SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics...

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SEER Cancer Statistics Review 1975-2017 National Cancer Institute Joinpoint Regression Program Version 4.8, April 2020, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/). The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130). a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta). b Trends are from the SEER 21 areas (SEER 9 areas, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, Georgia excluding ATL/RG, Idaho, New York and Massachusetts). c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention. d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint. e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. g Data for American Indian/Alaska Native are based on the Purchased/Referred Care Delivery Area (PRCDA) counties. * The APC/AAPC is significantly different from zero (p<.05). - Joinpoint regression line analysis could not be performed on data series. JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPC d Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17 SEER 9 Delay-Adjusted Incidence a , 1975-2017 All Races 1975-83 0.9* 1983-92 1.8* 1992-95 -1.2 1995-09 -0.1 2009-13 -1.8* 2013-17 0.0 -0.8* 0.0 White 1975-82 0.8* 1982-92 1.8* 1992-95 -2.1 1995-98 1.3 1998-07 -0.2 2007-17 -0.8* -0.8* -0.8* Black 1975-84 1.6* 1984-89 0.5 1989-92 3.9* 1992-09 -0.6* 2009-14 -1.9* 2014-17 0.2 -1.1* -0.4 SEER 21 Delay-Adjusted Incidence b , 2000-2017 All Races 2000-04 -0.9* 2004-08 0.4 2008-13 -1.4* 2013-17 -0.2 -0.9* -0.2 White 2000-04 -0.9* 2004-07 0.9 2007-13 -1.2* 2013-17 -0.2 -0.8* -0.2 White NH ef 2000-04 -0.9* 2004-07 1.0 2007-13 -1.1* 2013-17 -0.1 -0.6* -0.1 Black 2000-05 -0.8* 2005-09 0.2 2009-14 -1.7* 2014-17 -0.2 -1.0* -0.5 Black NH ef 2000-05 -0.7* 2005-09 0.3 2009-14 -1.7* 2014-17 -0.1 -0.9* -0.5 API e 2000-17 -0.3* -0.3* -0.3* AI/AN eg 2000-17 0.1 0.1 0.1 Hispanic f 2000-17 -0.6* -0.6* -0.6* U.S. Cancer Mortality c , 1975-2017 All Races 1975-84 0.5* 1984-91 0.3* 1991-94 -0.5 1994-98 -1.3* 1998-01 -0.8 2001-17 -1.5* -1.5* -1.5* White 1975-90 0.4* 1990-94 -0.3 1994-98 -1.2* 1998-01 -0.6 2001-17 -1.4* -1.4* -1.4* Black 1975-83 1.3* 1983-91 0.7* 1991-95 -0.8* 1995-01 -1.6* 2001-17 -2.1* -2.1* -2.1* U.S. Cancer Mortality c , 2000-2017 All Races 2000-17 -1.5* -1.5* -1.5* White 2000-17 -1.4* -1.4* -1.4* White NH ef 2000-15 -1.3* 2015-17 -1.8* -1.5* -1.6* Black 2000-17 -2.1* -2.1* -2.1* Black NH ef 2000-17 -2.0* -2.0* -2.0* API e 2000-17 -1.3* -1.3* -1.3* AI/AN eg 2000-17 -1.0* -1.0* -1.0* Hispanic f 2000-17 -1.2* -1.2* -1.2* Table 2.1 All Cancer Sites (Invasive) Trends in SEER Incidence ab and U.S. Mortality c Using the Joinpoint Regression Program, 1975-2017 With up to Five Joinpoints, 2000-2017 With up to Three Joinpoints, Both Sexes by Race/Ethnicity

Transcript of SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics...

Page 1: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-83 09 1983-92 18 1992-95 -12 1995-09 -01 2009-13 -18 2013-17 00 -08 00

White 1975-82 08 1982-92 18 1992-95 -21 1995-98 13 1998-07 -02 2007-17 -08 -08 -08

Black 1975-84 16 1984-89 05 1989-92 39 1992-09 -06 2009-14 -19 2014-17 02 -11 -04

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-04 -09 2004-08 04 2008-13 -14 2013-17 -02 -09 -02

White 2000-04 -09 2004-07 09 2007-13 -12 2013-17 -02 -08 -02

White NHef 2000-04 -09 2004-07 10 2007-13 -11 2013-17 -01 -06 -01

Black 2000-05 -08 2005-09 02 2009-14 -17 2014-17 -02 -10 -05

Black NHef 2000-05 -07 2005-09 03 2009-14 -17 2014-17 -01 -09 -05

APIe 2000-17 -03 -03 -03

AIANeg 2000-17 01 01 01

Hispanicf 2000-17 -06 -06 -06

US Cancer Mortalityc 1975-2017

All Races 1975-84 05 1984-91 03 1991-94 -05 1994-98 -13 1998-01 -08 2001-17 -15 -15 -15

White 1975-90 04 1990-94 -03 1994-98 -12 1998-01 -06 2001-17 -14 -14 -14

Black 1975-83 13 1983-91 07 1991-95 -08 1995-01 -16 2001-17 -21 -21 -21

US Cancer Mortalityc 2000-2017

All Races 2000-17 -15 -15 -15

White 2000-17 -14 -14 -14

White NHef 2000-15 -13 2015-17 -18 -15 -16

Black 2000-17 -21 -21 -21

Black NHef 2000-17 -20 -20 -20

APIe 2000-17 -13 -13 -13

AIANeg 2000-17 -10 -10 -10

Hispanicf 2000-17 -12 -12 -12

Table 21

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Both Sexes by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-89 13 1989-92 50 1992-95 -42 1995-08 -03 2008-13 -28 2013-17 -01 -17 -01

White 1975-89 14 1989-92 49 1992-95 -45 1995-07 -01 2007-13 -24 2013-17 -03 -15 -03

Black 1975-81 28 1981-89 07 1989-92 63 1992-09 -13 2009-14 -34 2014-17 05 -19 -05

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-04 -14 2004-07 07 2007-14 -22 2014-17 -01 -15 -06

