Cancer Incidence and Mortality in Massachusetts, Bureau of Health Statistics, Research and Evaluation Massachusetts Department of Public Health Massachusetts Cancer Registry

Statewide Report [Cancer Incidence and Mortality ( ) [Cancer Incidence Trends in Massachusetts Over Time

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

Example of 1970 vs 2000 Standards 1995 Cancer Incidence Data* * * age-adjusted rates per 100,000

Massachusetts Cancer Incidence Newly Diagnosed Cases ,735 diagnosed cases - 77,922 in males - 78,787 in females

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 Breast cancer, the leading cancer in females, increased 1.7% between 1995 and Lung cancer in females has increased 7.7% between 1995 and 1999.

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.

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

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