Ten-year trends in colorectal cancer (CRC) control in Texas.

Abstract

e12044 Background: The 2015 colorectal cancer control goals are to reduce age-adjusted incidence to 34.8/100,000 and mortality to 12.0/100,000 and to increase the number of 50 year and older undergoing screening per national guidelines up to 75%. Methods: In order to determine progress and trends toward meeting the 2015 objectives we have reviewed Texas Cancer Registry 2000 – 2009 data for incidence, 1999 – 2008 data for mortality, and BRFSS 2002 0 2010 data for screening rates. Results: 91,260 Texans were diagnosed with CRC and 32,840 died from it. Non-Hispanics represent 50.1% of population they account for 66.4% of cases diagnosed with it. Hispanics account for 34.7% of population and contribute to 18.7% of diagnoses. Blacks, 12.1% of population contribute 12.6% of cases. Male and female contribution to diagnosed CRC was 53.5 % and 46.% of cases. Black male incidence rates were highest 74.7 and Hispanic females lowest 32.7/100,000. While NH White and Blacks reduced incidence rates by about 1% per year, Hispanics rate of decrease was 0.5/yr. Gender and race played role in this decrease. Mortality rates declined most in Blacks and NH Whites, while no appreciable improvement was observed in Hispanics. Race and gender mortality rates varied. Black male mortality rates were highest, 36.0 and Hispanic females lowest, 10.5. Frequency of sigmoidoscopy-colonoscopy increased in all 3 racial/ethnic groups, but was lowest among Hispanics. Lack of insurance is big obstacle to progress. Conclusions: Major coordinated screening push will be needed to reach 2015 goals.