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National Healthcare Disparities Report, 2003

Effectiveness of Care: Cancer

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Screening for Breast Cancer
Women 40+ who report they had a mammogram within the past 2 years
Breast cancers diagnosed at late stage
Screening for Cervical Cancer
Women age 18+ who report that they had a Pap smear within the past 3 years
Percent of cervical cancers diagnosed at late stage
Screening for Colorectal Cancer
Percent of men and women age 50 + who report they ever had a flexible sigmoidoscopy
Percent of men and women age 50+ who reported they had a fecal occult blood test (FOBT) within the past 2 years
Percent of colorectal cancers diagnosed as regional or distant staged cancers
Cancer Treatment
Cancer deaths per 100,000 persons per year for all cancers
Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer
Cancer deaths per 100,000 persons per year for most common cancers, breast cancer
Cancer deaths per 100,000 persons per year for most common cancers, lung cancer
Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer
Palliative Care
Percent of people who died of cancer who received hospice care.
Median length of stay for cancer patients who received hospice care (reflects delayed referrals).


Screening for Cancer

Measure Title

Women age 40 and over who report they had a mammogram within the past 2 years.

Measure Source

Healthy People 2010, measure 3-13.

Tables

Mammograms within past two years, women age 40 and over, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. female resident population age 40 and over.

Numerator

Number of women age 40 and over who report receiving a mammogram within the past 2 years.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Breast Cancer

Measure Title

Breast cancers diagnosed at late stage.

Measure Source

Surveillance, Epidemiology and End Results (SEER) Program.

Data Source

National Cancer Institute, Surveillance, Epidemiology, and End Results (SEER) Program.

Denominator

Number of women with new breast cancer.

Numerator

Number of women with new breast cancer diagnosed at late stage.

Comments

Late stage includes regional and distal stages.

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Screening for Cervical Cancer

Measure Title

Women age 18 and over who report that they had a Pap smear within the past 3 years.

Measure Source

Healthy People 2010, measure 3-11b.

Tables

Pap test within past three years, women age 18 and over, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. female resident population, age 18 and over.

Numerator

Number of women age 18 and over who report receiving a Pap test within the past 3 years; respondents whose response to the question "When did you have your most recent Pap smear test?" indicated a test within three years of the measure year.

Comments

Data include women without a uterine cervix.

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Cervical Cancer

Measure Title

Percent of cervical cancers diagnosed at late stage.

Measure Source

Surveillance, Epidemiology and End Results (SEER) Program.

Data Source

National Cancer Institute, Surveillance, Epidemiology, and End Results (SEER) Program.

Denominator

Number of women with new cervical cancer.

Numerator

Number of women with new cervical cancer diagnosed at late stage.

Comments

Late stage includes regional and distal stages.

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Screening for Colorectal Cancer

Measure Title

Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy.

Measure Source

Healthy People 2010, measure 3-12b.

Tables

Ever received a sigmoidoscopy, persons age 50 and over, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. resident population age 50 and over.

Numerator

Number of adults age 50 and over who report ever receiving a sigmoidoscopy.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Colorectal Cancer

Measure Title

Percent of men and women (age 50 and over) who reported they had a fecal occult blood test (FOBT) within the past 2 years.

Measure Source

Healthy People 2010, measure 3-12a.

Tables

Fecal occult blood test within past two years, persons age 50 and over, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. resident population age 50 and over.

Numerator

Number of adults age 50 and over who report receiving fecal occult blood testing within the preceding 2 years.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Colorectal Cancer

Measure Title

Percent of colorectal cancers diagnosed as regional or distant staged cancers.

Measure Source

Surveillance, Epidemiology and End Results (SEER) Program.

Data Source

National Cancer Institute, Surveillance, Epidemiology, and End Results (SEER) Program.

Denominator

Number of persons with new colorectal cancer.

Numerator

Number of persons with new colorectal cancer diagnosed at late stage.

Comments

Late stage includes regional and distal stages.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 persons per year for all cancers.

Measure Source

Healthy People 2010, measure 3-1.

Tables

Cancer death rate per 100,000 population, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

U.S. resident population.

Numerator

Number of deaths due to cancer (ICD-10 codes C00-C97).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

This objective differs from Healthy People 2000 objective 16.1, which age adjusted the death rates using the 1940 standard population. Refer to Appendix C of Tracking Healthy People 2010 for comparison data.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer.

Measure Source

Healthy People 2010, measure 3-7.

Tables

Prostate cancer death rate per 100,000 population, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

U.S. male resident population.

Numerator

Number of deaths due to prostate cancer (ICD-10 code C61).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 persons per year for most common cancers, breast cancer.

Measure Source

Healthy People 2010, measure 3-3.

Tables

Female breast cancer death rate per 100,000 population, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

U.S. female resident population.

Numerator

Number of deaths due to female breast cancer (ICD-10 code C50 [female only]).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

This objective differs from Healthy People 2000 objective 16.1, which age adjusted the death rates using the 1940 standard population. Refer to Appendix C of Tracking Healthy People 2010 for comparison data.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 persons per year for most common cancers, lung cancer.

Measure Source

Healthy People 2010, measure 3-2.

Tables

Lung cancer death rate per 100,000 population, United States, 200, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

U.S. resident population.

Numerator

Number of deaths due to lung cancer (ICD-10 codes C33-C34).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

This objective is measured with slightly different ICD-9 codes from those used to measure the comparable Healthy People 2000 objective 16.2 (ICD-9 code 162 vs. 162.2-162.9). Additionally, the Healthy People 2000 objective age adjusted the death rates using the 1940 standard population. Refer to Appendix C of Tracking Healthy People 2010 for comparison data.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer.

Measure Source

Healthy People 2010, measure 3-5.

Tables

Colorectal cancer death rate per 100,000 population, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

U.S. resident population.

Numerator

Number of deaths due to colorectal cancer (ICD-10 codes C18-C21).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, refer to Part A, section 5 of Tracking Healthy People 2010.

This objective is measured with slightly different ICD-9 codes from those used to measure the comparable Healthy People 2000 objective 16.5 (ICD-9 codes 153.0-154.3, 154.8, 159.0). Additionally, the Healthy People 2000 objective age adjusted the death rates using the 1940 standard population. Refer to Appendix C of Tracking Healthy People 2010 for comparison data.

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Palliative Care

Measure Title

Percent of people who died of cancer who received hospice care.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Number of people who died of cancer who received hospice care, per 100 cancer deaths, United States, 2000, by

  • Race

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Home and Hospice Care Survey.

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

Denominator

Persons having died from cancer (Vital Statistics) where cancer is listed in any cause of death, age 18 and over.

Numerator

Persons discharged (disposition = dead) from hospice care with any cancer diagnosis (ICD-9 codes 140-208, 230-234).

Comments

Hospice care is defined as a program of palliative and supportive care services providing physical, psychological, social, and spiritual care for dying persons, their families, and other loved ones. Hospice services are available in both home and inpatient settings.

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Palliative Care

Measure Title

Median length of stay for cancer patients who received hospice care (reflects delayed referrals).

Measure Source

National Center for Health Statistics.

Tables

Median length of stay for cancer patients received hospice care, United States, 2000, by

  • Race

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Home and Hospice Care Survey.

Comments

Hospice discharges October 1, 1999 through September 30, 2000 with a diagnosis of malignant neoplasm (ICD-9-CM codes 140-208, 230-234).

Hospice care is defined as a program of palliative and supportive care services providing physical, psychological, social, and spiritual care for dying persons, their families, and other loved ones. Hospice services are available in both home and inpatient settings.


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2003 National Healthcare Disparities Report

 

 

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