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Cancer Trends 2005

New Cancer Report Sees Declining Deaths, Stable Incident Rates

Dec. 23, 2005 – The nation is making progress toward major cancer-related Healthy People 2010 targets, according to the new Cancer Trends Progress Report 2005. The death rates continue to decline for the four most common cancers - prostate, breast, lung, and colorectal, as well as for all cancers combined. And, the rate of cancer occurrences has been relatively stable since the mid 1990s.

 

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The National Cancer Institute (NCI), part of the National Institutes of Health, yesterday released Cancer Trends Progress Report: 2005 Update. The report summarizes the nation’s progress against cancer in relation to the Healthy People 2010 targets developed by the U.S. Department of Health and Human Services.

This online report, first issued in 2001 as the Cancer Progress Report, is released every other year. The revised and expanded report is intended for policy makers, researchers, clinicians, and public health service providers, offering updated national trends data and a variety of new features.

New additions to this year’s report include:

   ● Quick tutorial to make navigation and downloading of materials within the report as simple as possible
   ● Prevention measures: e.g., “Doctors’ and Dentists’ Advice to Quit Smoking”; “Pesticides”; and “Dioxins”
   ● Treatment measures: “Breast Cancer Treatment” and “Colorectal Cancer Treatment”
   ● Updated “Trends-at-a-Glance” snapshot
   ● Links to state- and county-level data
   ● Data, graphs, and slides that are easy to download
   ● Links to Healthy People 2010 materials
   ● Custom report features
   ● Open text search capability
   ● Fully accessible to persons with disabilities

Major Conclusions

The nation is making progress toward major cancer-related Healthy People 2010 targets.

   ● Death rates for the four most common cancers (prostate, breast, lung, and colorectal), as well as for all cancers combined, continue to decline.

   ● The rate of cancer incidence has been relatively stable since the mid 1990s.

   ● Some prevention behaviors have shown improvement. Adult smoking is down dramatically since the 1960s, although rates fell only slightly in the 1990s. Alcohol and fat consumption are headed down, while fruit and vegetable consumption is up only slightly since about 1990.

   ● Youth smoking was on the rise during much of the 1990s, but has shown declines since 1997.

   ● The use of screening tests for breast and cervical cancers is high and remained stable between 2000 and 2003. Screening for colorectal cancer remains low, despite its proven effectiveness, though use is increasing.

   ● People are doing slightly more to protect themselves from the sun.

The nation is losing ground in other important areas that demand attention.

   ● The incidence of cancers of the breast in women and of prostate and testis in men, as well as leukemia, non-Hodgkin lymphoma, myeloma, melanoma of skin, and cancers of the thyroid, kidney, and esophagus is rising.

   ● Lung cancer death rates in women continue to rise, but not as rapidly as before.

   ● More people are overweight and obese, and leisure time physical activity is increasing only slightly.

   ● Cancer treatment spending continues to rise along with total health care spending.

   ● Unexplained cancer-related health disparities remain among population subgroups. For example, Blacks and people with low socioeconomic status have the highest rates of both new cancers and cancer deaths.

The Cancer Trends Progress Report: 2005 Update can be viewed online at http://progressreport.cancer.gov/.

Trends-at-a-Glance

The Trends-at-a-Glance offers an overview of trend direction measure by measure. Trends shown in green are moving in a favorable direction, while trends shown in red italics are moving in an unfavorable direction. Trends noted as stable are not changing significantly. Click on any trend to view the figure associated with that measure.

The table below gives a snapshot of the latest trend in all measures included in this report. For a more complete summary of the measures, including their progress compared with the Healthy People 2010 target, see the summary tables by topic.

Measure

Trend

PREVENTION

Age at smoking initiation

Stable

Youth smoking

Falling

Adult smoking

Falling

Quitting smoking

Falling

Doctor/dentist advice to quit smoking

 

Doctor

Rising

Dentist

Rising

Secondhand smoke

 

Exposed nonsmokers

Falling

Workers in smoke-free environment

Rising

States with smoke-free air laws

Rising

Alcohol consumption

Stable

Fruit & vegetable consumption

 

Fruit

Rising

Vegetables

Falling

Fat consumption

Stable

Healthy weight

Falling

No leisure time physical activity

Falling

Sun protection

Stable

Pesticide levels in the blood

Rising

Dioxin levels in the human body

Falling

EARLY DETECTION

Breast cancer screening

Stable

Cervical cancer screening

Falling

Colorectal cancer screening

 

Fecal Occult Blood Test (FOBT)

Falling

Endoscopy

Rising

Colorectal test use

Rising

DIAGNOSIS

Incidence

 

All cancers

Stable

White

Falling

Black

Falling

Hispanics

Falling

American Indian/Alaskan Natives

Falling

Asian/Pacific Islanders

Falling

Four most common cancers

 

Prostate

Rising

Female breast

Rising

Colorectal

Falling

Lung and bronchus

Falling

Go to column two...

Measure

Trend

DIAGNOSIS (continued)

Incidence (continued)

 

Cancers that are increasing

 

Female lung

Stable

Female breast

Rising

Non-Hodgkin lymphoma

Rising

Melanoma of skin (White only)

Rising

Stage at diagnosis

 

Colon

Falling

Female breast

Stable

Rectum

Falling

Cervix

Falling

Prostate

Falling

TREATMENT

Breast cancer treatment

 

Mastectomy

Falling

No surgery

Rising

BCS with radiation

Falling

BCS without radiation

Rising

Multiagent chemotherapy

Rising

Colorectal cancer treatment

Rising

LIFE AFTER CANCER

Survival

 

All cancers

Rising

Prostate

Rising

Female breast

Rising

Colorectal

Stable

Lung and bronchus

Rising

Costs of cancer care

N/A

END OF LIFE

Mortality

 

All cancers

Falling

White

Falling

Black

Falling

Hispanic

Falling

American Indian/Alaskan Natives

Falling

Asian/Pacific Islander

Falling

Prostate

Falling

Female breast

Falling

Colorectal

Falling

Lung and bronchus

Falling

Person-years of life lost

N/A

 

The National Institutes of Health (NIH) — The Nation's Medical Research Agency — includes 27 Institutes and Centers and is a component of the U. S. Department of Health and Human Services. It is the primary Federal agency for conducting and supporting basic, clinical, and translational medical research, and it investigates the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

 

 

 

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