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Cancer Incidence and Mortality in Massachusetts, 1995-1999

Massachusetts Cancer Registry. Cancer Incidence and Mortality in Massachusetts, 1995-1999. Bureau of Health Statistics, Research and Evaluation Massachusetts Department of Public Health. Statewide Report. Cancer Incidence and Mortality (1995-1999)

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Cancer Incidence and Mortality in Massachusetts, 1995-1999

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  1. Massachusetts Cancer Registry Cancer Incidence and Mortality in Massachusetts,1995-1999 Bureau of Health Statistics, Research and Evaluation Massachusetts Department of Public Health

  2. Statewide Report • Cancer Incidence and Mortality (1995-1999) • Cancer Incidence Trends in Massachusetts Over Time

  3. New Features • Race/Ethnicity Data • 2000 US Population Standard • No comparison with SEER/NCHS

  4. Example of 1970 vs 2000 Standards1995 Cancer Incidence Data* * age-adjusted rates per 100,000

  5. Massachusetts Cancer IncidenceNewly Diagnosed Cases1995-1999 156,735 diagnosed cases - 77,922 in males - 78,787 in females

  6. Distribution of Cancer Incidence Massachusetts, 1995-1999Males Females Prostate 30.4% Breast 31.6% Other 36.6% Other 36.8% Uterine 6.1% Bronchus & Lung 13.1% Urinary Bladder 4.9% Bronchus & Lung 15.6% Colon/Rectum 12.6% Colon/Rectum 12.3% n = 77,922 n = 78,787

  7. Distribution of Cancer Deaths Massachusetts, 1995-1999Males Females Bronchus & Lung 28.8% Bronchus & Lung 23.1% Other 44.2% Other 42.9% Breast 16.3% Prostate 11.5% Pancreas 4.7% Pancreas 5.6% Colon/Rectum 10.8% Colon/Rectum 12.1% n = 34,822 n = 34,843

  8. Massachusetts Incidence Rates*1995 vs. 1999 * rates per 100,000; age-adjusted to 2000 standard million

  9. Massachusetts Mortality Rates*1995 vs. 1999 * rates per 100,000; age-adjusted to 2000 standard million

  10. Leading Cancers by Race/Ethnicity Males, 1995-1999 * incidence rates per 100,000; age-adjusted to the 2000 standard million

  11. Leading Cancers by Race/Ethnicity Females, 1995-1999 * incidence rates per 100,000; age-adjusted to the 2000 standard million

  12. Leading Cancer Deaths by Race/Ethnicity, Males, 1995-1999 * mortality rates per 100,000; age-adjusted to the 2000 standard million

  13. Leading Cancer Deaths by Race/Ethnicity, Females, 1995-1999 * mortality rates per 100,000; age-adjusted to the 2000 standard million

  14. 1995 vs. 1999 Incidence Rates*, MA Males * rates per 100,000; age-adjusted to 2000 standard million

  15. Annual Age-Adjusted Cancer Incidence Rates*Massachusetts Males, 1995-1999 per 100,000 males * age-adjusted to 2000 standard million

  16. Annual Age-Adjusted Cancer Mortality Rates*Massachusetts Males, 1995-1999 per 100,000 males * age-adjusted to 2000 standard million

  17. 1995 vs. 1999 Incidence Rates*, MA Females * rates per 100,000; age-adjusted to 2000 standard million

  18. Annual Age-Adjusted Cancer Incidence Rates*Massachusetts Females, 1995-1999 per 100,000 females * age-adjusted to 2000 standard million

  19. Annual Age-Adjusted Cancer Mortality Rates*Massachusetts Females, 1995-1999 per 100,000 females * age-adjusted to 2000 standard million

  20. Lung Cancer Incidence Rates* MA, 1995-1999 per 100,000 persons * age-adjusted to 2000 standard million

  21. Prostate and Breast Cancer Incidence Rates* MA, 1995-1999 per 100,000 persons * age-adjusted to 2000 standard million

  22. Prostate Cancer • Fall toward an equilibrium reflecting truly incident cases • Outpatient diagnoses • Decreased utilization of PSA screening tests

  23. Colo-Rectal Cancer Incidence Rates* MA, 1995-1999 per 100,000 persons * age-adjusted to 2000 standard million

  24. Colo-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

  25. Conclusions 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.

  26. 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.

  27. Tobacco..................... 30% Adult Diet / Obesity... 30% All Other Factors....... 40% Estimated % of Total Cancer Deaths Attributable to Established Risk Factors (U.S.) Risk factor source: “Harvard Report on Cancer Prevention” in Cancer Causes & Control, International Association of Cancer Registries, 1996

  28. MDPH Cancer Prevention and Early 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

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