White 2000-04 -13 2004-07 08 2007-13 -23 2013-17 -06 -16 -06

White NHef 2000-04 -13 2004-07 10 2007-13 -22 2013-17 -03 -14 -03

Black 2000-05 -17 2005-09 -03 2009-14 -34 2014-17 -02 -20 -10

Black NHef 2000-05 -16 2005-09 -02 2009-14 -34 2014-17 -01 -20 -09

APIe 2000-17 -13 -13 -13

AIANeg 2000-17 -04 -04 -04

Hispanicf 2000-09 -07 2009-13 -32 2013-17 -10 -20 -10

US Cancer Mortalityc 1975-2017

All Races 1975-79 10 1979-90 03 1990-93 -05 1993-02 -15 2002-17 -18 -18 -18

White 1975-80 08 1980-92 02 1992-02 -14 2002-17 -17 -17 -17

Black 1975-82 18 1982-90 10 1990-93 -02 1993-01 -20 2001-17 -27 -27 -27

US Cancer Mortalityc 2000-2017

All Races 2000-17 -18 -18 -18

White 2000-17 -17 -17 -17

White NHef 2000-17 -16 -16 -16

Black 2000-17 -27 -27 -27

Black NHef 2000-17 -26 -26 -26

APIe 2000-17 -16 -16 -16

AIANeg 2000-17 -09 -09 -09

Hispanicf 2000-17 -16 -16 -16

Table 22

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Males by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-79 -03 1979-87 16 1987-95 01 1995-98 15 1998-03 -05 2003-17 00 00 00

White 1975-79 -02 1979-87 17 1987-95 01 1995-98 17 1998-03 -05 2003-17 00 00 00

Black 1975-92 11 1992-17 00 00 00

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 00 00 00

White 2000-17 00 00 00

White NHef 2000-17 01 01 01

Black 2000-17 02 02 02

Black NHef 2000-17 02 02 02

APIe 2000-17 05 05 05

AIANeg 2000-17 05 05 05

Hispanicf 2000-17 04 04 04

US Cancer Mortalityc 1975-2017

All Races 1975-90 06 1990-94 -02 1994-02 -08 2002-17 -14 -14 -14

White 1975-90 06 1990-95 -02 1995-98 -12 1998-01 -02 2001-17 -13 -13 -13

Black 1975-91 10 1991-99 -05 1999-17 -16 -16 -16

US Cancer Mortalityc 2000-2017

All Races 2000-17 -14 -14 -14

White 2000-17 -13 -13 -13

White NHef 2000-17 -13 -13 -13

Black 2000-17 -16 -16 -16

Black NHef 2000-17 -15 -15 -15

APIe 2000-17 -10 -10 -10

AIANeg 2000-17 -12 -12 -12

Hispanicf 2000-17 -10 -10 -10

Table 23

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Females by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47657 54200 43021 48725 54880 44369 51534 64780 425642010 46737 53187 42105 47945 54030 43592 49777 62158 412372011 46255 52059 42166 47444 52904 43627 49242 59835 419892012 45056 49291 42232 46129 50025 43617 48975 58286 425592013 44561 48558 41949 45713 49320 43467 47657 57026 411522014 44473 47927 42312 45887 49012 44057 45881 53614 406952015 44598 48078 42415 46063 49248 44171 46134 53629 410182016 44566 48256 42144 45851 49162 43779 47084 54676 418532017 44478 48214 41997 45673 48932 43632 46429 55148 40321

Table 24All Cancer Sites (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 46067 53816 41007 46794 54293 42027 50006 64483 403001975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47608 54143 42976 48652 54797 44303 51410 64622 424632010 46639 53077 42017 47801 53867 43462 49537 61854 410412011 46111 51897 42034 47230 52664 43432 48890 59405 416912012 44868 49086 42056 45852 49723 43356 48502 57711 421562013 44329 48306 41729 45369 48949 43141 47083 56323 406672014 44195 47628 42048 45474 48568 43662 45219 52826 401172015 44199 47648 42036 45491 48634 43624 45288 52631 402772016 43997 47634 41610 45066 48314 43035 45954 53348 408622017 43482 47113 41075 44349 47494 42385 44626 52959 38788

Table 25All Cancer Sites (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

50

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400

1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

50

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

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4500

1975 1985 1995 2005 2017500

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1975 1985 1995 2005 2017500

1000

1500

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

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600

1975 1985 1995 2005 20170

100

200

300

400

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1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 2: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-89 13 1989-92 50 1992-95 -42 1995-08 -03 2008-13 -28 2013-17 -01 -17 -01

White 1975-89 14 1989-92 49 1992-95 -45 1995-07 -01 2007-13 -24 2013-17 -03 -15 -03

Black 1975-81 28 1981-89 07 1989-92 63 1992-09 -13 2009-14 -34 2014-17 05 -19 -05

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-04 -14 2004-07 07 2007-14 -22 2014-17 -01 -15 -06

White 2000-04 -13 2004-07 08 2007-13 -23 2013-17 -06 -16 -06

White NHef 2000-04 -13 2004-07 10 2007-13 -22 2013-17 -03 -14 -03

Black 2000-05 -17 2005-09 -03 2009-14 -34 2014-17 -02 -20 -10

Black NHef 2000-05 -16 2005-09 -02 2009-14 -34 2014-17 -01 -20 -09

APIe 2000-17 -13 -13 -13

AIANeg 2000-17 -04 -04 -04

Hispanicf 2000-09 -07 2009-13 -32 2013-17 -10 -20 -10

US Cancer Mortalityc 1975-2017

All Races 1975-79 10 1979-90 03 1990-93 -05 1993-02 -15 2002-17 -18 -18 -18

White 1975-80 08 1980-92 02 1992-02 -14 2002-17 -17 -17 -17

Black 1975-82 18 1982-90 10 1990-93 -02 1993-01 -20 2001-17 -27 -27 -27

US Cancer Mortalityc 2000-2017

All Races 2000-17 -18 -18 -18

White 2000-17 -17 -17 -17

White NHef 2000-17 -16 -16 -16

Black 2000-17 -27 -27 -27

Black NHef 2000-17 -26 -26 -26

APIe 2000-17 -16 -16 -16

AIANeg 2000-17 -09 -09 -09

Hispanicf 2000-17 -16 -16 -16

Table 22

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Males by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-79 -03 1979-87 16 1987-95 01 1995-98 15 1998-03 -05 2003-17 00 00 00

