United States Cancer Statistics: 2001

699 Pages·2004·7.07 MB·English

United
States
Cancer
Statistics
2001 INCIDENCE
AND MORTALITY
PUBLICATION YEAR 2004
D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
For more information, contact
National Program of Cancer Registries (NPCR) Surveillance, Epidemiology, and End Results
National Center for Chronic Disease (SEER) Program
Prevention and Health Promotion Surveillance Research Program, DCCPS
Centers for Disease Control and Prevention National Cancer Institute, NIH
4770 Buford Highway, MS K-53 6116 Executive Boulevard, MSC 8316
Atlanta, GA 30341-3717 Bethesda, MD 20892-8316
Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone]
Web address: http://www.cdc.gov/cancer/npcr/ Web address: http://seer.cancer.gov
National Center for Health Statistics
Centers for Disease Control and Prevention
3311 Toledo Road
Hyattsville, MD 20782-2064
Phone: [phone]
Email address:
United
States
Cancer
Statistics
2001 Incidence
and Mortality
U.S. Cancer Statistics Working Group
United States Cancer Statistics: 2001 Incidence and Mortality
U.S. Cancer Statistics Working Group
Editors
Centers for Disease North American Association
Control and Prevention National Cancer Institute of Central Cancer Registries
National Center for Chronic Brenda K. Edwards, PhD Dennis Deapen, DrPH
Disease Prevention and Marsha Reichman, PhD Holly L. Howe, PhD
Health Promotion
Lyn Almon, MSPH
Cheryll Cardinez, MSPH
Carol Friedman, DO
Robert R. German, DrPH
Patricia M. Jamison, MPH
Jessica B. King, MPH
Joseph D. Rogers, BS
Sherri L. Stewart, PhD
Trevor D. Thompson, BS
Phyllis A. Wingo, PhD, MS
National Center for Health Statistics
Robert N. Anderson, PhD
Ordering Information
The U.S. Cancer Statistics report will be published annually. Printed copies are available from
the following:
Centers for Disease Control and Prevention
National Center for Chronic Disease
Prevention and Health Promotion
Division of Cancer Prevention and Control
Attn: Publications, Mail Stop K–64
4770 Buford Highway, Northeast
Atlanta, GA 30341-3717
All sections of this report are available on the Web sites listed below:
• http://www.cdc.gov/cancer/npcr/uscs/
• http://seer.cancer.gov/statistics/
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Table of Contents
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Executive Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Format and Content of the Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
TECHNICAL NOTES
Background. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Federal Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Surveillance, Epidemiology, and End Results (SEER) Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
National Program of Cancer Registries (NPCR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
National Vital Statistics System (NVSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Collaborating Partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
North American Association of Central Cancer Registries (NAACCR) . . . . . . . . . . . . . . . . . . . . . . . . 4
Registry Eligibility Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Populations Covered by This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Data Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Incidence Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Mortality Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Population Denominator Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Statistical Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Incidence and Death Rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Crude and Age-Specific Incidence and Death Rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Age-Adjusted Incidence and Death Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Confidence Intervals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Suppression of Incidence and Death Rates and Counts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Inclusion of Incidence Rates and Counts for U.S. Census Regions and Divisions . . . . . . . . . . . . . . . . 11
Inclusion of Incidence Rates and Counts for the United States: NPCR and SEER
Registries That Meet Quality Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Interpreting the Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Incidence Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
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United States Cancer Statistics: 2001 Incidence and Mortality
Mortality Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Race and Ethnicity in Cancer Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
HTML Edition of United States Cancer Statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CANCER INCIDENCE AND MORTALITY FOR ADULTS AND CHILDREN:
ALL AREAS COMBINED
Figure 1 Geographic areas contributing data to United States Cancer
Statistics: 2001 Incidence and Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Tables 1.1.1.1M– Age-adjusted invasive cancer incidence and death rates and
1.1.1.2F 95% confidence intervals by primary site, race and ethnicity,
and sex, United States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Tables 1.1.2.1M– All cancer sites combined. Invasive cancer incidence and death
1.1.2.2F rates and 95% confidence intervals by age, race and ethnicity,
and sex, United States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Tables 1.2.1.1M– Age-adjusted invasive cancer incidence rates and 95% confidence
1.2.1.1F intervals for ages 0–19 by International Classification of Childhood
Cancer (ICCC) group and subgroup, race and ethnicity, and sex,
United States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Table 1.2.2.1 Age-adjusted invasive cancer incidence rates and 95% confidence
intervals by International Classification of Childhood Cancer
(ICCC) group and subgroup, and age, United States. All races,
males and females, 2001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Table 1.2.3.1 Invasive cancer incidence rates and 95% confidence intervals by
International Classification of Childhood Cancer (ICCC) group and
subgroup, and age, United States. All races, males and females, 2001. . . . . . . . . . . . 42
Tables 1.2.4.1M– Childhood age-adjusted invasive cancer incidence and death rates
1.2.4.2F and 95% confidence intervals for ages 0–19 by primary site, race
and ethnicity, and sex, United States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Tables 1.2.5.1– Childhood age-adjusted invasive cancer incidence and death rates
1.2.5.2 and 95% confidence intervals by primary site and age, United States.
