Source: U.S. Centers for Disease Control & Prevention
Rates of new diagnoses and rates of death from all cancers combined declined significantly in the most recent time period for men and women overall and for most racial and ethnic populations in the United States.
The drops are driven largely by declines in rates of new cases and rates of death for the three most common cancers in men (lung, prostate, and colorectal cancers) and for two of the three leading cancers in women (breast and colorectal cancer). New diagnoses for all types of cancer combined in the United States decreased, on average, almost 1 percent per year from 1999 to 2006. Cancer deaths decreased 1.6 percent per year from 2001 to 2006.
These findings are from a report authored by researchers from the National Cancer Institute (NCI), part of the National Institutes of Health, the Centers for Disease Control and Prevention (CDC), the American Cancer Society (ACS), and the North American Association of Central Cancer Registries (NAACCR). The report was published early online Dec. 7, 2009, in the journal Cancer.
Overall cancer rates continue to be higher for men than for women, but men experienced the greatest declines in incidence (new cases) and mortality (death) rates. For colorectal cancer, the third most frequently diagnosed cancer in both men and women, and the second leading cause of cancer deaths in the United States, overall rates are declining, but increasing incidence in men and women under 50 years of age is of concern.
| Top 15 Cancer Sites for Men and Women | ||||
|---|---|---|---|---|
| Cancer Type | Men: New Cases |
Men: Deaths |
Women: New Cases |
Women: Deaths |
| Bladder | _ | _ | +0.2% | +0.4% |
| Brain | -0.5% | -1.0% | _ | -1.1% |
| Breast | -2.0% | -1.9% | ||
| Cervix | -3.5% | _ | ||
| Colon/rectum | -3.0% | -3.9% | -2.2% | -3.4% |
| Esophagus | +0.7% | +0.4% | ||
| Kidney | +1.8% | -1.5% | +2.4% | -0.6% |
| Leukemia | +0.1% | -0.8% | +0.3% | -1.6% |
| Liver | +3.6% | +2.4% | +1.8% | |
| Lung | -1.8% | -2.0% | +0.4% | _ |
| Melanoma | +3.1% | +2.0% | +3.0% | |
| Myeloma | +0.7% | -1.1% | -2.4% | |
| Non-Hodgkin Lymphoma | _ | -3.0% | +1.1% | -3.7% |
| Oral | -1.2% | -2.2% | -0.9% | |
| Ovary | -2.1% | -1.4% | ||
| Pancreas | _ | _ | +1.7% | +0.1% |
| Prostate | -2.4% | -4.1% | ||
| Stomach | -2.0% | -3.7% | -2.7% | |
| Thyroid | +6.3% | |||
| Uterus | -0.5% | _ | ||
| Trends data are based on the most recent trends in rates and variable time periods. The “—” symbol indicates neither a statistically significant rise nor fall in the rates during the time period studies. Blank spaces indicate cancers that were not in the top 15 for that gender/category. | ||||
With accelerated cancer control efforts to get more Americans to adopt more favorable health behaviors (such as quitting smoking) and higher use of screening (colonoscopy), as well as optimal treatment outcomes for colorectal cancer (read more effective chemotherapy), there could be an overall colorectal cancer mortality reduction of 50 percent by 2020.
“The continued decline in overall cancer rates documents the success we have had with our aggressive efforts to reduce risk in large populations, to provide for early detection, and to develop new therapies that have been successfully applied in this past decade,” said NCI Director John E. Niederhuber, M.D. “Yet we cannot be content with this steady reduction in incidence and mortality. We must, in fact, accelerate our efforts to get individualized diagnoses and treatments to all Americans and our belief is that our research efforts and our vision are moving us rapidly in that direction.”
“The continued decline in incidence and death rates for all cancers combined is extremely encouraging, but progress has been more limited for certain types of cancer, including many cancers that are currently less amenable to screening, such as cancer of esophagus, liver and pancreas,” said Betsy Kohler, executive director of NAACCR.
Long-term incidence trends for colorectal cancer have been fairly consistent for men and women, with major declines from 1985 to1995, minor increases from 1995 to1998, and significant declines from 1998 to 2006.
“This report shows that we have begun to make progress reducing colorectal cancer. Yet, colorectal cancer still kills more people than any other cancer except lung cancer,” said CDC Director Thomas Frieden, M.D.
Let’s hope this trend continues downward on incidence and upward on survival.
~Posted by D.M. Schwadron, Esquire
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