Cancer in North Carolina: Central Cancer Registry

1
Cancer in North Carolina Central Cancer Registry

• Karen Knight
• April 28, 2006

2
Overview of Current Cancer Statistics

• Top Ten in Incidence and Mortality
• 10 year trends
• Screening data

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Number of New Cases North Carolina - 2003
4
A Few Numbers

• ? 447,149 cases 1990-2003
• ? Currently 35,000 cases each year
• ? Approximately 50,000 reports each year
• ? 132 hospitals / 43 hospital registries
• ? 1,000 physicians queried 2800 times
• Note We count cases, not people.

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NC Cancer Registry Data

• All rates are age-adjusted unless otherwise
  indicated
• Standard population is US 2000
• All incidence data are NC 1999-2003 unless
  otherwise indicated
• All mortality data are from 2000-2004 unless
  otherwise indicated
• Colon Colon/Rectum
• Lung Lung/Bronchus
• Female Breast includes in situ
• Y axis scales vary

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Top Ten, Cancer Incidence
Age adjusted to the 2000 US Census
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Top Ten, Cancer Mortality
Age adjusted to the 2000 US Census
8
Lung Cancer Incidence1990-2003
9
Lung Cancer Mortality1990-2003
10
US vs. NC Smoking Prevalence
Source BRFSS
11
Summary

• Lung cancer
• Mortality higher among men
• For both incidence and mortality, rates among
  Black males highest, Black females lowest
• Smoking rates higher among men and in NC than US

12
Male Colon Cancer Incidence/Mortality
13
Female Colon Cancer Incidence/Mortality
14
Colon Cancer Stage at Diagnosis(1999-2003)
15
Ever had sigmoidoscopy or colonoscopy? BRFSS
Survey Results (2001, 2002, 2004)
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Ever had sigmoidoscopy or colonoscopy? BRFSS
Survey Results (2001, 2002, 2004)
Statistically significant, plt.05, 2004, Blacks
and Whites
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Summary

• Colorectal Cancer
• ? Black male incidence increasing
• ? Mortality rates leveling off
• ? Racial disparity in stage at diagnosis
• ? Screening increasing across groups,
  Blacks less than Whites

18
Cervical Cancer Incidence/Mortality
19
Cervical Cancer Mortality Rates
20
Stage at Diagnosis Invasive Cervical
Cancer(1999-2003)
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Women Ages 21 Who Had Pap Smear in Last 3 Years?

BRFSS Survey Results (2004)
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Summary

• Cervical cancer
• Racial gap narrowing
• Mortality rates leveling off
• Racial disparity in stage at diagnosis

23
Female Breast Cancer Incidence/Mortality
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Female Breast Cancer Stage at Diagnosis
(1999-2003)
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Mammogram Within Past 2 Years Clinical Breast
Exam Within a Year
(Women gt40 years old) BRFSS Survey Results
(2004)
26
Summary

• Breast Cancer
• ? Whites have higher incidence and are diagnosed
  at
• an earlier stage
• Black women have higher mortality
• ? Similar screening among Whites Blacks

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Prostate Cancer Incidence/Mortality
28
Prostate Cancer Mortality
29
Stage at Diagnosis Prostate Cancer (1999-2003)
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Health Professional Talked With You About
Prostate Cancer Screening?
BRFSS Survey Results (2004)
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Summary

• Prostate cancer
• PSA screening effect
• Incidence much higher among blacks
• Black mortality rates 3 times white rates
• Marginal decline in mortality
• Racial disparity in stage at diagnosis

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Websites

• www.seer.cancer.gov
• www.naaccr.org
• www.cdc.gov/cancer/npcr
• www.cancer.org
• www.schs.state.nc.us/SCHS/healthstats

33
Acknowledgements

• CDCs National Program of Cancer Registries
• NC CCR Statistical Staff for their analysis

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How to Contact Us

• Karen L. Knight
• Phone [phone]
• E-mail Karen.Knight_at_ncmail.net
• Central Cancer Registry
• 919-715-4555 (phone) / 919-733-8485 (fax)
• http//www.schs.state.nc.us/SCHS/data/cancer.cfm

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Websites for more information

• North American Association of Central Cancer
  Registries, Cancer in North America publications
  and tools http//www.naaccr.org/
• CDC/SEER United States Cancer Statistics,
  complete incidence data available
  www.cdc.gov/cancer/npcr/uscs/index.htm
• CDCs Behavioral Risk Factor Surveillance System,
  includes risk factor data by state and US
  http//www.cdc.gov/brfss/
• SEER data and statistics, including interactive
  tools http//surveillance/cancer.gov/statistics/t
  ypes
• American Cancer Societys Facts and Figures
  www.cancer.org

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Melanoma Incidence and Mortality

• Over 80 diagnosed at local stage