the national program of cancer registries enhancing cancer incidence data
Download
Skip this Video
Download Presentation
The National Program of Cancer Registries: Enhancing Cancer Incidence Data …

Loading in 2 Seconds...

play fullscreen
1 / 31

The National Program of Cancer Registries: Enhancing Cancer Incidence Data … - PowerPoint PPT Presentation


  • 116 Views
  • Uploaded on

The National Program of Cancer Registries: Enhancing Cancer Incidence Data …. Hannah K. Weir, PhD Division of Cancer Prevention and Control Centers for Disease Control and Prevention. …with Vital Records Data for Cancer Control.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' The National Program of Cancer Registries: Enhancing Cancer Incidence Data …' - saber


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the national program of cancer registries enhancing cancer incidence data

The National Program of Cancer Registries: Enhancing Cancer Incidence Data …

Hannah K. Weir, PhD

Division of Cancer Prevention and Control

Centers for Disease Control and Prevention

with vital records data for cancer control
…with Vital Records Data for Cancer Control

Cancer Control: an approach to reducing cancer incidence, morbidity and mortality through prevention, early detection, treatment, rehabilitation and palliation.

model for cancer control
Model for Cancer Control
  • Plan Interventions
  • Prevention
  • Screening
  • Treatment & rehabilitation
  • Palliative Care

Measure &

Evaluate

Cancer Burden

Act

Implement Interventions

the cancer continuum
The Cancer Continuum

Diagnosis / Stage

Death

Survival

Treatment &

Rehabilitation

Palliative Care

Prevention

Early

Detection

slide6

Cancer Control in Action

  • If Cancer Control Planners are the “hands” of CC
    • Plan and implement the interventions)
  • Vital Records and Cancer Registries are the “eyes” of CC
    • Measure and evaluate cancer burden
surveillance epidemiology and end results program seer

SEER

SEER/NPCR (2000+)

AK HI

Surveillance, Epidemiology, and End Results Program (SEER)
  • 1971 National Cancer Act
    • 1973+, 5 States, 4 Metro Areas, 10% population coverage
    • 1991 added 2 more Metro Areas, 14% population coverage
    • 2001, added 4 more states,
  • 26% population coverage
national program of cancer registries npcr
National Program of Cancer Registries (NPCR)
  • 1992 Cancer Registries Amendment Act
    • 1995 – 1998

45 states, 3 territories, District of Columbia

  • 96% population coverage

SEER

NPCR

NPCR/SEER

AK HI

united states cancer statistics
United States Cancer Statistics
  • Combined NPCR and SEER incidence data

Increase in population coverage

1999 .. 78% 2002 .. 93%

2000 .. 84% 2003 .. 96%

2001 .. 92% 2004 .. 98%

  • 100% cancer death data
  • State, regional, and national incidence and mortality data for whites, blacks, Asians/Pacific Islanders (A/PI), American Indian/Alaska Native (AI/AN), Hispanics, and children

www.cdc.gov/cancer/npcr/

slide13

United States Cancer Statistics: 2004 Census Region and Division

ME

NEW ENGLAND

NY

MIDDLE ATLANTIC

PA

Seattle-Puget Sound

WA

NORTHEAST

MIDWEST

ND

MT

OR

MN

PACIFIC

WEST NORTH CENTRAL

MI

ID

WI

SD

Detroit

WY

MOUNTAIN

IA

San Francisco-Oakland

NE

EAST NORTHCENTRAL

NV

OH

UT

San José-Monterey

CA

CO

KS

IN

IL

MO

WV

VA

KY

Los Angeles

AZ

NM

NC

TN

OK

WEST

Atlanta

AR

SC

MS

AL

SOUTH ATLANTIC

EAST SOUTH CENTRAL

WEST SOUTH CENTRAL

Division

GA

LA

TX

State

AK

State contributing mortality data

FL

HI

SOUTH

State contributing incidence and mortality data

female breast cancer invasive seer incidence and u s death rates
Female Breast Cancer (Invasive)SEER Incidence and U.S. Death Rates

Incidence

Death

*Rates are per 100,000 and are age-adjusted to the 2000 U.S. standard population.

Source: SEER Cancer Statistics Review, 1975-2004

the cancer continuum1
The Cancer Continuum

Diagnosis / Stage

Early

Detection

female breast cancer cases diagnosed at early stage
Female Breast Cancer Cases Diagnosed at Early Stage

1985–1987

Percentageof Cases

< 39.1

39.1–48.1

48.2–55.9

56 & over

female breast cancer cases diagnosed at early stage1
Female Breast Cancer Cases Diagnosed at Early Stage

1995–1997

Percentageof Cases

< 39.1

39.1–48.1

48.2–55.9

56 & over

institute of medicine reports
Institute of Medicine Reports

“ We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures.”

(IOM 1999)

“NPCR …has great potential to facilitate national, population-based assessments of the quality of cancer care …”

(IOM 2000)

the cancer continuum2
The Cancer Continuum

Diagnosis

Death

Survival

Treatment &

Rehabilitation

Palliative Care

linkage between the registries and state vital statistics offices

All

Deaths

Incident

Cases

Linkage between the Registries and State Vital Statistics Offices

Cancer Registry

Vital Statistics

blanket npcr ndi application
Blanket NPCR-NDI Application
  • 2006 – application approved to obtain vital status information on cancer patients who move our of state between the time of their diagnosis and their death
clinical research vs public health
Clinical Research vs. Public Health

Clinical trials highest achievablesurvival

Public health average survival achieved

slide26

100

90

80

70

60

Relative survival (%)

2000-01

50

1996-99

1991-95

40

1986-90

30

20

10

0

0

1

2

3

4

5

Years since diagnosis

slide27

“cured” patients

Relative Survival and Population “Cure”

Mean survival of fatal cases

the eyes and hands of cancer control
The “Eyes” and “Hands” of Cancer Control

Diagnosis

Death

Survival

Treatment &

Rehabilitation

Palliative Care

Prevention

Early

Detection

model for cancer control1
Model for Cancer Control
  • Plan Interventions
  • Prevention
  • Screening
  • Treatment & rehabilitation
  • Palliative Care

Measure &

Evaluate

Cancer Burden

Incidence

Stage at diagnosis

Deaths

Survival

Act

Implement Interventions

ad