 18 SEER registries.
* Incidence rate of Louisiana is significantly different from that of SEER18 ( p≤ 0.05)
Incidence Rate of Common Cancer in Louisiana,1
Average Annual Percent Changes, 2000-2010
0.2
0.7
0.7
2.6
3.4
4.1
5.6
-2.7
-2.0
-1.7
-1.2
-1.1
-1.1
-0.3
-0.2
-0.1
0
-4 -2 0 2 4 6 8
Ovary*
Colon and Rectum*
Leukemia*
Cervix
Prostate*
Lung*
Female Breast
Stomach
Urinary Bladder
Corpus and Uterus
Pancreas
Non-Hodgkin Lymphoma
Oral Cavity and Pharynx
Liver and Intrahepatic Bile Duct*
Kidney and Renal Pelvis*
Melanoma of Skin*
Thyroid*
Average Annual Percent Changes (2000-2010)
1 Data source: 18 SEER registries
* Average Annual Percent Changes is significantly different from 0 (p<0.05)
Mortality Rates1 of All Cancers Combined
Louisiana vs. US,2 2006-2010
1Age-adjusted to the 2000 US standard population. 2Mortality data source: National Center for Health Statistics (NCHS).
*Mortality rate of Louisiana was significantly different from that of US.
Rate
Per
100,0
00
238
317
157
187
213
277
150171
0
100
200
300
400
500
White Male Black Male White Female Black Female
Louisiana US
12%*
15%*
9%*
5%*
Trend of Mortality Rates1 of all Cancers Combined
Louisiana vs. US2, Male,1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS).
Rate
Per
100,0
00
Year of Death
0
100
200
300
400
500
1970 1975 1980 1985 1990 1995 2000 2005 2010
LA Blacks
US Blacks
LA Whites
US Whites
Trend of Mortality Rates1 of all Cancers Combined
Louisiana vs. US2, Female, 1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS).
Ra
te P
er
10
0,0
00
Year of Death
0
100
200
300
400
500
1970 1975 1980 1985 1990 1995 2000 2005 2010
LA Blacks
US Blacks
LA Whites
US Whites
Trend of Mortality Rates1 of all Cancers Combined
Louisiana vs. US2 by Race,1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS).
Rate
Per
100,0
00
Year of Death
0
100
200
300
400
500
1970 1975 1980 1985 1990 1995 2000 2005 2010
LA Blacks
US Blacks
LA Whites
US Whites
Trend of Mortality Rates1 of all Cancers Combined
Louisiana vs. US2 by Gender, 1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS).
Ra
te P
er
10
0,0
00
Year of Death
0
100
200
300
400
500
1970 1975 1980 1985 1990 1995 2000 2005 2010
US male
US female
LA male
LA female
Cancer Mortality Rates1,2 among Males
Louisiana,1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS)
Rat
e Pe
r 1
00
,00
0
Year of Death
0
20
40
60
80
100
120
1970 1975 1980 1985 1990 1995 2000 2005 2010
Prostate
Colon and Rectum
Pancreas
Liver and Intrahepatic Bile Duct
Lung
Cancer Mortality Rates1,2 among Females,
Louisiana,1970-2010
1 Age-adjusted to the 2000 US Standard Population.2 Data source: National Center for Health Statistics (NCHS).
Rat
e Pe
r 1
00
,00
0
Year of Death
0
20
40
60
80
100
120
1970 1975 1980 1985 1990 1995 2000 2005 2010
Lung
Breast
Colon and Rectum
OvaryCervix
Mortality Rates1 for Common Cancer Sites
Louisiana vs. US,2 2010
3.4
3.9
4.2
4.3
4.4
4.5
5.9
6.1
6.9
7.8
11
15.5
21.8
21.9
47.4
5.2
5.4
4.1
4.3
4
3.7
6.9
6.7
7.6
7
13.2
17.9
25
24.6
57.7
0 20 40 60
Stomach*
Kidney and Renal Pelvis*
Brain and Nervous System
Esophagus
Urinary Bladder
Corpus and Uterus
liver and Intrahepatic Bile Duct*
Non-Hodgkin Lymphoma
Leukemia
Ovary
Pancreas*
Colon and Rectum*
Prostate*
Female Breast*
Lung*
LA U.S
All cancers combined:
LA: 196.4 *
U.S: 171.8
1Age-adjusted to the US 2000 standard population.2Data source: National Center for Heath Statistics (NCHS).
*Mortality Rate of Louisiana is significantly different from that of US.