All races, males and females, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Tables 1.2.6.1– Childhood invasive cancer incidence and death rates and 95%
1.2.6.2 confidence intervals by primary site and age, United States. All races,
males and females, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
CANCER INCIDENCE AND MORTALITY, BY U.S. CENSUS REGION AND DIVISION,
STATE, AND METROPOLITAN AREA
Figure 2 Geographic areas contributing data to United States Cancer Statistics:
2001 Incidence and Mortality, by U.S. census region and division . . . . . . . . . . . . . . . . . 49
Tables 2.1.1.1M– Age-adjusted cancer incidence and death rates and 95% confidence
2.25.1.2F intervals by U.S. census region and division, state and metropolitan area,
and race and ethnicity, United States, by primary site and sex, 2001 . . . . . . . . . . . . . . 50
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Table of Contents
STATE AND METROPOLITAN AREA INCIDENCE RATES AND STATE DEATH RATES
FOR THE MOST COMMON CANCERS
Figures 3.1.M1– Age-adjusted cancer incidence and death rates for the 10 primary
3.58.F2 sites with the highest rates within race- and ethnic-specific categories,
by geographic area and sex, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
MESOTHELIOMA INCIDENCE AND DEATH RATES AND KAPOSI’S SARCOMA
INCIDENCE RATES
Tables 3.1.1.1M– Age-adjusted invasive mesothelioma incidence and death rates and
3.1.1.2F 95% confidence intervals by age, race and ethnicity, and sex, United
States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456
Table 3.1.2 Age-adjusted invasive mesothelioma incidence and death rates and 95%
confidence intervals by U.S. census region and division, state and
metropolitan area, and sex, United States. All races, 2001 . . . . . . . . . . . . . . . . . . . . . . . . 458
Tables 3.2.1.1M– Age-adjusted invasive Kaposi’s sarcoma incidence rates and 95%
3.2.1.1F confidence intervals by age, race and ethnicity, and sex, United
States, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460
Table 3.2.2.1 Age-adjusted invasive Kaposi’s sarcoma incidence rates and 95%
confidence intervals by U.S. census region and division, state
and metropolitan area, and sex, United States. All races, 2001 . . . . . . . . . . . . . . . . . . 461
APPENDICES
Appendix A State and metropolitan area cancer registries
Appendix B National Program of Cancer Registries: Scientific Workgroup members
Appendix C National partner organizations
Appendix D Invasive cancer incidence counts and cancer death counts by primary
site, sex, race and ethnicity, and age (all ages <1, 1–4, 5–9, 10–14, 15–19,
and 0–19). United States, 2001
Appendix E Invasive cancer incidence counts and cancer death counts by U.S. census
region and division, state and metropolitan area, sex, and race and ethnicity.
United States, 2001
Appendix F Invasive mesothelioma and Kaposi’s sarcoma incidence counts and
mesothelioma death counts by age, race and ethnicity, and sex, and by U.S.
census region and division, state and metropolitan area, sex, and race and
ethnicity. United States, 2001
Appendix G Age-adjusted invasive cancer incidence and death rates and 95% confidence
intervals for Asian/Pacific Islanders by state and metropolitan area, primary site,
and sex. United States, 2001
Appendix H State and metropolitan area cancer registries by affiliation in federal cancer
surveillance program, 2004
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United States Cancer Statistics: 2001 Incidence and Mortality
Appendix I State, metropolitan area, and territory cancer registries by federal funding
source and first diagnosis year for which cancer cases were reportable to
CDC’s NPCR or NCI’s SEER Program
Appendix J Achievement of selected data quality criteria by state and SEER metropolitan
area cancer registries, 2001, and confirmation and detection rates for cancer
mortality, by anatomic site and ICD version—United States
Appendix K SEER site groups for primary cancer sites based on ICD–O–3, SEER
modification of site groups for primary cancer sites based on ICCC, and
SEER cause of death recodes for cancer causes of death based on ICD–10
Appendix L Population counts by U.S. census region and division, state and metropolitan
area, sex, age (all ages, ages 0–19), race and ethnicity, 2001
Appendix M Criteria for reporting age-adjusted incidence rates for U.S. census regions and divisions
List of abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside back cover
vi
Acknowledgments
The Centers for Disease Control and Prevention and the National Cancer
Institute thank the staff in state and metropolitan area cancer registries for
their commitment to cancer surveillance and control programs. The
consistent efforts of registry staff to collect complete, timely, and high-
quality cancer incidence data are essential for monitoring progress toward
reducing the burden of cancer in the United States. Appendix A provides a
list of state and metropolitan area cancer registries in the National
Program of Cancer Registries (NPCR) and Surveillance, Epidemiology,
and End Results (SEER) programs.
We thank the National Program of Cancer Registries’ Scientific
Workgroup members for their assistance in designing and reviewing
this report. Appendix B lists members of the workgroup.
We also wish to thank vital registration and statistics staff in the 50
states, New York City, and the District of Columbia for their efforts
to provide high quality, timely, and comparable mortality data.
National partner organizations are crucial to the success of cancer
registration and cancer surveillance in the United States. This
document, and many advances in cancer surveillance in the United
States, would not have been possible without the tireless efforts and
many achievements of these organizations. The Centers for Disease
Control and Prevention and the National Cancer Institute gratefully
acknowledge and thank the American Cancer Society, the American
College of Surgeons Commission on Cancer, the American Joint
Committee on Cancer, the National Cancer Registrars Association, and
our collaborating partner, the North American Association of Central
Cancer Registries, for their support for cancer registration and cancer
surveillance provided over many years. Appendix C has contact
information for these national partner organizations.
We thank Dr. Harland Austin, PhD, for his expert contributions to the
Technical Notes and Appendix M. We also thank Lynn A. G. Ries, MS,
from the National Cancer Institute for contributing her technical
expertise to several areas of the Technical Notes, especially with regard
to childhood cancer data.
We would also like to acknowledge Helen McClintock, BA, and Mary
Kaeser, MEd, for their excellent editorial services; Phyllis (Janie)
Nichols, MPH, for her technical support; Kathleen Carey, MS, for her
expert assistance with the web portion of the document; and Dee Dee
White, BS, for her clerical assistance.
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