Louisiana Cancer Facts & Figures, Stomach Cancer

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1 Louisiana Cancer Facts & Figures, Stomach Cancer Louisiana Tumor Registry January 5, 2016

2 Stomach Cancer* Stomach cancer was the 17 th most commonly diagnosed cancer in both the U.S. and in Louisiana. 1 It was the 13 th leading cause of cancer death in Louisiana, and the 16 th in the U.S. 1 About 400 new stomach cancer cases are expected to be diagnosed and about 200 persons are expected to die of this cancer in Louisiana in Data source: Centers for Disease Control and Prevention 2 Data source: American Cancer Society, Cancer Facts & Figures 2016 * ICD_O_3/WHO 2008 code:c160-c169; excluding ICD-O-3 histology (type): , 9140,

3 Rate Per 100, Stomach Cancer: Incidence Rates 1, Louisiana vs. US, %* %* %* Louisiana 15%* 9.4 U.S. 8.1 White Male Black Male White Female Black Female 1 Age-adjusted to the 2000 U.S. standard population. 2 Incidence data source:18 SEER registries. * Incidence rate of Louisiana is significantly different from that of the U.S.

4 Incidence Rates of Stomach Cancer in the U.S., All Races, Both Sexes, Louisiana: Rate: 7.6 per 100,000 Rank: 7th

5 Stomach Cancer: Age-Specific Incidence Rates, Louisiana, Rate Per 100, White Male Black Male White Female Black Female Age at Diagnosis U.S. data source:18 SEER registries.

6 Stomach Cancer: Age-Specific Incidence Rates by Gender, Rate Per 100, LA Male U.S. Male LA Female U.S. Female Age at Diagnosis U.S. data source:18 SEER registries.

7 Stomach Cancer: Age-Specific Incidence Rates by Race, Rate Per 100, LA White U.S. White LA Black U.S. Black Age at Diagnosis U.S. data source:18 SEER registries.

8 Incidence Rates of Stomach Cancer in Louisiana, All Races, Both Sexes,

9 Stomach Cancer Incidence 1,2 by Region: Louisiana, Whites, Rate Per 100, * * * Age-adjusted to the 2000 U.S. standard population. 2 Data source for the U.S. was the 18 SEER registries. * Incidence rate of regions/louisiana is significantly different from that of the U.S.

10 Rate Per 100, Stomach Cancer Incidence 1,2 by Region: Louisiana, Blacks, * * * Age-adjusted to the 2000 U.S. standard population. 2 Data source for the U.S. was the 18 SEER registries. * Incidence rate of regions/louisiana is significantly different from that of the U.S.

11 Stomach Cancer: Trends of Incidence Rates 1,2, Whites, Rate Per 100, LA Male U.S. Male LA Female U.S. Female Year of Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries.

12 Rate Per 100,000 Stomach Cancer: Trends of Incidence Rates 1,2, Blacks, LA Male U.S. Male LA Female U.S. Female Year of Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries.

13 Rate Per 100, Stomach Cancer: Mortality Rates 1, Louisiana vs. US 2, Louisiana U.S. 40%* %* White Male White Female Black Male Black Female Age-adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS). * The rate of Louisiana is significantly different from that of the U.S.

14 Mortality Rates of Stomach Cancer in the U.S., All Races, Both Sexes, Louisiana: Rate: 4.3 per 100,000 Rank: 4th

15 Mortality Rates of Stomach Cancer in Louisiana, All Races, Both Sexes, * Suppressed due to fewer than 16 cases.

16 Rate Per 100,000 Stomach Cancer: Trends of Mortality Rates 1,2, Whites, U.S. Male LA Male U.S. Female LA Female Year of Death 1 Adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS).

17 Stomach Cancer: Trends of Mortality Rates 1,2, Blacks, Rate per 100, U.S. Male LA Male U.S. Female LA Female Year of Death 1 Age-adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS).

18 Stomach Cancer: Trends of Incidence and Mortality Rates, by Race, Louisiana, White Mortality (APC: -2.7*) Black Mortality (APC: -2.1*) White Incidence (APC: -1.1*) Black Incidence (APC: -1.4*) Rate Per 100, Year of Diagnosis/Death *APCs were calculated using weighted least squares method

19 Stomach Cancer: Trends of Incidence and Mortality Rates, by Gender, Louisiana, Rate Per 100, Male Mortality (APC: -2.5*) Female Mortality (APC: -2.4*) Male Incidence (APC: -1.6*) Female Incidence (APC: -0.9*) Year of Diagnosis/Death *APCs were calculated using weighted least squares method

20 5-Year Relative survival rate(%) Stomach Cancer: Louisiana 5-Year Relative Survival by Stage 1, All Races, Both Sexes, % 50% 40% 30% 20% 10% 0% Localized Regional Distant Unstaged Unstaged 7% Distant 34% Percent of Cases by Stage Localized 31% Regional 28% 1 The stage distribution is based on Derived Summary Stage 2000.

21 5-Year Relative survival rate(%) 60% 50% 40% 30% 20% 10% Stomach Cancer: Louisiana 5-Year Relative Survival by Stage 1, White Males, % Localized Regional Distant Unstaged Distant 33% Percent of Cases by Stage Unstaged 7% Localized 33% Regional 27% 1 The stage distribution is based on Derived Summary Stage 2000.

22 5-Year Relative survival rate(%) Stomach Cancer: Louisiana 5-Year Relative Survival by Stage 1, White Females, % 50% 40% 30% 20% 10% 0% Localized Regional Distant Unstaged Distant 30% Percent of Cases by Stage Unstaged 9% Localized 37% Regional 24% 1 The stage distribution is based on Derived Summary Stage 2000.

23 5-Year Relative survival rate(%) Stomach Cancer: Louisiana 5-Year Relative Survival by Stage 1, Black Males, % 50% 40% 30% 20% 10% 0% Localized Regional Distant Unstaged Unstaged 6% Distant 40% Percent of Cases by Stage Localized 26% Regional 28% 1 The stage distribution is based on Derived Summary Stage 2000.

24 5-Year Relative survival rate(%) Stomach Cancer: Louisiana 5-Year Relative Survival by Stage 1, Black Females, % 50% 40% 30% 20% 10% % Localized Regional Distant Unstaged Distant 30% Percent of Cases by Stage Unstage d 9% Localized 30% Regional 31% 1 The stage distribution is based on Derived Summary Stage 2000.

25 Data Sources Surveillance, Epidemiology, and End Results (SEER) Program ( SEER*Stat Databases, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2016, based on the November 2015 submission. For Incidence: Incidence - SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2015 Sub ( ) <Katrina/Rita Population Adjustment> SEER*DMS - LTR , June 7, 2016 For Mortality: mortality all COD, aggregated with States, Total U.S. ( ) <Katrina/Rita Population Adjustment> For Survival: Incidence - SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2015 Sub ( varying)

26 Acknowledgements Hospital cancer registries ( Louisiana Cancer Registrars Association ( 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 ( School of Public Health, LSU Health Sciences Center New Orleans Louisiana Cancer and Lung Trust Fund Board Coroners offices

27 Sources of LTR Funding National Cancer Institute, SEER Program National Program of Cancer Registries, CDC Louisiana Health Care Services Division

28 Editors Shuang Yang, MPH Meichin Hsieh, PhD, MSPH, CTR Lauren Maniscalco, MPH Xiaocheng Wu, MD, MPH, CTR Contributors Xiangrong Li, MD, MSPH Brent Mumphrey, BS Tina Lefante, MPH Lisa Pareti, BS, RHIT, CTR Yong Yi, PhD, MS

29 Questions? Contact: or 504/