Age Adjusted Mortality Rate Per 100,000
Mortality Rates of Common Cancers in Louisiana,1
Average Annual Percent Changes, 2000-2010
0.3
0.3
0.6
1
1.5
1.9
-3.9
-2.8
-2.7
-2.4
-1.8
-1.8
-1.6
-1.6
-1.2
-1.2
-0.6
-0.3
-0.1
-5 -4 -3 -2 -1 0 1 2
Prostate*
Colon and Rectum*
Non-Hodgkin Lymphoma*
Female Breast*
Lung*
Myeloma
Ovary*
Oral Cavity and Pharynx
Leukemia
Stomach
Esophagus
Brain and Nervous System
Kidney and Renal Pelvis
Corpus and Uterus
Melanoma of Skin
Pancreas
Cervix Uteri
Urinary Bladder
Liver and Intrahepatic Bile Duct*
Average Annual Percent Changes 2000-2010
1 Data Source: National Center of Health Statistics (NCHS)
* Average Annual Percent Changes is significantly different from 0 (p<0.05)
Trend of Incidence and Mortality Rates1,2 for All
Cancers Combined, 1988-2010
0
100
200
300
400
500
600
1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
US Incidence
1Age-adjusted to the 2000 US standard population. 2Incidence data source:18 SEER registries and Mortality data source: National Center for Heath Statistics (NCHS).
Rate
Per
100,0
00
Years
LA incidence
LA mortality
US mortality
5-Year Relative Survival (%) of all Cancers1
Louisiana vs. US,2 2003-2009
1First primary only (sequence number 0 or 1), cut-off year is 2010.2Data source:18 SEER registries.
5-y
ear
Rela
tive S
urv
ival (%
)
63
56
62
53
67
6266
56
0
20
40
60
80
100
White Male Black Male White Female Black Female
Louisiana US
6%10% 5%
6%
5-Year Relative Survival (%) for Common Cancers,1
Louisiana 2003-2009
6
13
15
25
53
59
66
65
71
77
80
85
88
97
99
5
8
11
23
46
37
58
54
66
64
59
65
77
93
94
0 20 40 60 80 100
Pancreas
Liver and Intrahepatic Bile Duct
Lung and Bronchus
Stomach
Leukemia
Oral Cavity and Pharynx
Non-Hodgkin Lymphoma
Colon and Rectum
Kidney and Renal Pelvis
Urinary Bladder
Corpus and Uterus
Melanoma of Skin
Breast (Females)
Thyroid
Prostate
Blacks Whites
1First primary only (sequence number 0 or 1), cut-off year is 2010.
5-Year Relative Survival (%)
Cancer Incidence Rates1 by ICCC Groups2
Children Age 0-14, Louisiana vs.US,3 2006-2010
1 Age-adjusted to the 2000 US Standard Population. 2 International Classification of Childhood Cancer (ICCC)3 US data source: SEER18 registries
* Incidence rate of Louisiana is significantly different from that of SEER18.
3.8
1.5
3.2
1.1
0.4
0.5
0.2
0.7
1.1
0.4
1
0
5.2
1.7
3.3
1
0.4
0.8
0.3
0.7
1.1
0.6
0.7
0
0 1 2 3 4 5 6
* Leukemias, myeloproliferative & myelodysplastic diseases
Lymphomas and reticuloendothelial neoplasms
CNS and misc intracranial and intraspinal neoplasms
Neuroblastoma and other peripheral nervous cell tumors
Retinoblastoma
* Renal tumors
Hepatic tumors
Malignant bone tumors
Soft tissue and other extraosseous sarcomas
Germ cell & trophoblastic tumors & neoplasms of gonads
* Other malignant epithelial neoplasms and melanomas
Other and unspecified malignant neoplasms
LA US
All Cancers Combined
LA: 14.0
US: 15.8
Rate Per 100,000
Trend of Incidence and Mortality Rates1 (Children 0-14
Years), Louisiana, 1988-2010
1 Age-adjusted to the 2000 US Standard Population.2 Incidence data source was 18 SEER registries, and Mortality data source was National Center for Heath Statistics (NCHS).
