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National Healthcare Disparities Report, 2006

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
Rate of breast cancers diagnosed at advanced stage
Screening for Cervical Cancer
Women (age 18+) who report that they had a Pap smear within the past 3 years
Rate of cervical cancer diagnosed as invasive
Screening for Colorectal Cancer
Composite measure: Men and women age 50+ who report they ever received a colonoscopy, sigmoidoscopy, proctoscopy, or fecal occult blood test
Men and women age 50 + who report they ever had a flexible sigmoidoscopy/colonoscopy
Men and women age 50+ who report fecal occult blood test within the past 2 years
Rate 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 male population per year for prostate cancer
Cancer deaths per 100,000 female population per year for breast cancer
Cancer deaths per 100,000 persons per year for lung cancer
Cancer deaths per 100,000 persons per year for colorectal cancer


Screening for Breast 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

1. Women age 40 and over who reported they had a mammogram within the past 2 years, United States, 2003, by

  • Race
  • Ethnicity
  • Family income

Data Source

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

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 reported in Table 1 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 Breast Cancer

Measure Title

Rate of breast cancers diagnosed at advanced stage.

Measure Source

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

Tables

Data source does not support detailed tables.

Data Source

NCI, SEER 13 Registry Database. The ethnicity category uses SEER 13 excluding Alaska.

Denominator

Number of females age 40 and over.

Numerator

Number of women age 40 and over with new breast cancer diagnosed at an advanced stage.

Comments

Incidence rates are age adjusted to the 2000 U.S. standard population.

Advanced stage is defined as localized tumors in excess of 2 cm and regional or distant staged tumors. For more information on staging, see the SEER Cancer Statistics Review Web site at http://seer.cancer.gov/csr/1975_2003/.

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Screening for Cervical Cancer

Measure Title

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

Measure Source

Healthy People 2010, measure 3-11b.

Tables

3. Women age 18 and over who report they had a Pap smear within the past 3 years, United States, 2003, by

  • Race
  • Ethnicity
  • Family income

Data Source

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

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 3 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, see Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Cervical Cancer

Measure Title

Rate of cervical cancers diagnosed as invasive (includes local, regional, and distant disease except in situ disease).

Measure Source

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

Tables

Data source does not support detailed tables.

Data Source

NCI, SEER 13 Registry Database. The ethnicity category uses SEER 13 excluding Alaska.

Denominator

Number of females age 20 and over.

Numerator

Number females age 20 and over with new cervical cancers diagnosed as invasive in the survey years.

Comments

Incidence rates are age adjusted to the 2000 U.S. standard population.

Invasive cervical cancer is defined as cancer that has spread from the surface of the cervix to tissue deeper in the cervix or to other parts of the body. For more information on staging, see the SEER Cancer Statistics Review Web site at http://seer.cancer.gov/csr/1975_2003/.

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Screening for Colorectal Cancer

Measure Title

Composite measure: Men and women 50 and over who report they ever had a colonoscopy, sigmoidoscopy, procotoscopy or fecal occult blood test.

Measure Source

Healthy People 2010, measure 3-12b.

Tables

5. Men and women age 50 and over who reported they ever had a colonoscopy, sigmoidoscopy, or proctoscopy, or had a fecal occult blood test within the past 2 years, United States, 2003, by

  • Race
  • Ethnicity
  • Family income

Data Source

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

Denominator

U.S. resident population age 50 and over.

Numerator

Number of adults age 50 and over who report ever receiving a colonoscopy, sigmoidoscopy, proctoscopy, or fecal occult blood test.

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

Men and women 50 and over who report they ever had a flexible sigmoidoscopy/colonoscopy.

Measure Source

Healthy People 2010, measure 3-12b.

Tables

6. Men and women age 50 and over who reported they ever had a colonoscopy, sigmoidoscopy, or proctoscopy, United States, 2003, by

  • Race
  • Ethnicity
  • Family income

Data Source

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

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, see Part A, Section 5 of Tracking Healthy People 2010.