White 1975-79 -02 1979-87 17 1987-95 01 1995-98 17 1998-03 -05 2003-17 00 00 00

Black 1975-92 11 1992-17 00 00 00

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 00 00 00

White 2000-17 00 00 00

White NHef 2000-17 01 01 01

Black 2000-17 02 02 02

Black NHef 2000-17 02 02 02

APIe 2000-17 05 05 05

AIANeg 2000-17 05 05 05

Hispanicf 2000-17 04 04 04

US Cancer Mortalityc 1975-2017

All Races 1975-90 06 1990-94 -02 1994-02 -08 2002-17 -14 -14 -14

White 1975-90 06 1990-95 -02 1995-98 -12 1998-01 -02 2001-17 -13 -13 -13

Black 1975-91 10 1991-99 -05 1999-17 -16 -16 -16

US Cancer Mortalityc 2000-2017

All Races 2000-17 -14 -14 -14

White 2000-17 -13 -13 -13

White NHef 2000-17 -13 -13 -13

Black 2000-17 -16 -16 -16

Black NHef 2000-17 -15 -15 -15

APIe 2000-17 -10 -10 -10

AIANeg 2000-17 -12 -12 -12

Hispanicf 2000-17 -10 -10 -10

Table 23

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Females by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47657 54200 43021 48725 54880 44369 51534 64780 425642010 46737 53187 42105 47945 54030 43592 49777 62158 412372011 46255 52059 42166 47444 52904 43627 49242 59835 419892012 45056 49291 42232 46129 50025 43617 48975 58286 425592013 44561 48558 41949 45713 49320 43467 47657 57026 411522014 44473 47927 42312 45887 49012 44057 45881 53614 406952015 44598 48078 42415 46063 49248 44171 46134 53629 410182016 44566 48256 42144 45851 49162 43779 47084 54676 418532017 44478 48214 41997 45673 48932 43632 46429 55148 40321

Table 24All Cancer Sites (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 46067 53816 41007 46794 54293 42027 50006 64483 403001975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47608 54143 42976 48652 54797 44303 51410 64622 424632010 46639 53077 42017 47801 53867 43462 49537 61854 410412011 46111 51897 42034 47230 52664 43432 48890 59405 416912012 44868 49086 42056 45852 49723 43356 48502 57711 421562013 44329 48306 41729 45369 48949 43141 47083 56323 406672014 44195 47628 42048 45474 48568 43662 45219 52826 401172015 44199 47648 42036 45491 48634 43624 45288 52631 402772016 43997 47634 41610 45066 48314 43035 45954 53348 408622017 43482 47113 41075 44349 47494 42385 44626 52959 38788

Table 25All Cancer Sites (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 3: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-79 -03 1979-87 16 1987-95 01 1995-98 15 1998-03 -05 2003-17 00 00 00

White 1975-79 -02 1979-87 17 1987-95 01 1995-98 17 1998-03 -05 2003-17 00 00 00

Black 1975-92 11 1992-17 00 00 00

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 00 00 00

White 2000-17 00 00 00

White NHef 2000-17 01 01 01

Black 2000-17 02 02 02

Black NHef 2000-17 02 02 02

APIe 2000-17 05 05 05

AIANeg 2000-17 05 05 05

Hispanicf 2000-17 04 04 04

US Cancer Mortalityc 1975-2017

All Races 1975-90 06 1990-94 -02 1994-02 -08 2002-17 -14 -14 -14

White 1975-90 06 1990-95 -02 1995-98 -12 1998-01 -02 2001-17 -13 -13 -13

Black 1975-91 10 1991-99 -05 1999-17 -16 -16 -16

US Cancer Mortalityc 2000-2017

All Races 2000-17 -14 -14 -14

White 2000-17 -13 -13 -13

White NHef 2000-17 -13 -13 -13

Black 2000-17 -16 -16 -16

Black NHef 2000-17 -15 -15 -15

APIe 2000-17 -10 -10 -10

AIANeg 2000-17 -12 -12 -12

Hispanicf 2000-17 -10 -10 -10

Table 23

All Cancer Sites (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Females by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47657 54200 43021 48725 54880 44369 51534 64780 425642010 46737 53187 42105 47945 54030 43592 49777 62158 412372011 46255 52059 42166 47444 52904 43627 49242 59835 419892012 45056 49291 42232 46129 50025 43617 48975 58286 425592013 44561 48558 41949 45713 49320 43467 47657 57026 411522014 44473 47927 42312 45887 49012 44057 45881 53614 406952015 44598 48078 42415 46063 49248 44171 46134 53629 410182016 44566 48256 42144 45851 49162 43779 47084 54676 418532017 44478 48214 41997 45673 48932 43632 46429 55148 40321

Table 24All Cancer Sites (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 46067 53816 41007 46794 54293 42027 50006 64483 403001975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47608 54143 42976 48652 54797 44303 51410 64622 424632010 46639 53077 42017 47801 53867 43462 49537 61854 410412011 46111 51897 42034 47230 52664 43432 48890 59405 416912012 44868 49086 42056 45852 49723 43356 48502 57711 421562013 44329 48306 41729 45369 48949 43141 47083 56323 406672014 44195 47628 42048 45474 48568 43662 45219 52826 401172015 44199 47648 42036 45491 48634 43624 45288 52631 402772016 43997 47634 41610 45066 48314 43035 45954 53348 408622017 43482 47113 41075 44349 47494 42385 44626 52959 38788

Table 25All Cancer Sites (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

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a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

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Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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Delay-Adj IncidenceDelay-Adj Incidence

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SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

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SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 4: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47657 54200 43021 48725 54880 44369 51534 64780 425642010 46737 53187 42105 47945 54030 43592 49777 62158 412372011 46255 52059 42166 47444 52904 43627 49242 59835 419892012 45056 49291 42232 46129 50025 43617 48975 58286 425592013 44561 48558 41949 45713 49320 43467 47657 57026 411522014 44473 47927 42312 45887 49012 44057 45881 53614 406952015 44598 48078 42415 46063 49248 44171 46134 53629 410182016 44566 48256 42144 45851 49162 43779 47084 54676 418532017 44478 48214 41997 45673 48932 43632 46429 55148 40321

Table 24All Cancer Sites (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 46067 53816 41007 46794 54293 42027 50006 64483 403001975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47608 54143 42976 48652 54797 44303 51410 64622 424632010 46639 53077 42017 47801 53867 43462 49537 61854 410412011 46111 51897 42034 47230 52664 43432 48890 59405 416912012 44868 49086 42056 45852 49723 43356 48502 57711 421562013 44329 48306 41729 45369 48949 43141 47083 56323 406672014 44195 47628 42048 45474 48568 43662 45219 52826 401172015 44199 47648 42036 45491 48634 43624 45288 52631 402772016 43997 47634 41610 45066 48314 43035 45954 53348 408622017 43482 47113 41075 44349 47494 42385 44626 52959 38788

