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United States Cancer Statistics: 2001 PDF

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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: (770) 488-4783 Phone: (301) 496-8510 Fax: (770) 488-4759 Fax: (301) 496-9949 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: (301) 458-4000 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/ ii 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 iii 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 iv 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 v 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. vii

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