Louisiana Cancer Facts & Figures, Ovarian Cancer, 2016

Transcription

1 Louisiana Cancer Facts & Figures, Ovarian Cancer, 2016 Louisiana Tumor Registry September, 2016

2 Ovarian Cancer Ovarian cancer was the 18th most common cancer in Louisiana and the 13 th most common cancer in the U.S. from 2009 to From 2009 to 2013, ovarian cancer was the 15 th leading cause of cancer death in Louisiana, and the 6 th leading cause of cancer death in the U.S 1. About 260 new ovarian cancers are expected to be diagnosed and about 180 patients are expected to die of ovarian cancer in Louisiana in Data source: NCI state cancer profile. 2. Data source: American Cancer Society, Cancer Facts & Figures 2016

3 Ovarian Cancer: Age-Specific Incidence Rates 1, Louisiana and the U.S. 2, Rate Per 100, LA White US White LA Black US Black Age at Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. Data source: 18 SEER registries.

4 Ovarian Cancer Incidence Rates 1 Louisiana vs. U.S. 2, Louisiana US 20 Rate Per 100, %* % White Black 1 Age-adjusted to the 2000 U.S. standard population. 2 Data source: 18 SEER registries. * Incidence rate of Louisiana is significantly different from that of the U.S.

5 Average Annual Incidence Rates for Ovarian Cancer Cases, Louisiana, Claiborne Bossier Webster Caddo Bienville De Soto Red River Natchitoches Sabine Union Morehouse East Carroll West Carroll Lincoln Ouachita Richland Madison Jackson Franklin Caldwell Tensas Winn Catahoula La Salle Grant Concordia Age-Adjusted Annual Incidence Rate (cases per 100,000) Rapides Vernon Avoyelles West Feliciana Evangeline East Feliciana St. Helena Washington Pointe Coupee Beauregard Allen St. Landry Tangipahoa East Baton Rouge Livingston West Baton Rouge St. Tammany Calcasieu Jefferson Davis Acadia Lafayette St. Martin Iberville Ascension St. John the Baptist St. James Orleans Cameron Assumption St. Charles St. Bernard St. Martin Vermilion Jefferson St. Mary Lafourche Iberia Plaquemines Terrebonne Notes: Created by Louisiana Tumor Registry on 12/8/2016. Counties with less than 16 cases were merged with neighboring counties using NY State Geographic Aggregation Tool (GAT).

6 Ovarian Cancer Incidence Rates 1,2 by Region: Louisiana, Whites, Rate per 100, * 10.5* * 9.4* * 8.0* 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.

7 Ovarian Cancer 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 the U.S.

8 Ovarian Cancer: Trends of Incidence Rates 1, Louisiana and the U.S. 2, Rate Per 100, LA Whites LA Blacks US Whites US Blacks Year of Diagnosis 1 Age-adjusted to the 2000 U.S. standard population. 2 U.S. data source: 18 SEER registries.

9 Ovarian Cancer Mortality Rates 1 Louisiana vs. U.S., Louisiana US Rate Per 100, %* % White Black 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 significantly different from that of the U.S.

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11 Ovarian Cancer: Trends of Mortality Rates 1,2 Louisiana and the U.S., Rate Per 100, LA Whites LA Blacks U.S. Whites U.S. Blacks Year of Death 1 Age-adjusted to the 2000 U.S. standard population. 2 Data source: National Center of Health Statistics (NCHS).

12 Ovarian Cancer: Louisiana Trends of Incidence and Mortality Rates, White, Incidence (APC = -1.1*) White Mortality (APC= - 0.3) Black, Incidence (APC= -0.6*) Black, Mortality (APC= -0.7) Rate Per 100, Year of Diagnosis / Year of Death *APCs were calculated using weighted least squares method

13 Ovarian Cancer : Louisiana 5-Year Relative Survival by Stage 1, Whites, Percent of Cases by Stage 5-year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% 89.2% 66.0% 26.6% 29.4% Localized Regional Distant Unstaged Distant 62.6% Unstaged 3.8% Localized 14.4% Regional 19.2% 1 The stage distribution is based on Derived Summary Stage 2000.

14 5-year Relative Survival Rate (%) 100% 80% 60% 40% 20% 0% Ovarian Cancer : Louisiana 5-Year Relative Survival by Stage 1, Blacks, % 51.4% 21.2% Localized Regional Distant Unstaged Distant 65.0% Percent of Cases by Stage Unstaged 5.6% Localized 12.5% Regional 17.0% 1 The stage distribution is based on Derived Summary Stage The 5-year Relative Survival rate for Unstaged could not be calculated.

15 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

16 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

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

18 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

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