Overview of Utah Cancer Screening and Staging

76
Overview of Utah Cancer Screening and Staging April 28, 2011 Produced by the Data Acquisition, Utilization, and Management Team

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Please visit http://health.utah.gov for more information.

Transcript of Overview of Utah Cancer Screening and Staging

Page 1: Overview of Utah Cancer Screening and Staging

Overview of Utah Cancer Screening and Staging

April 28, 2011

Produced by the Data Acquisition, Utilization, and Management Team

Page 2: Overview of Utah Cancer Screening and Staging

BREAST CANCER SCREENING MAMMOGRAM

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Table 1. Current Mammography Trends

Year Utah US

2006 67.81% 76.14%

2007 67.29% 76.10%

2008 67.20% 76.22%

2010 66.36% NA

Source: BRFSS

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BREAST CANCER SCREENING Mammography in the past 2 years 

Utah Women 40+

201066.4%

Target81.1%

AgeYes

Race/EthnicityNo

GeographyNo

InsuranceYes

SexN/A

EducationYes

Significant Difference?

Data Source: 2010 BRFSS

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55.72

71.92 73.05

0

10

20

30

40

50

60

70

80

40‐49 50‐64 65+

Mam

mog

raph

y Pe

rcen

tage

Figure 1. Mammography within the Past Two Years, Women Ages 40 and Older, BRFSS 2010

2010 Rate66.36%

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65.24 63.2757.66

0

10

20

30

40

50

60

70

80

Non‐Hispanic White Hispanic Other

Mam

mog

raph

y Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 2. Mammography within the Past Two Years*, Women Ages 40 and Older, by Race/Ethnicity, BRFSS 2010

2010 Rate66.36%

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66.79 66.5260.91

0

10

20

30

40

50

60

70

80

Urban Rural Frontier

Mam

mog

raph

y Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 3. Mammography within the Past Two Years*, Women Ages 40 and Older, by Geographic Area, BRFSS 2010

2010 Rate66.36%

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68.46

49.44

0

10

20

30

40

50

60

70

80

Yes No

Mam

mograph

y Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population.

Figure 4. Mammography within the Past Two Years*, Utah Women Ages 40 and Older, by Insurance Status, BRFSS 2010

2010 Rate66.36%

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66.37 65.8169.77

0

10

20

30

40

50

60

70

80

<HS HS/GED HS+ College

Mam

mog

raph

y Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population.

Figure 5. Mammography within the Past Two Years*, Women 40 and Older, by Education, BRFSS 2010

2010 Rate66.36%

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Table 2. Mammography for Women Ages 40 Years and Older by Health Insurance Type

2007 2008 2009

Commercial HMO State Average 58.90% 59.76% 59.62%

Commercial HMO National Average 69.10% 69.90% 70.48%

Medicaid HMO State Average 49.20% 51.39% 50.80%

Medicaid HMO National Average 49.83% 50.70% 52.31%

Source: Healthcare Effectiveness Data and Information Set (HEDIS)

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89.4

51.1

9.6 1.5

106.3

52.4

10.6 3.60

20

40

60

80

100

120

Localized Regional Distant Unstaged

Breast Can

cer Incide

nce pe

r 100,000 Females

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 6. Breast Cancer Incidence in Women Ages 20 Years and Older*, by Stage, Utah vs. U.S. 2003‐2007

Utah

U.S.

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CERVICAL CANCER SCREENINGPAP TEST

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Table 3. Current Pap Test Trends

Year Utah US

2006 79.03% 84.85%

2007 75.11% 83.49%

2008 74.11% 82.24%

2010 73.95% NA

Source: BRFSS

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CERVICAL CANCER SCREENING Pap Test in the past 3 years 

Utah Women 18+

201074.0%

Target93.0%

AgeYes

Race/EthnicityYes

GeographyYes

InsuranceYes

SexN/A

EducationNo

Significant Difference?

