Abstract
Although cancer represents many heterogeneous diseases, some cancer types share common risk factors. For example, conclusive evidence links cancer at multiple sites with tobacco use, alcohol use, human papillomavirus (HPV) infection, excess body weight, and physical inactivity (1,2). To monitor changes in cancer incidence and assess progress toward achieving Healthy People 2020 objectives,* CDC analyzed data from the U.S. Cancer Statistics (USCS) data set for 2013, the most recent year for which incidence and survival data are available. In 2013, a total of 1,559,130 invasive cancers were reported to cancer registries in the United States (excluding Nevada), for an annual age-adjusted incidence rate of 439 cases per 100,000 persons. Cancer incidence rates were higher among males (479) than females (413), highest among blacks (444), and ranged by state from 364 (New Mexico) to 512 (Kentucky) per 100,000 persons (359 in Puerto Rico). The proportion of persons with cancer who survived ≥5 years after diagnosis was 67%. This proportion was the same for males and females (67%), but lower among blacks (62%) than among whites (67%). Cancer surveillance data are key to cancer epidemiologic and clinical outcomes research, program planning and monitoring, resource allocation, and state and federal appropriations accountability.
Highlights
What is already known about this topic?
Cancer Statistics dataset, in 2013, a total of 1,559,130 new invasive cancers were diagnosed in the United States, for an annual incidence of 479 per 100,000 males and 413 per 100,000 females
Healthy People 2020 targets for reducing incidence rates were reached in 30 states for colorectal cancer and 28 states for cervical cancer
Summary
MD, PhD Robin Ikeda, MD, MPH Rima F. Incidence rates were highest for cancers of the female breast (124 per 100,000 females); prostate (102 per 100,000 males); lung and bronchus (lung) (59 per 100,000 persons); and colon and rectum (colorectal) (38 per 100,000 persons) (Table 1). State site-specific cancer incidence rates for prostate cancer ranged from 69 (Arizona) to 131 (Louisiana) per 100,000 males; for female breast cancer, from 105 (Wyoming) to 148 (New Hampshire) per 100,000 females; for lung cancer, from 26 (Utah) to 93 (Kentucky) per 100,000 persons; for colorectal cancer, from 32 (Arizona, New Mexico, Utah, and Vermont) to 49 (Kentucky and Mississippi) per 100,000 persons; and for cervical cancer, from four (New Hampshire and Montana) to (Arkansas) per 100,000 females (Table 2). Among the four most common cancer sites, the 5-year relative survival proportion was highest for prostate cancer (99%) and female breast cancer (90%), intermediate for colorectal cancer (66%), and lowest
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