The Cancer Burden in Iowa: Data Overview

1
The Cancer Burden in Iowa Data Overview
2
Population Interests in Cancer Prevention and
Control
Etiology Prevention
Early Detection
Quantity Quality of Life
Risk Factors
Negative Influences
Genes
Treatment
Environment
Birth
Death
Cancer Diagnosis
Positive Influences
Protective Factors
Incidence Rates
Survival Rates
Stage Distribution
Mortality Rates
3
Measured Progress toward Cancer Mortality Goals
in Healthy Iowans 2010

• 1994-96 2003-05
  Percent 2010
• Goal Cancer Site Gender Baseline Rate Rate
  Improvement Rate Goal
• 2-1 All sites M F 196.4
  182.8 6.9 173.0
• 2-4 Lung M F 54.1
  53.1 1.8 46.0
• 2-9 Prostate M 36.0
  26.0 27.8 26.0
• 2-5 Breast F 29.0
  22.1 23.8 19.0
• 2-7 Colorectum M F 23.2
  18.7 19.4 15.5
• 2-8 Oral Cavity
• Pharynx M F 2.6
  2.5 3.8 1.8
• 2-6 Cervix F 2.6
  2.2 15.4 1.9
• 2-10 Skin Melanoma M F 2.5
  2.4 4.0 1.9
• Expressed per 100,000 and age-adjusted to Year
  2000 U.S. standard
• Determined by subtracting the 2003-05 rate from
  the 1994-96 rate and dividing by the 1994-96
  rate.
• Healthy Iowans 2010 midcourse revision goal

4
Prostate Cancer Mortality Rates in Iowa,
1994-2005
Rate per 100,000
27.8 reduction
Year
5
Female Breast Cancer Mortality Rates in Iowa,
1994-2005
Rate per 100,000
23.8 reduction
Year
6
Colorectal Cancer Mortality Rates in Iowa,
1994-2005
Rate per 100,000
19.4 reduction
Year
7
Lung Cancer Mortality Rates in Iowa by Sex,
1994-2005
Rate per 100,000
10.5 reduction
9.5 increase
Year
8
Estimated Lives Saved from Cancer Death, Iowa,
1997-2005
Total lives saved 3,066
Computed using indirect standardization with
sex- and age-specific rates for 1994-1996 as the
standard
9
Distribution of 3,066 Estimated Lives Saved by
Cancer Site and Gender, Iowa, 1997-2005

• Estimated Lives Saved
• Cancer Site Males Females Total
• All sites 2,103 963 3,066
• Prostate 840 - 840
• Colorectum 302 492 794
• Breast - 708 708
• Lung 982 -323 659
• Oral Cavity
• Pharynx 33 48 81
• Cervix - 47 47
• Skin Melanoma 11 8 19
• All Other Sites -65 -17 -82

Computed using indirect standardization with
age-specific rates for 1994-96 as the standard
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Distribution of 963 Estimated Lives Saved by
Characteristic, Female, Iowa, 1997-2005
Characteristic Number of Deaths Number of Deaths SMR
Characteristic Observed Expected SMR
Age 0-19 20-44 45-64 65-74 75 87 916 5,818 6,495 14,333 107 1,052 6,546 6,734 14,173 0.81 0.87 0.89 0.96 1.01
Race White Black Other 27,174 351 124 28,161 285 166 0.96 1.23 0.75
Urban/Rural MSA gt20,000 10-20,000 Rural 13,029 6,623 6,079 1,918 13,247 6,852 6,491 2,022 0.98 0.97 0.94 0.95

P-value lt 0.05
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Distribution of 2,103 Estimated Lives Saved by
Characteristic, Males, Iowa, 1997-2005
Characteristic Number of Deaths Number of Deaths SMR
Characteristic Observed Expected SMR
Age 0-19 20-44 45-64 65-74 75 128 783 6,526 8,329 14,115 97 923 7,278 8,635 15,051 1.32 0.85 0.90 0.96 0.94
Race White Black Other 29,305 451 125 31,488 320 176 0.93 1.41 0.71
Urban/Rural MSA gt20,000 10-20,000 Rural 13,709 7,532 6,517 2,123 14,540 7,712 7,428 2,304 0.94 0.98 0.88 0.92

P-value lt 0.05
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New Tool

• Iowa Cancer Incidence and Mortality Data
• Available on State Health Registry of Iowa
  website
• http//www.public-health.uiowa.edu/shri/Index.
  html
• under Iowa Cancer Data subheading