Rate
Per
100,0
00
0
5
10
15
20
1988 1991 1994 1997 2000 2003 2006 2009
SEER18 Incidence2
Louisiana Incidence
U.S Mortality
Louisiana Mortality
Years
5-Year Relative Survival (%),1 Childhood (Ages 0-14)
Cancers, Louisiana, 1995-1999 vs.2005-2009
5-y
ear
Rela
tive S
urv
ival (%
)
1 First primary only (sequence number 0 or 1).
71
60
74
81
72
80
0
20
40
60
80
100
All Cancers Brain and CNS Leukemia
1995-1999 2005-2009
Prevalence(%) of Obesity1,2 for Adults 18+, Louisiana
1995-2012
1 Obesity=body mass index ≥30 kg/m2
2 Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Pre
vale
nce (
%)
24.9
27.3 27.6
29.5
32.5 32.9
30.9
36.935.9
37.2
43.4
39.7
44.1
41.4
44.945.0
39.4
45.4
15.717.0
15.9
19.718.9
20.6
20.6
21.422.8
24.1
26.7
24.7
28.427.0
31.0
28.6
31.0
30.0
0
10
20
30
40
50
1995 1997 1999 2001 2003 2005 2007 2009 2011
Blacks
Whites
Year of Survey
Prevalence (%) of Fruit and Vegetable Consumption,1,2
Louisiana, 1996-2009
1 Fruit and vegetable consumption five or more times per days2 Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Pre
vale
nce (
%)
19.217.4
15.817.1 16.8
19.9 19.6
16.8
14.8 16.915.5
16.814.1
19.2
17.9
15.6
0
10
20
30
1996 1998 2000 2002 2003 2005 2007 2009
Whites Blacks
Year of Survey
Women Aged 40+ Women Aged 50+
Prevalence (%) of Having Mammogram,1,2
Louisiana, 1995-2012
1 Have had Mammogram within the past two years.2 Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
0
20
40
60
80
100
1995 2000 2006 2012
Whites
Blacks
0
20
40
60
80
100
1995 2000 2006 2012
Whites
Blacks
Pre
vale
nce
(%)
Pre
vale
nce
(%)
Year of Survey Year of Survey
Prevalence of Having Pap Smear1,2 for Women Age 18+
Louisiana, 1995-2012
1Have had Pap Smear test within the past three years.2Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
Pre
vale
nce
(%)
Year of Survey
80.1 85.5
86.8
86.787.6
86.0
85.3
80.0
83.8
80.2
79.9
86.7
83.9
90.4 92.3
84.7
86.9
72.483.2
82.0
0
20
40
60
80
100
1995 2000 2006 2012
Whites
Blacks
Whites Blacks
Prevalence of Having Fecal Occult Blood Test1 for
Adult Age 50+, Louisiana 1997-2010
1 Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
0
10
20
30
40
50
1997 1999 2002 2004 2006 2008 2010
Ever had
Past 5 years
Past 2 Years
Past Year0
10
20
30
40
50
1997 1999 2002 2004 2006 2008 2010
Ever had
Past 5 Years
Past 2 Years
Past Year
Pre
val
ence
(%
)
Pre
val
ence
(%
)
Year of Survey Year of Survey
BlacksWhites
Prevalence of Having a Sigmoidoscopy or Colonoscopy1
For Adult Age 50+, Louisiana, 1997-2010
1 Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
0
10
20
30
40
50
60
70
1997 1999 2002 2004 2006 2008 2010
Ever have
Past 5 Years
Past 2 Years
Past Year
0
10
20
30
40
50
60
70
1997 1999 2002 2004 2006 2008 2010
Ever have
Past 5 Years
Past 2 Years
Past Year
Pre
vale
nce
(%)
Pre
vale
nce
(%)
Year of Survey Year of Survey
Editors
Mei-Chin Hsieh, MSPH, CTR
Patricia A. Andrews, MPH, CTR
Brent A. Mumphrey, BS
Beth Schmidt, MSPH
Lisa Pareti, BS, RHIT, CTR
Christina Lefante, MPH
Lauren Maniscalco, MPH
Diane B. Ferguson, MT(ASCP)SBB,MBA
Ian Landry, MPH
Vivien W. Chen, PhD
Xiang-Cheng Wu, MD, MPH, CTR
Acknowledgements
• Hospital cancer registries (http://louisianatumorregistry.lsuhsc.edu/)
• Louisiana Cancer Registrars’ Association (http://www.lcra-usa.org/)
• Physicians and staff members in:
• Medical records offices
• Pathology laboratories
• Physician offices and clinics
• Hospice programs and nursing homes
• Regional and central offices of the Louisiana Tumor Registry
(http://louisianatumorregistry.lsuhsc.edu/regionalregistries.html)
• School of Public Health, LSU Health Sciences Center–New Orleans
• Louisiana Cancer and Lung Trust Fund Board
• Coroners’ offices
Sources of LTR Funding
• National Cancer Institute, SEER Program
• National Program of Cancer Registries, CDC
• Louisiana Health Care Services Division