Table 25All Cancer Sites (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 5: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 46067 53816 41007 46794 54293 42027 50006 64483 403001975-1979 40723 48412 36502 40926 48532 36985 43762 56441 350931980 41809 50583 36815 41952 50523 37341 46751 61507 366631981 42528 51080 37717 42770 51084 38389 47290 63434 362891982 42449 51110 37618 42778 51252 38341 46528 62236 359241983 43111 51994 38071 43435 52095 38793 48726 64627 382241984 44001 52548 39246 44366 52777 39953 48826 64387 386151985 44894 53130 40324 45360 53372 41155 48939 64382 388621986 45136 53815 40234 45609 54294 40926 49379 64341 396801987 46814 56336 41334 47507 56908 42342 50115 66626 394201988 46404 55853 40948 47038 56508 41802 50465 65820 405131989 46801 56721 40862 47542 57381 41882 49301 66119 385301990 48213 59290 41566 48899 59949 42482 52241 69983 409931991 50315 63752 41904 51068 64472 42864 54960 76572 412801992 51081 65850 41495 51714 66396 42357 57051 81180 414261993 49357 62241 40835 49708 62068 41697 57041 82206 404911994 48372 58999 41371 48779 58805 42334 55902 78528 409711995 47736 57213 41522 48262 57087 42641 54475 75247 405491996 47961 57303 41849 48543 57480 42846 54326 73094 418761997 48688 57621 42872 49395 57727 44121 54356 74448 412361998 48882 57344 43438 49699 57703 44680 54158 72872 421121999 49106 58127 43107 49915 58363 44394 54466 72992 422972000 48704 58118 42277 49723 58515 43821 53273 71939 407792001 49080 58248 42768 50192 58890 44287 52514 70580 403372002 48864 57591 42889 49847 58240 44142 53922 70483 428652003 47649 56145 41813 48715 56657 43319 52383 68784 414662004 47774 55960 42111 48769 56533 43414 52839 69122 421152005 47379 55059 42050 48553 55918 43475 51402 65095 423492006 47761 55791 42033 48957 56591 43526 51415 65378 418312007 48368 56911 42200 49470 57576 43632 52263 67579 417332008 47730 55056 42518 48767 55614 43923 52108 67028 419702009 47608 54143 42976 48652 54797 44303 51410 64622 424632010 46639 53077 42017 47801 53867 43462 49537 61854 410412011 46111 51897 42034 47230 52664 43432 48890 59405 416912012 44868 49086 42056 45852 49723 43356 48502 57711 421562013 44329 48306 41729 45369 48949 43141 47083 56323 406672014 44195 47628 42048 45474 48568 43662 45219 52826 401172015 44199 47648 42036 45491 48634 43624 45288 52631 402772016 43997 47634 41610 45066 48314 43035 45954 53348 408622017 43482 47113 41075 44349 47494 42385 44626 52959 38788

Table 25All Cancer Sites (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

50

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

50

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

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3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 6: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 19125 23987 15876 18961 23634 15839 23263 31414 181791975-1979 20275 26424 16254 19961 25914 16135 24415 33474 179951980 20696 27108 16575 20327 26503 16417 25618 35391 189251981 20640 26978 16590 20264 26327 16455 25677 35865 187471982 20832 27289 16745 20454 26628 16611 26036 36486 190171983 20921 27409 16827 20517 26722 16669 26375 36932 193241984 21091 27508 17055 20666 26755 16902 26815 37793 195671985 21135 27568 17096 20725 26825 16958 26806 37782 196311986 21179 27604 17159 20773 26883 17001 26945 37892 199051987 21191 27634 17154 20778 26896 16987 27112 38324 199911988 21262 27689 17253 20848 26946 17094 27159 38417 200361989 21430 27850 17425 20996 27025 17288 27587 39528 200871990 21495 27982 17465 21041 27148 17289 27930 39914 205391991 21506 27915 17530 21062 27119 17341 27897 39585 207391992 21346 27651 17439 20924 26891 17258 27493 38920 205801993 21345 27589 17455 20916 26789 17282 27709 39476 206291994 21174 27212 17411 20783 26473 17262 27196 38520 204061995 20989 26850 17335 20609 26146 17173 26951 37902 204531996 20700 26375 17121 20340 25683 16985 26528 37370 200941997 20355 25813 16900 19994 25158 16735 26214 36318 202531998 20082 25363 16693 19756 24762 16538 25566 35313 198381999 20072 25275 16724 19775 24714 16592 25380 34923 197542000 19879 24846 16670 19637 24337 16598 24807 34120 193212001 19629 24505 16461 19398 24031 16375 24434 33414 192122002 19436 24163 16338 19238 23762 16256 24081 32580 191452003 19089 23581 16116 18910 23216 16040 23516 31460 188762004 18684 23027 15792 18521 22660 15741 22898 30730 183512005 18523 22809 15646 18387 22494 15604 22483 30033 180942006 18203 22256 15463 18110 22002 15452 21893 29016 177312007 17926 21933 15200 17830 21664 15191 21623 28657 175472008 17632 21534 14927 17569 21321 14937 20937 27526 170412009 17340 21117 14712 17303 20933 14748 20539 26891 167412010 17175 20881 14574 17136 20716 14585 20286 26416 166202011 16879 20435 14354 16857 20336 14348 19913 25369 166112012 16642 20066 14186 16649 19996 14209 19420 24731 161822013 16331 19660 13934 16363 19607 13991 18982 24045 158632014 16144 19373 13803 16195 19365 13859 18649 23419 157072015 15891 19021 13603 15961 19036 13674 18112 22686 152722016 15603 18605 13411 15679 18635 13481 17842 22185 151562017 15261 18162 13134 15357 18215 13224 17374 21539 14766

Table 26All Cancer Sites (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

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1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

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1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

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250

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400

1975 1985 1995 2005 20170

50

100

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250

300

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400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 7: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 4424 4803 4183 4521 4855 4320 4404 5151 3907Under 65 2234 2051 2419 2261 2046 2484 2318 2406 225665 and over 19567 23829 16378 20145 24276 17015 18820 24125 15325