Data Source: 2010 BRFSS

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67.31

84.09 81.42

57.75

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10

20

30

40

50

60

70

80

90

100

18‐34 35‐49 50‐64 65+

Screen

ing Pe

rcen

tage

Figure 7. Pap Test within the Past Three Years, Utah Women Ages 18 Years and Older, BRFSS 2010

2010 Rate73.95%

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73.7382.81

75.76

0

10

20

30

40

50

60

70

80

90

Non‐Hispanic White Hispanic Other

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 8. Pap Test within the Past Three Years*, Utah Women Ages 18 Years and Older, by Race/Ethnicity, BRFSS 2010

2010 Rate73.95%

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75.43

69.3570.79

60

62

64

66

68

70

72

74

76

78

Urban Rural Frontier

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 9. Pap Test within the Past Three Years*, Utah Women Ages 18 Years and Older, by Geographic Area, BRFSS 2010

2010 Rate73.95%

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75.4264.15

0

10

20

30

40

50

60

70

80

Yes No

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 10. Pap Test within the Past Three Years*, Utah Women Ages 18 Years and Older, by Insurance Status, BRFSS 2010

2010 Rate73.95%

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71.87 76.74 77.2982.83

0

10

20

30

40

50

60

70

80

90

<HS HS/GED HS+ College

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 11. Pap Test within the Past Three Years*, Utah Women Ages 18 Years and Older, by Education, BRFSS 2010

2010 Rate73.95%

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Table 4. Pap Test for Women Ages 21 to 80 Years by Health Insurance Type

2007 2008 2009

Commercial HMO State Average 79.00% 78.39% 73.28%

Commercial HMO National Average 81.70% 81.34% 77.27%

Medicaid HMO State Average 60.87% 58.45% 66.26%

Medicaid HMO National Average 64.75% 65.91% 65.65%

Source: Healthcare Effectiveness Data and Information Set (HEDIS)

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3.83.1

0.7 0.1

5.5

4.2

1.20.6

0

1

2

3

4

5

6

Localized Regional Distant Unstaged

Cervical Can

cer Incide

nce pe

r 100,000 Females

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 12. Cervical Cancer Incidence in Women Ages 20 Years and Older*, by Stage, Utah vs. U.S. 2003‐2007 

Utah

U.S.

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SCREENING FOR COLORECTAL CANCER

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Table 5. Current Colorectal Cancer Screening Trends

Year Utah US

2004 57.70% 57.32%

2006 61.50% 61.26%

2008 66.80% 64.61%

2010 68.80% NA

Source: BRFSS

Page 25: Overview of Utah Cancer Screening and Staging

COLON CANCER SCREENING Either an FOBT in the past year or a 

Sigmoidoscopy/Colonoscopy within the past 10 years Utah Adults 50+

201068.8%

Target80.0%

AgeYes

Race/EthnicityYes

GeographyYes

InsuranceYes

SexNo

EducationYes

Significant Difference?

Data Source: 2010 BRFSS

Page 26: Overview of Utah Cancer Screening and Staging

63.24

75.99

0

10

20

30

40

50

60

70

80

90

50‐64 65+

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. 

Figure 13. Colorectal Cancer Screening* Among Utah Adults 50 and Older by Age, BRFSS 2010

2010 Rate68.8%

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69.84

67.83

62

63

64

65

66

67

68

69

70

71

72

73

Male Female

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. Estimates are age‐adjusted to the 2000 US standard population. 

Figure 14. Colorectal Cancer Screening* Among Utah Adults 50 and Older by Sex, BRFSS 2010

2010 Rate68.8%

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69.38

52.71 56.19

0

10

20

30

40

50

60

70

80

Non‐Hispanic White Hispanic Other

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. Estimates are age‐adjusted to the 2000 US standard population. 

Figure 15. Colorectal Cancer Screening* Among Utah Adults 50 and Older by Race/Ethnicity, BRFSS 2010

2010 Rate68.8%

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70.84 67.9756.36

0

10

20

30

40

50

60

70

80

Urban Rural Frontier

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. Estimates are age‐adjusted to the 2000 US standard population. 

Figure 16. Colorectal Cancer Screening* Among Utah Adults 50 and Older by Geographic Area, BRFSS 2010

2010 Rate68.8%

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70.63

48.29

0

10

20

30

40

50

60

70

80

Yes No

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. Estimates are age‐adjusted to the 2000 US standard population. 

Figure 17. Colorectal Cancer Screening* Among Utah Adults 50 and Older by Insurance Status, BRFSS 2010

2010 Rate68.8%

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43.32

65.11 66.7376.55

0

10

20

30

40

50

60

70

80

90

<HS HS/GED HS+ College

Screen

ing Pe

rcen

tage

*Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 years. Estimates are age‐adjusted to the 2000 US standard population. 

