Louisiana Cancer Facts & Figures, All Cancer Sites

Louisiana Cancer Facts & Figures, All Cancer Sites

Louisiana Cancer Facts & Figures, All Cancer Sites Louisiana Tumor Registry October, 2017 All Cancer Sites Between 2010 and 2014, the average annual incidence rate # of all cancer sites in Louisiana was the 5th highest and the mortality rate was the 4th highest in the U.S. 1 About 24,220 new cancers are expected to be diagnosed and about 9,240 patients are expected to die of cancer in Louisiana in 2017 2. # Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. 1. Data source: NCI state cancer profile. 2. Data source: American Cancer Society, Cancer Facts & Figures 2017. Common Cancers with Highest Incidence Rate#,1 in Louisiana, 2010-2014 Prostate (Male) 144.4 Breast (Female) 123.2 Lung & Bronchus 70.5 Colon & Rectum 47.8 Breast (in situ) (Female) Kidney & Renal Pelvis Non-Hodgkin Lymphoma 25.2 21.6 20 Uterus (Corpus & Uterus, NOS) (Female)

19.1 Bladder 18.8 Childhood (Ages <20, All Sites) 0 16.4 20 40 60 80 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. 1. Data source: NCI state cancer profile # 100 120 140 160 All Cancer Sites: Age-Specific Incidence Rates#, Louisiana, 2010-2014 3500 White Male Rate Per 100,000 2800 White Female Black Male 2100

Black Female 1400 700 0 1 19 5 2 24 0- 2 29 5- 3 34 0- 3 39 5- 4 44 0- 4 49 5- 5 54 0-

5 59 5- Age at Diagnosis 6 64 0 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. # 6 69 5 7 74 0 9 4 -7 -8 5 0 7 8 85 + All Cancer Sites: Age-Specific Incidence Rate# by Gender, 2010-2014 3500 LA Male US Male

Rate Per 100,000 2800 LA Female US Female 2100 1400 700 0 1 19 5 2 24 0- 2 29 5- 3 34 0- 3 39 5- 44 0- 49 5- 54 0-

59 5- 4 5 5 Age at4 Diagnosis 6 64 0 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. U.S. data source:18 SEER registries. # 6 69 5 7 74 0 9 4 -7 -8 0 5 7 8 85 + All Cancer Sites: Age-Specific Incidence Rates # by Race, 2010-2014

2500 LA Whites US Whites LA Blacks Rate Per 100,000 2000 1500 1000 500 0 1 19 5 2 24 0- 2 29 5- 3 34 0- 3 39 5- 4 44 0-

49 5- 54 0- 59 5- 6 4 at Diagnosis 5 5 Age 64 0 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. U.S. data source:18 SEER registries. # 6 69 5 7 74 0 9 4 -7 -8 5 0 7 8 85 +

All Cancer Sites: Incidence Rates #,1,2,, 2010-2014 LA 700 US 11% Rate Per 100,000 600 500 12% 617.5 551.4 549.7 497.1 5% 417.9 421.5 416.7 400 300 200 100 0 White Male White Female Black Male Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. 1 Age-adjusted to the 2000 U.S. standard population.

2 U.S. Incidence data source:18 SEER registries. Rate of Louisiana is significantly different from that of the U.S. # 397.4 Black Female Incidence Rates of All Cancer Sites# in the Louisiana, All Races, Both Sexes, 2010-2014 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. # All Cancer Sites Incidence #,1,2, by Region3: Louisiana, Whites, 2010-2014 1000 Rate Per 100,000 800 600 496.5 487.1 470 465.7 482 472.1 465.5 454.4 475.1

400 200 0 N ew rl O ns a e B on at R ge u o S s ea h t ou t ad c A na ia S w th u

o t es C e l ra t n N w th r o t es N th or st a e Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. Age-adjusted to the 2000 U.S. standard population. 2 Data source for U.S. was the 18 SEER registries. 3 See Appendix A. * Incidence rate of regions/Louisiana is significantly different from that of U.S. # 1 451.8 LA U

. .S All Cancer Sites Incidence #,1,2, by Region3: Louisiana, Blacks, 2010-2014 1000 Rate Per 100,000 800 600 506.9 488.2 525.6 501.4 517.5 493.3 497.1 469.4 499.2 459.3 400 200 0 N ew an lr e O

s n to a B R ge u o S th ou st ea Ac a an i ad S w th u o t es C e l ra t n N w th

r o es t N o t as e rth LA Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. Age-adjusted to the 2000 U.S. standard population. 2 Data source for U.S. was the 18 SEER registries. 3 See Appendix A. * Incidence rate of regions/Louisiana is significantly different from that of U.S. # 1 U . .S All Cancer Sites: Trends of Incidence Rates #,1,2,,Whites,1988-2014 700 600 Rate per 100,000 500 400 300 200 100