All ages (WHO world std)c 3364 3559 3244 3431 3586 3349 3396 3922 3033

Age-Specific Rates 2013-2017lt1 242 246 238 245 256 233 184 168 2011-4 216 223 209 227 234 218 159 160 1575-9 130 138 122 138 149 127 98 92 10510-14 155 162 149 163 168 159 119 129 10915-19 242 247 238 260 265 255 169 172 16620-24 381 365 398 414 399 431 233 210 25625-29 611 512 713 662 559 771 416 343 48730-34 973 712 1238 1027 759 1307 764 542 97035-39 1445 955 1932 1491 994 2004 1269 814 167640-44 2276 1469 3067 2320 1498 3157 2131 1471 271045-49 3535 2578 4470 3568 2575 4569 3514 2949 401050-54 5649 5089 6188 5666 5018 6307 6078 6263 591655-59 8249 8601 7916 8252 8439 8070 9399 11076 796160-64 11650 13120 10308 11665 12887 10516 13461 17001 1059465-69 15999 18881 13452 16198 18740 13887 17560 23119 1333670-74 19260 22968 16145 19782 23229 16814 19145 24812 1514575-79 21697 26239 18150 22492 26893 18978 20262 25565 1684280-84 22694 28037 18965 23610 29041 19732 19772 24429 1716285+ 20777 27489 17260 21533 28616 17790 17333 22083 15333

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 1583 1895 1357 1590 1896 1364 1817 2273 1534Under 65 504 536 475 497 529 468 648 696 61065 and over 9045 11286 7453 9145 11343 7559 9896 13179 7921

All ages (WHO world std)c 928 1078 810 927 1073 810 1112 1344 955

Age-Specific Rates 2013-2017lt1 15 14 15 15 15 15 15 13 171-4 21 23 19 22 24 20 21 22 205-9 21 23 20 22 24 21 21 20 2210-14 21 23 19 21 23 20 20 22 1815-19 28 33 23 29 33 24 27 30 2420-24 39 46 31 39 47 31 40 45 3425-29 60 63 57 61 65 57 67 66 6830-34 108 99 117 107 100 115 133 114 15035-39 194 166 221 190 165 217 245 201 28540-44 353 305 401 350 306 394 441 351 52145-49 672 625 719 666 623 709 827 747 89750-54 1306 1339 1274 1288 1329 1248 1661 1667 165655-59 2272 2524 2033 2234 2478 1999 2973 3349 265060-64 3470 4052 2937 3413 3958 2902 4634 5676 378365-69 5016 5903 4223 4996 5830 4232 6354 7953 511470-74 7160 8521 5995 7218 8509 6089 8334 10751 658775-79 9771 11850 8111 9900 11926 8246 10680 13875 858180-84 12766 16131 10370 12963 16292 10539 13201 17844 1057385+ 16263 22292 13079 16553 22623 13300 15753 23119 12655

Table 27All Cancer Sites (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 8: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)f The standard error is between 5 and 10 percentage pointsg The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 39 - - 27 - -1970-1973a - - - 43 - - 31 - -1975-1977b 489 417 559 498 427 565 391 327 4631978-1980b 490 431 549 500 443 556 390 333 4561981-1983b 502 452 551 513 465 560 388 342 4441984-1986b 524 471 576 536 486 586 402 355 4551987-1989b 553 511 596 567 528 606 430 389 4771990-1992b 599 591 609 614 608 621 479 477 4821993-1995b 613 609 618 624 621 628 529 546 5071996-1998b 633 630 636 644 641 647 554 581 5221999-2001b 660 663 657 672 676 668 582 613 5442002-2004b 671 677 665 684 690 677 598 635 5552005-2009b 689 695 683 700 706 695 626 659 5882010-2016b 695e 686e 705e 705e 695e 715e 641e 661e 621e

5-Year Period Survival (Percent)cd

2016 677 663 691 680 662 697 630 644 614

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 833 794 858 846 809 870 741 692 769Ages 45-54 753 697 796 760 700 807 686 675 696Ages 55-64 701 686 719 709 690 731 638 655 614Ages 65-74 674 688 656 677 687 664 625 668 567Ages 75+ 508 528 490 515 529 501 444 487 411Ages lt65 743 706 777 751 711 788 670 665 676Ages 65+ 601 624 575 604 622 583 558 612 498

Table 28All Cancer Sites (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

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1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 9: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 691 706 732 763 766 770 776 779 788 790 795 797 796 800 803 809 815 816 819 818 822 818 821 819 827 8282-year 598 613 644 688 694 701 709 715 723 727 734 740 735 740 743 754 758 759 761 763 765 759 763 763 7703-year 548 562 598 649 658 667 675 681 690 695 703 709 704 710 713 723 727 727 731 732 734 726 730 7314-year 514 528 568 624 634 643 651 658 669 675 683 688 683 689 693 702 708 707 711 710 713 706 7095-year 489 502 544 604 616 625 633 640 652 660 668 673 668 673 677 687 694 691 696 695 697 6906-year 470 482 526 589 602 612 619 627 639 648 657 662 656 661 665 677 682 680 684 685 6857-year 454 465 511 576 591 601 610 617 629 637 647 652 645 651 656 667 672 669 675 6758-year 441 451 498 565 581 592 601 609 620 627 638 644 637 643 648 659 664 661 6679-year 429 439 486 555 572 582 592 599 612 620 631 636 629 635 640 652 658 65310-year 418 429 477 546 565 574 585 591 605 613 623 631 620 628 633 645 65111-year 409 419 468 537 556 568 578 584 598 605 617 624 614 621 627 63912-year 401 411 459 530 549 562 572 578 592 599 611 617 608 616 62113-year 393 403 451 523 540 555 565 571 586 592 604 612 603 61014-year 387 396 445 517 533 548 559 566 579 586 599 607 59615-year 380 390 438 511 527 543 554 561 574 580 594 60316-year 375 383 432 505 522 538 547 555 568 576 58917-year 369 377 427 498 516 532 542 550 563 57118-year 364 372 422 493 510 527 536 548 55719-year 360 366 418 487 505 520 532 54320-year 355 361 413 482 498 514 52821-year 350 356 409 477 492 50922-year 346 352 405 471 48723-year 342 347 400 46724-year 337 343 39525-year 332 339 39126-year 328 335 38627-year 325 331 38228-year 322 328 37729-year 318 32530-year 315 321

