Louisiana Cancer Facts & Figures, Lung & Bronchus Cancer, 2016

Transcription

1 Louisiana Cancer Facts & Figures, Lung & Bronchus Cancer, 2016 Louisiana Tumor Registry February, 2017

2 Lung & Bronchus Cancer Lung cancer was the 2nd most common cancer and the leading cause of cancer deaths in Louisiana from 2009 to Between 2009 and 2013, the Louisiana incidence rate for lung cancer ranked 9 th and the mortality rate ranked 8 th in the nation. 1 About 3,730 new lung cancers are expected to be diagnosed and about 2,620 patients are expected to die of lung cancer in 2016 in Louisiana Data source: NCI state cancer profile. 2. Data source: American Cancer Society, Cancer Facts & Figures 2016

3 Lung & Bronchus Cancer: Age-Specific Incidence Rates, Louisiana, Rate Per 100, Black Male White Male White Female Black Female Age at Diagnosis

4 Lung & Bronchus 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.

5 Lung & Bronchus Cancer: Age-Specific Incidence Rates by Race, Rate Per 100, LA Blacks U.S. Blacks LA Whites U.S.Whites Age at Diagnosis U.S. data source:18 SEER registries.

6 Lung & Bronchus Cancer: Incidence Rates 1, Louisiana vs. U.S., %* %* Louisiana U.S. Rate Per 100, %* 1% White Males Black Males White Females Black Females 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 Lung & Bronchus Cancer Incidence 1,2 by Louisiana Region: Whites, Rate per 100, * 66.0* 70.1* 73.3* 70.0* 80.1* 71.1* 76.6* 70.5* 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 the U.S.

9 140 Lung & Bronchus Cancer Incidence 1 by Louisiana Region: Blacks, Rate per 100, * * 81.7* 77.7* 76.5* 73.7* 76.3* 75.3* 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 the U.S.

10 Lung & Bronchus Cancer: Trend 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.

11 Lung & Bronchus Cancer: Trend of Incidence Rates 1,2, Blacks 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 Lung & Bronchus Cancer: Mortality Rates 1, Louisiana vs. U.S., U.S. Louisiana %* Rate Per 100, %* %* %* White Males Black Males White Females Black Females 1 Age-adjusted to the 2000 U.S. standard population. 2 Mortality data source: National Center of Health Statistics (NCHS). * Mortality rate of Louisiana is significantly different from that of the U.S.

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

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

16 Lung and Bronchus: Louisiana, Trends of Incidence and Mortality Rates by Gender Rate per 100, Male Incidence (APC =-1.8*) Female Incidence (APC =0.5*) Male Mortality (APC=-2.1*) Female Mortality (APC=0.2) Year of Diagnosis/Death *APCs were calculated using weighted least squares method

17 Lung and Bronchus: Louisiana, Trends of Incidence and Mortality Rates by Race 200 Black Incidence (APC =-0.9*) Rate per 100, White Incidence (APC =-0.7*) Black Mortality (APC=-1.3*) White Mortality (APC=-1.0*) Year of Diagnosis/Death *APCs were calculated using weighted least squares method

18 Lung and Bronchus Cancer 1 : Louisiana 5-Year Relative Survival by Stage 2, White Males, year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% 37.8% 21.5% 10.4% 2.8% Localized Regional Distant Unstaged Distant 58% Percent of Cases by Stage Unstaged 2% Localized 17% Regional 23% Stage Distribution (%) Lung and Bronchus cancer includes first primary only (sequence number 0 or 1). 2 The stage distribution is based on Summary Stage 2000.

19 Lung and Bronchus Cancer 1 : Louisiana 5-Year Relative Survival by Stage 2, Black Males, year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% 36.1% 19.0% 7.7% 2.2% Localized Regional Distant Unstaged Distant 63% Percent of Cases by Stage Unstaged 2% Localized 13% Regional 22% Stage Distribution (%) Lung and Bronchus cancer includes first primary only (sequence number 0 or 1). 2 The stage distribution is based on Summary Stage 2000.

20 Lung and Bronchus Cancer 1 : Louisiana 5-Year Relative Survival by Stage 2, White Females, year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% 48.5% 24.6% 10.8% 4.6% Localized Regional Distant Unstaged Distant 55% Percent of Cases by Stage Unstaged 2% Localized 19% Regional 24% Stage Distribution (%) Lung and Bronchus cancer includes first primary only (sequence number 0 or 1). 2 The stage distribution is based on Summary Stage 2000.

21 Lung and Bronchus Cancer 1 : Louisiana 5-Year Relative Survival by Stage 2, Black Females, year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% 47.9% 26.8% 18.8% 4.3% Localized Regional Distant Unstaged Distant 59% Percent of Cases by Stage Unstaged 2% Localized 15% Regional 24% Stage Distribution (%) Lung and Bronchus cancer includes first primary only (sequence number 0 or 1). 2 The stage distribution is based on 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 Xiangrong Li, MD, MSPH Meichin Hsieh, PhD, MSPH, CTR Lauren Maniscalco, MPH Xiaocheng Wu, MD, MPH, CTR Contributors Brent Mumphrey, BS Tina Lefante, MPH Lisa Pareti, BS, RHIT, CTR Yong Yi, PhD, MS Louisiana Tumor Registry

26 Questions? Contact: or