LA Male LA Female US Male US Female 0 8 19 8 9 19 0 9 19 2 9 19 4 9 19 6 9 19 8 0 20 0 0

20 2 0 20 4 Year of Diagnosis 0 20 6 0 20 8 1 20 0 1 20 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries. # 1 2 1 20 4 All Cancer Sites: Trends of Incidence Rates #,1,2, Blacks 1988-2014

800 700 Rate Per 100,000 600 500 400 300 LA Male LA Female US Male 200 100 0 8 19 8 9 19 0 9 19 2 9 19 4 9 19 6 9 19

8 0 20 0 0 20 2 0 20 4 Year of Diagnosis 0 20 6 0 20 8 1 20 Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries. # 1 0 1 20 2

1 20 4 All Cancer Sites#: Prevalence Counts* by Parish, Louisiana Included all invasive cases and bladder in situ cases except squamous cell carcinoma of skin. * 14-year (01/01/2000 - 01/01/2014) limited duration prevalence counts are calculated by National Cancer Institute SEER*Stat software (version 8.3.2). # Common Cancers with Highest Mortality Rate1 in Louisiana, 2010-2014 Lung & Bronchus 55.1 Breast (Female) 24.2 Prostate (Male) 22.5 Colon & Rectum 17.9 Pancreas 13.1 Liver & Bile Duct 8.1 Leukemia 7

Ovary (Female) 6.7 Non-Hodgkin Lymphoma 6.6 Kidney & Renal Pelvis 5 0 1. Data source: NCI state cancer profile 10 20 30 40 50 60 All Cancer Sites: Mortality Rates1 Louisiana vs. U.S. 2, 2010-2014 350 LA US 18% 291.9 300 Rate Per 100,000 11% 250

200 247.3 222.5 10% 199.8 6% 150 150 178.7 161.8 141.9 100 50 0 White Male White Female Black Male Age-adjusted to the 2000 U.S. standard population. Mortality data source was National Center of Health Statistics (NCHS). Rate of Louisiana is significantly different from that of the U.S. 1 2 Black Female Mortality Rates of All Cancer Sites in Louisiana, All Races, Both Sexes, 2010-2014 All Cancer Sites: Trends of Mortality Rates1,2, Whites, 1988-2014 400 LA Male

LA Female US Male US Female Rate Per 100,000 350 300 250 200 150 100 50 0 Year of Death 1 2 Age-adjusted to the 2000 U.S. standard population. Data source: National Center of Health Statistics (NCHS). All Cancer Sites: Trends of Mortality Rates1,2, Blacks, 1988-2014 600 LA Male LA Female Rate Per 100,000 500 400 300 200 100 0 Year of Death 1 2 Age-adjusted to the 2000 U.S. standard population. Data source: National Center of Health Statistics (NCHS). All Cancer Sites: Louisiana 1988-2014:

Trends of Incidence # and Mortality Rates by Gender 1000 Rate per 100,000 800 Male Incidence (APC=-0.4*) Female Incidence (APC=0.4*) Male Mortality (APC = -1.5*) Female Mortality (APC = -0.8*) 600 400 200 0 Year of Diagnosis/Death Annual average percent change (APC) were calculated using weighted least squares method. * APC significantly different from zero. # Invasive cases only. All Cancer Sites: Louisiana 1988-2014: Trends of Incidence# and Mortality Rates by Race 1000 Rate per 100,000 800 White Incidence (APC=0.1) Black Incidence (APC=0.1) 600 400 200 0 Year of Diagnosis/Death Annual average percent change (APC) were calculated using weighted least squares method.

* APC significantly different from zero. # Invasive cases only. All Cancer Sites #: Louisiana 5-Year Relative Survival by Stage1, White Males, 2007-2013 5-year Relative Survival Rate (%) Percent of Cases by Stage # 1 100% 87.20% Percent of Cases by Stage 80% 60% Unstaged; 2% 58.10% Distant; 23% 45.90% 40% 20% 0% 16.30% LocalizedRegional Distant Unstaged Localized; 55% Regional; 20% Included all invasive cases except squamous cell carcinoma of skin. The stage distribution is based on Summary Stage 2000. All Cancer Sites#: Louisiana

5-Year Relative Survival by Stage1, White Females, 2007-2013 5-year Relative Survival Rate (%) 100% # 1 Percent of Cases by Stage 86.60% 80% 2.45% PercentUnstaged; of Cases by Stage 65.70% 60% Distant; 22.12% 47.00% 40% Localized; 49.68% 20% 0% 18.40% LocalizedRegional Distant Unstaged Regional; 25.76% Included all invasive cases except squamous cell carcinoma of skin. The stage distribution is based on Summary Stage 2000. 5-year Relative Survival Rate (%) All Cancer Sites#: Louisiana