Figure 18. Colorectal Cancer Screening Among Utah Adults 50 and Older*, by Education, BRFSS 2010

2010 Rate68.8%

Page 32: Overview of Utah Cancer Screening and Staging

Table 6. Colorectal Cancer Screening for Utah Adults Aged 51 to 80 Years by Health Insurance Type

2007 2008 2009

Commercial HMO State Average 55.80% 55.01% 59.16%

Commercial HMO National Average 55.60% 59.08% 60.32%

Medicaid HMO State Average Not Available Not Available Not Available

Medicaid HMO National Average Not Available Not Available Not Available

Source: Healthcare Effectiveness Data and Information Set (HEDIS)

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25.6

16.2

9

1.8

27.9

23.1

12.8

3.80

5

10

15

20

25

30

Localized Regional Distant Unstaged

Colon Ca

ncer In

cide

nce pe

r 100,000 Po

pulation

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 19. Colon Cancer Incidence in Adults Ages 20 Years and Older*, by Stage, Utah vs. U.S. 2003‐2007 

Utah

U.S.

Page 34: Overview of Utah Cancer Screening and Staging

Figure 20. Colon Cancer Incidence by Stage, Utah vs. US, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Distant41.3%

Unstaged34.2%

Localized18.9%

Regional5.6%

US

Distant48.7%

Unstaged30.8%

Localized17.1%

Regional3.4%

Utah

Page 35: Overview of Utah Cancer Screening and Staging

Figure 21. Male Colon Cancer Incidence by Stage, Utah vs. US, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Distant17.0%

Unstaged3.0%

Localized50.7%

Regional29.2%

Utah

Distant18.8%

Unstaged5.7%

Localized42.1%

Regional33.4%

US

Page 36: Overview of Utah Cancer Screening and Staging

Figure 22. Female  Colon Cancer Incidence by Stage*, Utah vs. US, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Distant17.4%

Unstaged3.8%

Localized46.3%

Regional32.5%

Utah

Distant18.9%

Unstaged5.8%

Localized40.5%

Regional34.9%

US

Page 38: Overview of Utah Cancer Screening and Staging

Table 7. Current Prostate Cancer Screening Trends

Year Utah US

2004 58.16% 61.28%

2006 60.12% 61.76%

2008 60.71% 64.02%

2010 62.50% NA

Source: BRFSS

Page 39: Overview of Utah Cancer Screening and Staging

PROSTATE CANCER SCREENING Utah Men 40+ Who have ever had a PSA

201062.5%

TargetUnknown

AgeYes

Race/EthnicityYes

GeographyNo

InsuranceYes

SexN/A

EducationYes

Significant Difference?

Data Source: 2010 BRFSS

Page 40: Overview of Utah Cancer Screening and Staging

32.8

72.47

87.97

0

10

20

30

40

50

60

70

80

90

100

40‐49 50‐64 65+

Screen

ing Pe

rcen

tage

Figure 23. Utah Males Ages 40 and Older who Ever had a PSA, BRFSS 2010

2010 Rate62.5%

Page 41: Overview of Utah Cancer Screening and Staging

58.74

39.36

54.51

0

10

20

30

40

50

60

70

80

Non‐Hispanic White Hispanic Other

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 24. PSA Among Utah Males Ages 40 and Older*, by Ethnicity/Race, BRFSS 2010

2010 Rate62.5%

Page 42: Overview of Utah Cancer Screening and Staging

63.75 60.77 59.09

0

10

20

30

40

50

60

70

Urban Rural Frontier

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 25. PSA Among Utah Males Ages 40 and Older*, by Geographic Area, BRFSS 2010

2010 Rate62.5%

Page 43: Overview of Utah Cancer Screening and Staging

64.46

47.73

0

10

20

30

40

50

60

70

Yes No

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 26. PSA Among Utah Males Ages 40 and Older*, by Insurance Status, BRFSS 2010

2010 Rate62.5%

Page 44: Overview of Utah Cancer Screening and Staging

41.4

57.7963.62 66.75

0

10

20

30

40

50

60

70

80

< High School High School Graduate or GED Some Post High School College Graduate

Screen

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 27. PSA Among Utah Males Ages 40 and Over*, by Education,BRFSS 2010

2010 Rate62.5%

Page 45: Overview of Utah Cancer Screening and Staging

239.1

7.5 4

199.1

9.8 10.30

50

100

150

200

250

300

Localized/regional (Prostate cases) Distant Unstaged

Prostate Can

cer Incide

nce pe

r 100,000 Males

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 28. Prostate Cancer Incidence in Men Ages 20 Years and Older*, by Stage, Utah vs. U.S. 2003‐2007

Utah

U.S.