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Screening for Colorectal Cancer

Measure Title

Men and women 50 and over who report they had a fecal occult blood test (FOBT) within the past 2 years.

Measure Source

Healthy People 2010, measure 3-12a.

Tables

7. Men and women age 50 and over who reported they had a fecal occult blood test within the past 2 years, United States, 2003, by

  • Race
  • Ethnicity
  • Family income

Data Source

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

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

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

Measure Source

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

Tables

Data source does not support detailed tables.

Data Source

NCI, SEER 13 Registry Database. The ethnicity category uses SEER 13 excluding Alaska.

Denominator

United States population age 50 and over.

Numerator

Number of new colorectal cancers diagnosed in the survey years as regional or distant staged cancers.

Comments

Incidence rates are age adjusted to the 2000 U.S. standard population.

Regional stage is defined as a neoplasm that has extended beyond the limits of the organ of origin, either directly into surrounding organs or tissues or into regional lymph nodes. Distant stage is defined as a neoplasm that has spread to parts of the body remote from the primary tumor, either by direct extension or by discontinuous metastasis. For more information on staging, see the SEER Cancer Statistics Review Web site at http://seer.cancer.gov/csr/1975_2003/.

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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

9. Cancer deaths per 100,000 population per year for all cancers, United States, 2003, by

  • Race
  • Ethnicity
  • Education

Data Source

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

Denominator

U.S. resident population.

Numerator

Number of deaths due to cancer (ICD-10-CM 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 of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

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

Education data are for persons age 25-64 years only.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 male population per year for prostate cancer.

Measure Source

Healthy People 2010, measure 3-7.

Tables

10. Cancer deaths per 100,000 male population per year for prostate cancer, United States, 2003, by

  • Race
  • Ethnicity
  • Education

Data Source

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

Denominator

U.S. male resident population.

Numerator

Number of deaths due to prostate cancer (ICD-10-CM 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 of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

Education data are for persons age 25-64 years only.

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Cancer Treatment

Measure Title

Cancer deaths per 100,000 female population per year for breast cancer.

Measure Source

Healthy People 2010, measure 3-3.

Tables

11. Cancer deaths per 100,000 female population per year for breast cancer, United States, 2003, by

  • Race
  • Ethnicity
  • Education

Data Source

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

Denominator

U.S. female resident population.

Numerator

Number of deaths due to female breast cancer (ICD-10-CM 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 of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

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

Education data are for persons age 25-64 years only.


Cancer Treatment

Measure Title

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

Measure Source

Healthy People 2010, measure 3-2.

Tables

12. Cancer deaths per 100,000 population per year for lung cancer, United States, 2003, by

  • Race
  • Ethnicity
  • Education

Data Source

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

Denominator

U.S. resident population.

Numerator

Number of deaths due to lung cancer (ICD-10-CM 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 of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

This objective is measured with slightly different ICD-9-CM codes from those used to measure the comparable Healthy People 2000 objective 16.2 (ICD-9-CM code 162 vs. 162.2-162.9). Additionally, the Healthy People 2000 objective age-adjusted the death rates using the 1940 standard population. See 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 colorectal cancer.

Measure Source

Healthy People 2010, measure 3-5.

Tables

13. Cancer deaths per 100,000 population per year for colorectal cancer, United States, 2003, by

  • Race
  • Ethnicity
  • Education

Data Source

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

Denominator

U.S. resident population.

Numerator

Number of deaths due to colorectal cancer (ICD-10-CM 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 of age adjustment, see Part A, section 5 of Tracking Healthy People 2010.

This objective is measured with slightly different ICD-9-CM codes from those used to measure the comparable Healthy People 2000 objective 16.5 (ICD-9-CM 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. See Appendix C of Tracking Healthy People 2010 for comparison data.

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