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Cancer Coalition Symposium Randi K. Rycroft, MSPH, CTR Director, - - PowerPoint PPT Presentation
Cancer Coalition Symposium Randi K. Rycroft, MSPH, CTR Director, - - PowerPoint PPT Presentation
Cancer Coalition Symposium Randi K. Rycroft, MSPH, CTR Director, Colorado Central Cancer Registry Colorado Department of Public Health and Environment October 19, 2017 Quick numbers Incidence and mortality trends 5-year survival Screening
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About 26,000 new cases diagnosed each year About 7900 deaths due to cancer each year Lifetime risk 1 in 2 for men; 2 in 5 for women About 85% of cancers are diagnosed in people 50 and older; about 50% in people 65 and older CCCR estimates about 258,000 survivors in Colorado now -- about 325,000 by 2025.
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5000 10000 15000 20000 25000 30000 35000 40000
2000 2005 2010 2015 2020 2025
Colorado Population Projections Year
Colorado Cancer Case Projections
2000-2025
Source of population projections: Colorado State Demography Office
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5000 10000 15000 20000 25000 30000 35000 40000 1000000 2000000 3000000 4000000 5000000 6000000 7000000
2000 2005 2010 2015 2020 2025
Annual Number of Cancer Reports Colorado Population Projections Year
Colorado Population and Cancer Case Projections
2000-2025
Under 45 Years 45 and Older Cancer Cases
Source of population projections: Colorado State Demography Office
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Female breast cancer death rates
5 10 15 20 25 30 35 40 1930 1940 1950 1960 1970 1980 1990 2000 2010
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Female breast cancer death rates
5 10 15 20 25 30 35 40 1930 1940 1950 1960 1970 1980 1990 2000 2010
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Colorectal cancer death rates by sex
5 10 15 20 25 30 35 40 1930 1940 1950 1960 1970 1980 1990 2000 2010
men women
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Colorectal cancer death rates by sex
5 10 15 20 25 30 35 40 1930 1940 1950 1960 1970 1980 1990 2000 2010
men women
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All-sites cancer death rates by sex
50 100 150 200 250 300
1930 1940 1950 1960 1970 1980 1990 2000 2010
men women
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All-sites cancer death rates by sex
50 100 150 200 250 300
1930 1940 1950 1960 1970 1980 1990 2000 2010
men women
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100 200 300 400 500 600 700
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Colorado incidence, all cancers combined, males
White Hisp Black Asian
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100 200 300 400 500 600 700
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Colorado incidence, all cancers combined, females
White Hisp Black Asian
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10 20 30 40 50 60 70 80 90 100
All cancers combined Female breast Cervix Colorectal Lung Melanoma Oropharyngeal Prostate Bladder
Colorado 5-year survival, selected cancers 2007-2011
HP2020: 71.7
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23.2 91.1 95.1 21.6 76.5 92.9 0.0 51.5 87.5 9.1 64.9 96.7 3.4 48.2 82.1 1.8 12.0 30.7 15.2 95.3 94.7 21.1 79.3 96.1 27.5 45.4 89.2 11.1 59.6 87.8 7.3 54.9 83.5 2.5 8.2 35.8 21.8 95.0 97.9 24.3 85.7 96.8 8.1 59.8 93.0 17.4 57.9 92.1 10.2 64.2 87.9 2.4 20.5 52.2 Distant Regional Localized Distant Regional Localized Distant Regional Localized Distant Regional Localized Distant Regional Localized Distant Regional Localized PROSTATE FEMALE BREAST MELANOMA CERVIX COLORECTAL LUNG & BRONCHUS
5-Year Cause-Specific Survival Rates by Area Poverty Level and Stage, Colorado, 2001-2006
Low Poverty Medium Poverty High Poverty
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10 20 30 40 50 60 70 80 90 100
Colorado US < 250% poverty Rural/frontier Medicaid
Women 50+ with mammogram past 2 yrs
2014 2016
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10 20 30 40 50 60 70 80 90 100
Colorado US Rural/frontier African American
Women 21-65 with Pap past 3 yrs
2014 2016
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10 20 30 40 50 60 70 80 90 100
Colorado US < 250% poverty Rural/frontier Medicaid Hispanic
Men and women 50-75 adherent with colorectal screening guidelines
2014 2016
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10 20 30 40 50 60 70 80 90 100
Current smokers No leisure time physical activity in the past 30 days Poor physical health on 14 or more of the past 30 days Poor mental health on 14 or more of the past 30 days Eating at least
- ne fruit and
- ne vegetable
per day Obese or
- verweight
Selected risk factors/behaviors among cancer survivors 18+
2014 2016
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Colorado somewhat better than the nation Modest improvements in past 2 years Many opportunities remain to improve
- utcomes
Reducing incidence – colonoscopy, Pap, vaccination, behavioral Reducing deaths – treatment, screening, vaccination, behavioral, navigation Improving survival – treatment, behavioral, navigation Improving equity – screening, navigation, treatment Connecting people to care - navigation
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