Page 46: Overview of Utah Cancer Screening and Staging

SMOKING AS AN INDICATOR FOR LUNG CANCER

Page 47: Overview of Utah Cancer Screening and Staging

Table 8. Current Cigarette Smoking Trends

Year Utah US

2007 11.21% 19.56%

2008 9.11% 18.57%

2009 9.47% 18.26%

2010 8.81% NA

Source: BRFSS

Page 48: Overview of Utah Cancer Screening and Staging

CIGARETTE SMOKING Current Cigarette Smokers

Utah Adults 18+

20108.8%

Target9.5%

AgeYes

Race/EthnicityYes

GeographyYes

InsuranceYes

SexYes

EducationYes

Significant Difference?

Data Source: 2010 BRFSS

Page 49: Overview of Utah Cancer Screening and Staging

10.68

8.69.76

4.59

0

2

4

6

8

10

12

14

18‐34 35‐49 50‐64 65+

Smok

ing Pe

rcen

tage

Figure 29. Cigarette Smoking by Age Among Utah Adults, BRFSS 2010

2010 Rate8.81%

Page 50: Overview of Utah Cancer Screening and Staging

10.11

7.48

0.00

2.00

4.00

6.00

8.00

10.00

12.00

Male Female

Smok

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 30. Cigarette Smoking Among Utah Adults* by Sex, BRFSS 2010

2010 Rate8.81%

Page 51: Overview of Utah Cancer Screening and Staging

8.749.83

13.77

0

2

4

6

8

10

12

14

16

18

20

Non‐Hispanic White Hispanic Other

Smok

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 31. Cigarette Smoking Among Utah Adults* by Ethnicity/Race BRFSS 2010

2010 Rate8.81%

Page 52: Overview of Utah Cancer Screening and Staging

8.527.56

15.07

0

2

4

6

8

10

12

14

16

18

20

Urban Rural Frontier

Smok

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 32. Cigarette Smoking Among Utah Adults* by Geographic AreaBRFSS 2010

2010 Rate8.81%

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7.22

16.38

0

5

10

15

20

25

Yes No

Smok

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 33. Cigarette Smoking Among Utah Adults* by Insurance Status,BRFSS 2010

2010 Rate8.81%

Page 54: Overview of Utah Cancer Screening and Staging

25.92

16.12

7.312.18

0

5

10

15

20

25

30

35

< High School High School Graduate or GED

Some Post High School College Graduate

Smok

ing Pe

rcen

tage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 34. Cigarette Smoking Among Utah Adults* by Education, BRFSS 2010

2010 Rate8.81%

Page 55: Overview of Utah Cancer Screening and Staging

5.34%6.13%

8.50%

10.35%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

9th grade 10th grade 11th grade 12th grade

Figure 35. Current Youth Cigarette Use by School Grade, Utah,  YRBS 2003, 2005, 2007

2010 Rate8.81%

Page 56: Overview of Utah Cancer Screening and Staging

6.8 9

22.4

2.5

16.320.4

45.1

7

0

5

10

15

20

25

30

35

40

45

50

Localized Regional Distant Unstaged

Lung

 Can

cer Incide

nce pe

r 100,000 Po

pulation

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 36. Lung Cancer Incidence in Adults Ages 20 and Older*, by Stage, Utah vs. U.S. 2003‐2007

Utah

U.S.

Page 57: Overview of Utah Cancer Screening and Staging

Figure 37. Lung Cancer Incidence by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized16.7%

Regional22.1%

Distant55.0%

Unstaged6.1%

Utah

Localized18.4%

Regional23.0%

Distant50.8%

Unstaged7.9%

US

Page 58: Overview of Utah Cancer Screening and Staging

Figure 38. Male Lung Cancer Incidence by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized20.6%

Regional22.7%

Distant50.6%

Unstaged6.1%

Utah

Localized16.8%

Regional23.0%

Distant52.1%

Unstaged8.1%

US

Page 59: Overview of Utah Cancer Screening and Staging

Figure 39. Female Lung Cancer Incidence by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized20.6%

Regional22.7%

Distant50.6%

Unstaged6.1%

Utah

Localized20.3%

Regional22.7%

Distant49.3%

Unstaged7.8%

US

Page 60: Overview of Utah Cancer Screening and Staging

SUN SAFETY AS AN INDICATOR FOR MELANOMA

Page 61: Overview of Utah Cancer Screening and Staging

Table 9. Current Sun Safety Trends

Year Utah US

2007 65.90% NA

2008 64.85% NA

2009 65.60% NA

2010 65.04% NA

Source: BRFSS

Page 62: Overview of Utah Cancer Screening and Staging

SUN SAFETYSun Safety PracticesUtah Adults 18+

201065.0%

Target 201580.1%

AgeYes

Race/EthnicityNo

GeographyNo

InsuranceNo

SexNo

EducationNo

Significant Difference?

