Louisiana Cancer Facts & Figures, Non-Hodgkin Lymphoma, 2016

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1 Louisiana Cancer Facts & Figures, Non-Hodgkin Lymphoma, 2016 Louisiana Tumor Registry September, 2016

2 Non-Hodgkin Lymphoma Non-Hodgkin lymphoma was the 6th most common cancer in Louisiana, and the 8th most common cancer in the U.S. 1 from 2009 to Between 2009 and 2013, Non-Hodgkin lymphoma was the 8 th leading cause of cancer deaths in both Louisiana and the U.S. 1 About 1,090 new Non-Hodgkin Lymphoma cases are expected to be diagnosed and about 280 persons are expected to die of Non-Hodgkin Lymphoma in Louisiana in Data source: NCI state cancer profile. 2. Data source: American Cancer Society, Cancer Facts & Figures 2016

3 Non-Hodgkin Lymphoma: Age-Specific Incidence Rates Louisiana, Rate per 100, White Male Black Male White Female Black Female Age at Diagnosis

4 Non-Hodgkin Lymphoma: Age-Specific Incidence Rates by Race, Louisiana and the U.S., Rate Per 100, LA White U.S. White LA Black U.S. Black Age at Diagnosis U.S. data source:18 SEER registries.

5 Non-Hodgkin Lymphoma: Age-Specific Incidence Rates by Gender, Louisiana and the U.S., Rate Per 100, LA Male U.S. Male LA Female U.S. Female Age at Diagnosis U.S. data source:18 SEER registries.

6 Non-Hodgkin Lymphoma: Incidence Rates 1, Louisiana vs. U.S., Rate Per 100, %* %* Louisiana 12.1 US White Female White Male Black Female Black Male 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.

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8 Non-Hodgkin Lymphoma Incidence Rates 1,2 by Region Louisiana, Whites, Rate per 100, * * * * Age-adjusted to the 2000 U.S. standard population. 2 Data source for U.S. was the 18 SEER registries. * Incidence rate of regions/louisiana is significantly different from that of U.S.

9 Non-Hodgkin Lymphoma Incidence Rates 1,2 by Region Louisiana, Blacks, Rate per 100, * Age-adjusted to the 2000 U.S. standard population. 2 Data source for U.S. was the 18 SEER registries. * Incidence rate of regions/louisiana is significantly different from that of U.S.

10 Non-Hodgkin Lymphoma: Trends of Incidence Rates 1,2 Whites, Louisiana and the U.S., LA Male US Male LA Female US Female Rate Per 100, Year of Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. incidence data source: 18 SEER registries.

11 Non-Hodgkin Lymphoma: Trends of Incidence Rates 1,2 Blacks, Louisiana and the U.S., Rate Per 100, LA Male US Male LA Female US Female Year of Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries.

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

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14 Non-Hodgkin Lymphoma: Trends of Mortality Rates 1,2, Louisiana and the U.S., Whites, LA Male LA Female US Male US Female Rate Per 100, Year of Death 1 Adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS).

15 Non-Hodgkin Lymphoma: Trends of Mortality Rates 1,2, Louisiana and the U.S., Blacks, Rate Per 100, LA Male US Male LA Female US Female Year of Death 1 Age-adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS).

16 Non-Hodgkin Lymphoma: Trends of Incidence and Mortality Rates, by Race, Louisiana, Rate Per 100, White Incidence (APC: 0.8*) Black Incidence (APC: 1.5*) White Mortality (APC: -1.3*) Black Mortality (APC: -0.5) Year of Diagnosis/Death APCs were calculated using weighted least squares method

17 Non-Hodgkin Lymphoma: Trends of Incidence and Mortality Rates, by Gender, Louisiana, Rate per 100, Male Incidence (APC: 0.9*) Female Incidence (APC: 0.9*) Male Mortality (APC: -0.8*) Female Mortality (APC: -1.5*) Year of Diagnosis/Death APCs were calculated using weighted least squares method

18 Non-Hodgkin Lymphoma: Louisiana 5-Year Relative Survival by Stage 1, White Males, % 5-year Relative Survival Rate (%) 80% 60% 40% 20% 0% 75.2% 69.5% 71.7% 53.7% Localized Regional Distant Unstaged Distant 48% Percent of Cases by Stage Unstaged 6% Localized 31% Regional 15% 1 The stage distribution is based on Derived Summary Stage 2000.

19 Non-Hodgkin Lymphoma: Louisiana 5-Year Relative Survival by Stage 1, White Females, % 5-year Relative Survival Rate (%) 80% 60% 40% 20% 0% 79.5% 72.6% 74.2% 61.7% Localized Regional Distant Unstaged Distant 48% Percent of Cases by Stage Unstaged 6% Localized 32% Regional 14% 1 The stage distribution is based on Derived Summary Stage 2000.

20 Non-Hodgkin Lymphoma: Louisiana 5-Year Relative Survival by Stage 1, Black Males, % 5-year Relative Survival Rate (%) 80% 60% 40% 20% 0% 65.6% 63.4% 39.6% 29.8% Localized Regional Distant Unstaged Distant 58% Percent of Cases by Stage Localized 24% Unstaged 4% Regional 14% 1 The stage distribution is based on Derived Summary Stage 2000.

21 Non-Hodgkin Lymphoma: Louisiana 5-Year Relative Survival by Stage 1, White Females, % 5-year Relative Survival Rate (%) 80% 60% 40% 20% 0% 84.9% 79.7% 59.8% 52.0% Localized Regional Distant Unstaged Distant 45% Percent of Cases by Stage Unstaged 5% Regional 14% Localized 36% 1 The stage distribution is based on Derived Summary Stage 2000.

22 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) Louisiana Tumor Registry

23 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

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

25 Editors Yong Yi, PhD, MS 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 Louisiana Tumor Registry

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