5-Year Relative Survival by Stage1, Black Males, 2007-2013 # 1 100% Percent of Cases by Stage 86.80% PercentUnstaged; of Cases by Stage 80% 60% 2.54% Distant; 26.56% 53.70% 36.90% 40% 20% 0% Localized; 52.00% 14.40% LocalizedRegional Distant Unstaged Regional; 18.89% Included all invasive cases except squamous cell carcinoma of skin. The stage distribution is based on Summary Stage 2000. All Cancer Sites#: Louisiana

5-Year Relative Survival by Stage1, Black Females, 2007-2013 5-year Relative Survival Rate (%) Percent of Cases by Stage 100% 84.30% Unstaged; 2.56% 80% 60% Distant; 25.86% 59.20% 20% 0% Localized; 42.41% 37.10% 40% 17.20% LocalizedRegional Distant Unstaged Regional; 29.16% # 1 Included all invasive cases except squamous cell carcinoma of skin. The stage distribution is based on Summary Stage 2000. Appendix A. Regions of the Louisiana Tumor Registry Beginning Date of the Registry Average Annual Population, 2010-2014

Region 1 New Orleans 1974 21,864 Jefferson, Orleans, St. Bernard Region 2 Baton Rouge 1983 23,410 Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupe, St. Helena, Tangipahoa, West Baton Rouge, West Feliciana Region 3 Southeast Louisiana 1983 17,036 Lafourche, Plaquemines, St. Charles, St. James, St. John, St. Tammany, Terrebonne, Washington Region 4 Acadiana 1983 17,032 Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary, Vermilion Region 5 Southwest Louisiana 1983 7,698

Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis Region 6 Central Louisiana 1988 8,283 Avoyelles, Catahoula, Concordia, Grant, La Salle, Rapides, Vernon, Winn Region 7 Northwest Louisiana 1988 14,817 Bienville, Bossier, Caddo, Claiborne, De Soto, Natchitoches, Red River, Sabine, Webster Region 8 Northeast Louisiana 1988 9,061 Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll Entire State 1988 119,201 Regional Registry Parishes Covered Source: U.S. Bureau of Census and National Cancer Institute, April 2017. Data Sources

Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Databases, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2017, based on the November 2016 submission. For Incidence: Incidence - SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2016 Sub (2000-2014) For Mortality: mortality All COD, Aggregated With State, Total U.S. (1969-2014) > For Survival: Incidence - SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2016 Sub (1973-2013 varying) Data Sources USCS: U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2014 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2017. Available at: www.cdc.gov/uscs. Cancer facts & figures American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017. Data Sources NCI State profiles Incidence Data Sources: - Incidence data are provided by the National Program of Cancer Registries External Web Site Policy Cancer Surveillance System (NPCR-CSS), Centers for Disease Control and Prevention and by the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program External Web Site Policy. - Population counts for denominators are based on Census populations as modified by NCI. - Rates are calculated using SEER*Stat External Web Site Policy. Mortality Data Sources: - Mortality data are provided by the National Vital Statistics System External Web Site Policy at the National Center for Health Statistics of the Centers for Disease Control and Prevention. - Population counts for denominators are based on Census populations as modified by NCI.. - Rates are calculated using SEER*Stat External Web Site Policy.

- Trends are determined by using Joinpoint External Web Site Policy analysis of available historical data and reporting the last segment as the most recent trend. Acknowledgements Hospital cancer registries (http://louisianatumorregistry.lsuhsc.edu/) Louisiana Cancer Registrars Association (http://www.lcra-usa.org/) Physicians and staff members in: Medical records offices Pathology laboratories Physician offices and clinics Hospice programs and nursing homes Regional and central offices of the Louisiana Tumor Registry ( http://louisianatumorregistry.lsuhsc.edu/regionalregistries.html) School of Public Health, LSU Health Sciences CenterNew Orleans Louisiana Cancer and Lung Trust Fund Board Coroners offices Sources of LTR Funding National Cancer Institute, SEER Program Centers for Disease Control and Prevention (CDC), National Program of Cancer Registries (NPCR) Louisiana Health Care Services Division Editors Yaling Li, BS Yong Yi, PhD, MS Lauren Maniscalco, MPH Meichin Hsieh, PhD, MSPH, CTR Xiaocheng Wu, MD, MPH, CTR Contributors Brent Mumphrey, BS Tina Lefante, MPH Lisa Pareti, BS, RHIT, CTR Questions? Contact: [email protected] or 504/568-5757

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