Table 29All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

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1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 10: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 637 666 698 754 754 762 768 767 781 786 791 791 791 797 799 808 815 813 816 813 815 805 807 805 813 8152-year 534 564 604 677 681 694 702 704 716 725 730 735 731 739 741 755 760 756 756 759 758 744 746 745 7523-year 482 512 555 641 647 661 671 672 685 695 704 708 702 710 713 726 733 727 730 730 727 712 712 7134-year 448 477 523 617 625 639 649 650 666 677 685 691 684 693 696 708 715 709 712 711 708 693 6925-year 422 450 499 598 609 623 632 635 652 663 674 679 672 680 682 695 703 696 698 697 695 6786-year 402 430 481 584 596 611 619 623 641 652 664 670 661 669 670 686 692 685 689 688 6857-year 385 413 464 571 586 601 611 613 632 643 656 663 652 660 661 678 683 677 682 6808-year 371 399 451 559 576 593 603 605 624 633 649 655 645 653 653 670 677 670 6769-year 358 386 438 549 569 584 594 596 616 627 644 649 636 645 647 663 671 66410-year 346 376 428 540 560 576 588 590 610 620 636 644 628 638 641 657 66511-year 335 366 419 531 553 568 582 583 605 611 630 636 622 632 636 65212-year 326 357 409 524 544 562 576 575 598 606 626 632 616 627 63113-year 318 349 401 517 536 557 568 569 593 598 619 626 612 62214-year 311 341 393 510 527 551 562 565 586 592 615 622 60615-year 304 334 386 503 520 545 557 561 580 586 610 61816-year 297 327 379 497 514 540 550 556 576 583 60517-year 290 320 374 490 508 534 543 551 572 57918-year 285 315 368 485 504 531 536 549 56619-year 280 309 363 479 498 525 533 54620-year 276 304 359 475 488 519 53021-year 271 298 355 468 482 51622-year 266 293 351 462 47623-year 261 289 345 45724-year 256 285 34125-year 251 282 33626-year 246 277 33227-year 243 274 32928-year 240 271 32429-year 236 26830-year 232 265

Table 210All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

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1975 1985 1995 2005 20171000

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Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

White

Black

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Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 11: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 746 748 766 774 780 778 785 792 795 794 799 803 801 804 807 809 814 819 822 823 829 832 835 834 841 8412-year 661 662 687 701 708 710 716 726 731 730 738 744 740 742 746 752 757 761 765 767 773 773 780 781 7883-year 613 612 642 659 670 673 679 691 695 696 702 709 705 709 713 720 721 727 732 733 740 740 748 7484-year 580 579 614 632 643 648 654 666 671 673 680 685 682 684 691 697 700 706 710 710 718 719 7265-year 556 553 590 612 624 628 635 646 653 657 662 666 663 666 673 679 683 686 693 693 700 7016-year 536 534 573 596 610 613 620 632 638 644 649 653 650 653 660 667 670 673 680 681 6867-year 521 517 558 582 596 602 609 621 626 632 637 641 638 642 650 656 660 661 668 6708-year 508 504 546 571 586 591 600 612 616 622 627 632 629 634 642 647 651 651 6589-year 497 492 535 561 577 581 589 602 608 613 617 623 621 625 633 639 642 64210-year 487 481 525 553 570 573 581 593 601 606 611 617 612 617 625 632 63411-year 478 471 517 544 561 567 574 586 592 598 604 611 606 610 618 62612-year 471 464 509 537 554 561 569 581 585 592 595 603 600 605 61113-year 464 456 501 530 545 554 563 573 579 585 588 597 594 59714-year 458 449 495 524 540 547 557 568 572 580 582 592 58715-year 451 443 489 519 535 541 551 561 567 574 578 58716-year 446 436 483 513 529 536 544 556 560 569 57317-year 441 430 478 507 524 529 541 551 555 56418-year 436 425 473 502 516 524 536 548 54919-year 432 420 469 496 512 517 531 54220-year 427 416 465 491 507 511 52521-year 422 410 460 486 502 50322-year 418 406 456 480 49623-year 414 402 451 47624-year 409 397 44725-year 404 392 44326-year 401 389 43727-year 397 384 43228-year 393 380 42729-year 390 37730-year 386 372

Table 211All Cancer Sites (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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1000

1500

2000

2500

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3500

4000

4500

1975 1985 1995 2005 20171000

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3500

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4500

1975 1985 1995 2005 2017500

1000

1500

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1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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1975-2017N

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 12: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 038 086 3955 1937 Asian 0 016 032 067 3439 1766

10 020 069 185 3983 1958 Pacific 10 016 052 143 3453 1779

20 049 166 432 3982 1962 Islander 20 036 127 352 3448 1780

30 118 388 975 3986 1978 30 092 318 754 3436 1783

40 276 877 1896 3961 1992 40 229 671 1408 3389 1781

50 630 1699 2881 3863 1994 50 455 1216 2145 3259 1762

60 1188 2502 3359 3594 1938 60 810 1799 2608 2986 1698

70 1619 2675 - 2965 1752 70 1121 2037 - 2465 1555

80 1558 - - 1986 1381 80 1162 - - 1705 1290

White 0 018 040 092 3972 1952 American 0 011 021 052 2775 1572

10 022 075 195 3995 1970 Indian 10 010 041 126 2793 1592

20 053 174 442 3992 1974 Alaska 20 031 116 291 2799 1598

30 123 394 977 3994 1988 Nativea 30 087 265 657 2823 1625

40 278 876 1894 3968 2003 40 185 591 1254 2834 1663

50 626 1694 2893 3869 2004 50 429 1130 1946 2800 1701

60 1186 2518 3380 3601 1948 60 776 1680 2365 2626 1680

70 1639 2700 - 2973 1762 70 1079 1897 - 2209 1549

80 1576 - - 1981 1385 80 1156 - - 1596 1233

Black 0 013 026 058 3617 1926 Hispanicb 0 017 036 079 3639 1695

10 014 046 143 3675 1964 10 020 063 160 3659 1709

20 033 130 384 3681 1972 20 044 140 353 3655 1711

30 099 357 987 3705 1995 30 098 313 783 3653 1719

40 265 913 1979 3706 2017 40 219 698 1557 3622 1723

50 685 1812 2848 3639 2030 50 497 1388 2437 3529 1716

60 1289 2473 3153 3377 1977 60 967 2106 2951 3293 1670

70 1546 2433 - 2726 1778 70 1348 2348 - 2751 1532

80 1372 - - 1825 1416 80 1368 - - 1921 1250

Table 212

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

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1975 1985 1995 2005 20171000

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Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 13: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 018 039 081 4046 2089 Asian 0 016 032 061 3492 2000

