The Changing Face of Cancer in Iowa

Source: http://www.cancer-rates.info/ia/ Cancer Deaths = 89,263 Source: http://www.cancer-rates.info/ia/

New Invasive/Malignant Cancers = 219,814 Source: http://www.cancer-rates.info/ia/

Measured Progress toward Cancer Mortality Goals for Year 2010, Iowa (http://www.idph.state.ia.us/bhpl/healthy_iowans_2010.asp) Cancer Site Sex 1994-96 Baseline Rate* 2005-07 Rate* 2010 Goal Revised Mid-Course All Sites M&F 196.6 180.3 173.0 Lung 54.2 52.1 46.0 Prostate M 36.0 25.0 26.0 Breast F 29.0 21.4 19.0 Colorectum 23.3 18.0 15.5 Cervix 2.6 2.1 1.9 Oral Cavity & Pharynx 2.5 1.8 Skin Melanoma *Per 100,000 population and age-adjusted to the year 2000 U.S. population estimate Source: SEER*Stat - Version 6.6.2

Lung Cancer Mortality Rates, 1994-2007 (Rates are age-adjusted to 2000 US Standard Population) Rate per 100,000 For 2007, N = 1,834 M:F ratio = 1.3:1 Year

Prostate Cancer Mortality Rates, 1994-2007 (Rates are age-adjusted to 2000 US Standard Population) Rate per 100,000 For 2007, N = 373 Year

Female Breast Cancer Mortality Rates, 1994-2007 (Rates are age-adjusted to 2000 US Standard Population) Rate per 100,000 For 2007, N = 418 Year

Colorectal Cancer Mortality Rates, 1994-2007 (Rates are age-adjusted to 2000 US Standard Population) Rate per 100,000 For 2007, N = 649 M:F ratio = 0.8:1 Year

5-year Relative Survival, All Cancer Sites, 1994-2004 Rate per 100 Years of Diagnosis

Estimated Lives Saved from Cancer Death, Iowa, 1997-2007* Total lives saved = 3,653 * Computed using indirect standardization with age-specific rates for 1994-1996 as the standard

Measured Progress toward Cancer Mortality Goals for Year 2010, Iowa 1994-96 2005-2007 # of Lives Saved Cancer Site Gender Baseline Rate* Rate* 2010 Goal* from 1997-2007 All sites M & F 196.6 180.3 173.0 3,653 Prostate M 36.0 25.0 26.0 1127 Colorectum M & F 23.3 18.0 15.5 1111 Breast F 29.0 21.4 19.0 952 Lung M & F 54.2 52.1 46.0 639 * Expressed per 100,000 and age-adjusted to Year 2000 U.S. standard population from SEER*Stat version 6.6.2 ** Since this total is greater than the lives saved across all sites, we are losing cancer lives at other cancer sites. N=3,829**

Estimated Iowa Cancer Survivors (Source: 32-year limited duration prevalence 1/75-1/07(SEER*Stat Version 6.6.2)) Cancer Site Number All Sites 119,733 Female Breast 26,246 Prostate 21,318 Colorectum 14,218 Lung 3,965 65,747

(First time in Iowa cancer has exceeded HD) Heart Disease Deaths versus Cancer Deaths, Iowa, 1970-2007 (Source: SEER*Stat, version 6.6.2) (Rates are age-adjusted to 2000 US population and expressed per 100,000) 2007 cancer rate = 177.6 2007 HD rate = 173.9 (First time in Iowa cancer has exceeded HD)