Data Source: 2010 BRFSS

Page 63: Overview of Utah Cancer Screening and Staging

54.62

69.32 68.25

77.54

0

10

20

30

40

50

60

70

80

90

18‐34 35‐49 50‐64 65+

Sun Safety Percentage

Figure 40. Sun Safety Practices Among Utah Adults by Age, BRFSS 2010

2010 Rate65.04%

Page 64: Overview of Utah Cancer Screening and Staging

62.87

67.91

58

60

62

64

66

68

70

72

Male Female

Sun Safety Percentage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 41. Sun Safety Practices Among Utah Adults* by Sex, BRFSS 2010

2010 Rate65.04%

Page 65: Overview of Utah Cancer Screening and Staging

65.06 68.37 67.67

0

10

20

30

40

50

60

70

80

90

Non‐Hispanic White Hispanic Other

Sun Safety Percentage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 42. Sun Safety Practices Among Utah Adults* by Ethnicity/Race, BRFSS 2010

2010 Rate65.04%

Page 66: Overview of Utah Cancer Screening and Staging

65.32 65.15 64.53

0

10

20

30

40

50

60

70

80

Urban Rural Frontier

Sun Safety Percentage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 43. Sun Safety Practices Among Utah Adults* by Geographic Area, BRFSS 2010

2010 Rate65.04%

Page 67: Overview of Utah Cancer Screening and Staging

64.89 64.51

0

10

20

30

40

50

60

70

80

Yes No

Sun Safety Percentage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 44. Sun Safety Practices Among Utah Adults* by Health Insurance Status, BRFSS 2010

2010 Rate65.04%

Page 68: Overview of Utah Cancer Screening and Staging

66.97 64.9570.82 70.67

0

10

20

30

40

50

60

70

80

90

< High School High School Graduate or GED

Some Post High School College Graduate

Sun Safety Percentage

*Estimates are age‐adjusted to the 2000 US standard population. 

Figure 45. Sun Safety Practices Among Utah Adults* by Education, BRFSS 2010

2010 Rate65.04%

Page 69: Overview of Utah Cancer Screening and Staging

31

4.3 1.4 0.6

23

2.6 1.1 10

5

10

15

20

25

30

35

Localized Regional Distant Unstaged

Melan

oma incide

nce pe

r 100,000 Po

pulation

*Rates are age‐adjusted to the 2000 US standard population.Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence

Figure 46. Melanoma Incidence in Adults Ages 20 and Older*, by Stage, Utah vs. U.S. 2003‐2007

Utah

U.S.

Page 70: Overview of Utah Cancer Screening and Staging

Figure 47. Melanoma Incidence by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized83.1%

Regional11.5%

Distant3.8%

Unstaged1.6%

Utah

Localized81.4%

Regional10.5%

Distant4.5%

Unstaged3.7%

US

Page 71: Overview of Utah Cancer Screening and Staging

Figure 48. Melanoma Incidence in Non‐Hispanic Whites by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized83.4%

Regional11.2%

Distant3.7%

Unstaged1.7%

Utah

Localized83.6%

Regional9.2%

Distant3.7%

Unstaged3.4%

US

Page 72: Overview of Utah Cancer Screening and Staging

Figure 49. Melanoma Incidence in Hispanics by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized60.2%

Regional30.7%

Distant4.5%

Unstaged4.5%

Utah

Localized70.5%

Regional16.4%

Distant8.2%

Unstaged4.9%

US

Page 73: Overview of Utah Cancer Screening and Staging

Figure 50. Melanoma Incidence in Other Races by Stage, Utah vs. US*, 2003‐2007

Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence*Estimates are age‐adjusted to the 2000 US standard population. 

Localized84.6%

Regional15.4%

Distant0.0% Unstaged

0.0%

Utah

Localized86.3%

Regional6.3%

Distant2.5%

Unstaged5.0%

US

Page 74: Overview of Utah Cancer Screening and Staging

Wrap Up

• Future reports

• Comments

• Questions

Page 75: Overview of Utah Cancer Screening and Staging

Data Acquisition, Utilization, and Management Team Members

• Meghan Balough

• Banning Leonard

• Kathie Marti

• Antoinette Stroup

• Shelly Wagstaff

Page 76: Overview of Utah Cancer Screening and Staging

Utah Cancer Registry Acknowledgement

• Research was supported by the Utah Cancer Registry, which is funded by Contract No. HHSN261201000026C from the National Cancer Institute's SEER Program with additional support from the Utah State Department of Health and the University of Utah.