10 021 063 142 4078 2114 Pacific 10 016 046 101 3507 2016

20 043 122 312 4081 2121 Islander 20 030 086 219 3504 2018

30 081 274 852 4107 2147 30 057 191 560 3503 2025

40 198 791 1941 4126 2177 40 136 509 1307 3487 2029

50 621 1825 3132 4113 2202 50 383 1200 2260 3435 2022

60 1355 2827 3711 3930 2180 60 871 2000 2871 3251 1976

70 1897 3037 - 3320 2021 70 1308 2318 - 2758 1843

80 1826 - - 2279 1671 80 1351 - - 1941 1576

White 0 019 041 087 4015 2102 American 0 012 025 051 2669 1622

10 022 068 151 4040 2123 Indian 10 012 039 092 2689 1644

20 047 130 319 4042 2129 Alaska 20 027 080 202 2696 1652

30 085 277 841 4064 2154 Nativea 30 055 180 546 2736 1691

40 197 776 1902 4081 2183 40 131 512 1211 2791 1748

50 605 1784 3092 4065 2207 50 405 1148 2011 2825 1819

60 1324 2793 3679 3885 2183 60 835 1805 2526 2720 1834

70 1882 3018 - 3283 2023 70 1198 2089 - 2328 1730

80 1821 - - 2245 1668 80 1327 - - 1685 1389

Black 0 013 027 054 3804 2080 Hispanicb 0 018 038 077 3716 1902

10 014 041 105 3871 2126 10 021 060 122 3738 1919

20 028 091 295 3885 2139 20 039 102 240 3737 1924

30 065 273 975 3939 2179 30 064 204 635 3751 1939

40 215 939 2250 3995 2226 40 143 583 1529 3759 1955

50 769 2162 3320 4017 2276 50 455 1435 2609 3745 1967

60 1640 3003 3638 3823 2280 60 1073 2359 3258 3603 1950

70 1943 2849 - 3113 2132 70 1576 2678 - 3101 1838

80 1586 - - 2049 1814 80 1618 - - 2239 1565

Table 213

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

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ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

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1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

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a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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1000

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2000

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1975 1985 1995 2005 20171000

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4500

1975 1985 1995 2005 2017500

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1975 1985 1995 2005 2017500

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1500

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

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600

1975 1985 1995 2005 20170

100

200

300

400

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1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 14: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 017 037 092 3888 1811 Asian 0 016 031 073 3413 1590

10 020 076 230 3913 1828 Pacific 10 016 058 181 3424 1600

20 056 210 553 3907 1830 Islander 20 042 165 472 3417 1600

30 156 502 1097 3890 1836 30 124 432 927 3396 1600

40 354 963 1857 3821 1837 40 313 815 1501 3321 1593

50 639 1579 2645 3641 1818 50 521 1232 2045 3119 1565

60 1032 2203 3043 3297 1738 60 758 1624 2386 2768 1490

70 1387 2381 - 2681 1544 70 963 1810 - 2235 1348

80 1375 - - 1791 1187 80 1029 - - 1545 1103

White 0 017 039 098 3954 1826 American 0 010 018 053 2891 1527

10 021 081 241 3974 1840 Indian 10 008 044 162 2908 1545

20 060 221 570 3968 1842 Alaska 20 036 155 384 2911 1549

30 162 515 1118 3949 1848 Nativea 30 120 353 771 2917 1564

40 361 978 1891 3878 1850 40 240 671 1300 2882 1584

50 648 1607 2704 3695 1831 50 454 1115 1890 2781 1592

60 1054 2259 3107 3347 1751 60 723 1570 2230 2543 1545

70 1429 2435 - 2720 1556 70 982 1747 - 2110 1401

80 1404 - - 1802 1191 80 1036 - - 1527 1119

Black 0 013 026 063 3466 1817 Hispanicb 0 015 034 082 3626 1542

10 013 051 179 3515 1849 10 019 067 200 3644 1554

20 038 166 466 3514 1852 20 048 182 472 3637 1554

30 130 433 999 3511 1860 30 134 427 938 3618 1556

40 310 890 1744 3462 1864 40 298 818 1600 3547 1549

50 611 1511 2447 3322 1847 50 540 1352 2301 3375 1525

60 1003 2047 2765 3022 1757 60 875 1896 2705 3054 1459

70 1273 2149 - 2463 1548 70 1173 2102 - 2503 1314

80 1250 - - 1697 1207 80 1207 - - 1728 1053

Table 214

All Cancer Sites (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

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a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

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a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

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0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

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300

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400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

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1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

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1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 15: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 4424 4803 4183 -11 -18 -01 -11 -19 -02

White 4521 4855 4320 -11 -19 -01 -11 -17 -02White Hispanice 3530 3713 3476 -15 -29 -03 - - -White Non-Hispanice 4707 5056 4490 -10 -17 00 - - -

Black 4404 5151 3907 -15 -25 -04 -15 -23 -07

AsianPacific Islander 3021 3044 3047 -06 -16 02 - - -

Amer IndAlaska Natf 3101 3210 3059 -05 -10 -01 - - -

Hispanice 3484 3704 3395 -11 -25 02 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 1583 1895 1357 -15 -18 -14

White 1590 1896 1364 -14 -17 -13White Hispanice 1189 1440 1012 -11 -14 -08White Non-Hispanice 1629 1938 1399 -15 -16 -13

Black 1817 2273 1534 -21 -27 -16

AsianPacific Islander 989 1173 856 -13 -16 -10

Amer IndAlaska NatTotal US 1062 1268 905 -17 -18 -18PRCDA Counties 1442 1731 1230 -10 -09 -12Non-PRCDA Counties 638 767 534 -26 -28 -26

Hispanice 1123 1362 955 -12 -16 -10

Table 215All Cancer Sites (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

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1975 1985 1995 2005 2017100

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1975 1985 1995 2005 2017100

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500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

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Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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1000

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Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

White

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Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 16: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 39750 42416 38176 41145 43617 39774 39884 44508 36675Greater Bay Area 39615 42240 38111 42692 45300 41299 42637 48176 38594San Francisco-Oakland 40149 42928 38524 43162 45864 41703 43461 49330 39217San Jose-Monterey 38603 40958 37310 41868 44310 40591 37802 41943 34453

Los Angeles 37399 39707 36242 38440 40428 37620 39624 44035 36777Greater California 40862 43675 39096 41761 44360 40201 38882 43277 35638

Connecticut 46168 49387 44240 46187 49019 44603 41932 49412 37044Detroit 48409 53484 45012 48901 53016 46406 49192 57898 43256Georgia 45669 51948 41263 46516 51698 42986 45416 54916 39185Atlanta 45225 51525 40994 46746 51478 43871 45595 55349 39437Rural Georgia 47265 54638 41799 48441 53463 44355 45741 58538 37831Greater Georgia 45945 52161 41529 46480 51868 42698 45369 54473 39231

