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

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.

Colorado Cancer Case Projections 2000-2025 40000 35000 30000 Colorado Population Projections 25000 20000 15000 10000 5000 0 2000 2005 2010 2015 2020 2025 Year Source of population projections: Colorado State Demography Office

Colorado Population and Cancer Case Projections 2000-2025 7000000 40000 Under 45 Years 45 and Older Cancer Cases 35000 6000000 30000 Colorado Population Projections Annual Number of Cancer Reports 5000000 25000 4000000 20000 3000000 15000 2000000 10000 1000000 5000 0 0 2000 2005 2010 2015 2020 2025 Year Source of population projections: Colorado State Demography Office

Female breast cancer death rates 40 35 30 25 20 15 10 5 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

Female breast cancer death rates 40 35 30 25 20 15 10 5 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

Colorectal cancer death rates by sex 40 men 35 30 25 20 women 15 10 5 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

Colorectal cancer death rates by sex 40 men 35 30 25 20 women 15 10 5 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

All-sites cancer death rates by sex 300 men 250 200 150 women 100 50 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

All-sites cancer death rates by sex 300 men 250 200 150 women 100 50 0 1930 1940 1950 1960 1970 1980 1990 2000 2010

Colorado incidence, all cancers combined, males 700 600 500 400 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 White Hisp Black Asian

Colorado incidence, all cancers combined, females 700 600 500 400 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 White Hisp Black Asian

Colorado 5-year survival, selected cancers 2007-2011 All cancers combined Female breast Cervix HP2020: 71.7 Colorectal Lung Melanoma Oropharyngeal Prostate Bladder 0 10 20 30 40 50 60 70 80 90 100

5-Year Cause-Specific Survival Rates by Area Poverty Level and Stage, Colorado, 2001-2006 52.2 Low Poverty Localized 35.8 BRONCHUS 30.7 LUNG & Medium Poverty 20.5 Regional 8.2 12.0 High Poverty 2.4 Distant 2.5 1.8 87.9 Localized COLORECTAL 83.5 82.1 64.2 Regional 54.9 48.2 10.2 Distant 7.3 3.4 92.1 Localized 87.8 96.7 CERVIX 57.9 Regional 59.6 64.9 17.4 Distant 11.1 9.1 93.0 Localized 89.2 MELANOMA 87.5 59.8 Regional 45.4 51.5 8.1 Distant 27.5 0.0 FEMALE BREAST 96.8 Localized 96.1 92.9 85.7 Regional 79.3 76.5 24.3 Distant 21.1 21.6 97.9 Localized 94.7 PROSTATE 95.1 95.0 Regional 95.3 91.1 21.8 Distant 15.2 23.2

Women 50+ with mammogram past 2 yrs 100 90 80 70 60 50 40 30 20 10 0 Colorado US < 250% poverty Rural/frontier Medicaid 2014 2016

Women 21-65 with Pap past 3 yrs 100 90 80 70 60 50 40 30 20 10 0 Colorado US Rural/frontier African American 2014 2016

Men and women 50-75 adherent with colorectal screening guidelines 100 90 80 70 60 50 40 30 20 10 0 Colorado US < 250% poverty Rural/frontier Medicaid Hispanic 2014 2016

Selected risk factors/behaviors among cancer survivors 18+ 100 90 80 70 60 50 40 30 20 10 0 Current No leisure time Poor physical Poor mental Eating at least Obese or smokers physical activity health on 14 or health on 14 or one fruit and overweight in the past 30 more of the more of the one vegetable days past 30 days past 30 days per day 2014 2016

Colorado somewhat better than the nation Modest improvements in past 2 years Many opportunities remain to improve outcomes 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