Hawaii 41055 42992 40187 47674 50038 45743 39093 44707 30963Idaho 43359 46329 41192 43206 46030 41171 34376 42851 25904Iowa 47055 51303 44248 47031 51116 44362 49115 56405 43520Kentucky 50945 56268 47410 50844 55656 47719 47125 52733 43853Louisiana 47233 54546 41841 47145 53559 42443 48533 58440 41577Massachusetts 44651 47022 43460 44722 46695 43904 39376 44318 36076New Jersey 47572 51762 45042 48722 52412 46664 44176 50606 40321New Mexico 36937 38466 36113 37260 38472 36700 31177 35856 26917New York 47384 51773 44671 48729 52445 46613 43592 51848 38491Seattle-Puget Sound 46079 49498 43963 47268 50491 45304 45384 51607 40066Utah 39536 42999 37014 39740 43204 37201 36721 41142 31435

SEER 9 Areasb 44031 47653 41692 45141 48379 43163 45600 53563 40118SEER 13 Areasb 42265 45551 40226 43561 46537 41826 44134 51242 39273SEER 18 Areasb 43502 47288 41046 44512 47910 42412 44471 51787 39488SEER 21 Areasb 44244 48030 41831 45211 48554 43204 44037 51512 39074

Table 216All Cancer Sites (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

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a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

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1975 1985 1995 2005 2017100

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1975 1985 1995 2005 2017100

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400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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Delay-Adj IncidenceDelay-Adj Incidence

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MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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Delay-Adj IncidenceDelay-Adj Incidence

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MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

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1975 1985 1995 2005 2017

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SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

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  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 17: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 14280 16801 12462 14890 17437 13035 17635 21101 15457Greater Bay Area 12995 15206 11415 13761 15969 12188 18042 21487 15809San Francisco-Oakland 13226 15467 11636 13805 15973 12261 18596 22368 16148San Jose-Monterey 12539 14702 10969 13673 15956 12047 14661 16515 13476

Los Angeles 13883 16364 12181 14281 16726 12576 18074 21693 16006Greater California 14911 17553 12958 15434 18116 13440 16998 20327 14682

Connecticut 14377 17041 12552 14531 17157 12719 14887 18562 12709Detroit 16910 19831 14933 16468 19241 14567 19525 23621 16963Georgia 16278 20137 13569 16117 19757 13419 17613 23018 14480Atlanta 14874 18040 12847 14130 16917 12254 17016 21950 14337Rural Georgia 18452 23426 14657 17395 21332 14047 21080 29461 16048Greater Georgia 16930 21060 13938 16831 20765 13853 18032 23638 14633

Hawaii 13223 15977 11106 15683 17646 13853 14053 16807 10602Idaho 15493 18156 13377 15622 18319 13476 8971 11568 -Iowa 16349 19844 13815 16346 19865 13792 19532 22320 17559Kentucky 19478 23964 16231 19595 24073 16322 19485 24723 16333Louisiana 17998 22154 14959 17060 20788 14281 20998 26886 17043Massachusetts 15321 18356 13256 15703 18738 13643 13508 16910 11377New Jersey 15138 17646 13488 15520 18077 13808 17028 20641 15039New Mexico 14182 16715 12231 14473 17042 12461 14048 17630 11442New York 14814 17481 13016 15361 17991 13552 14602 17865 12778Seattle-Puget Sound 15094 17655 13214 15448 17921 13618 16332 19710 13688Utah 12550 14631 10905 12596 14680 10944 14744 14725 14246

SEER 9 Areasb 14701 17382 12788 14908 17529 13008 17613 21646 15130SEER 13 Areasb 14431 17040 12577 14734 17295 12888 17708 21669 15300SEER 18 Areasb 15262 18150 13189 15563 18419 13483 18105 22493 15375SEER 21 Areasb 15189 18045 13166 15537 18364 13506 17027 21133 14541

Total US 15834 18946 13568 15901 18956 13638 18169 22734 15338

Table 217All Cancer Sites (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

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400

1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

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1975 1985 1995 2005 20171000

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1975 1985 1995 2005 2017500

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

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1975 1985 1995 2005 20170

100

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1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 18: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 15834 009

High Five StatesKentucky 19478 088 01(0101) 2301c

Mississippi 19006 107 02(0203) 2003c

West Virginia 18672 124 03(0204) 1792c

Arkansas 18192 102 04(0307) 1489c

Tennessee 18100 069 05(0407) 1431c

Low Five StatesArizona 14101 059 47(4548) -1094c

Wyoming 14099 211 48(4349) -1096c

Colorado 13625 072 49(4850) -1395c

Hawaii 13223 124 50(4950) -1649c

Utah 12550 103 51(5151) -2074c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 17580 079 08(0811) 1103c Montana 15418 155 36(3041) -263Alaska 15877 245 30(1639) 027 Nebraska 15708 121 33(2636) -079Arizona 14101 059 47(4548) -1094c Nevada 16109 104 25(1931) 173Arkansas 18192 102 04(0307) 1489c New Hampshire 15910 140 29(2134) 048California 14280 027 45(4447) -981c New Jersey 15138 054 40(3642) -439Colorado 13625 072 49(4850) -1395c New Mexico 14182 109 46(4448) -1044c

Connecticut 14377 081 44(4347) -920c New York 14814 036 42(4243) -644c

Delaware 16662 169 15(1224) 523c North Carolina 16431 054 19(1623) 377DC 16423 229 20(1232) 372 North Dakota 14807 189 43(3645) -648c

Florida 15022 033 41(3942) -513c Ohio 17490 050 10(0811) 1046c

Georgia 16278 057 23(1826) 281 Oklahoma 18098 091 06(0407) 1430c

Hawaii 13223 124 50(4950) -1649c Oregon 15975 082 27(2332) 089Idaho 15493 132 34(2940) -215 Pennsylvania 16622 045 16(1419) 498Illinois 16524 048 17(1521) 436 Rhode Island 16297 159 22(1530) 292Indiana 17562 069 09(0811) 1091c South Carolina 16853 077 13(1216) 643c

Iowa 16349 093 21(1626) 325 South Dakota 15922 179 28(1935) 055Kansas 16209 100 24(1829) 237 Tennessee 18100 069 05(0407) 1431c

Kentucky 19478 088 01(0101) 2301c Texas 15167 035 39(3741) -421Louisiana 17998 085 07(0407) 1367c Utah 12550 103 51(5151) -2074c

Maine 17200 137 12(0814) 863c Vermont 16469 204 18(1229) 401Maryland 15771 069 32(2734) -040 Virginia 15831 059 31(2633) -002Massachusetts 15321 062 37(3440) -324 Washington 15431 063 35(3337) -255Michigan 16773 053 14(1317) 593c West Virginia 18672 124 03(0204) 1792c

Minnesota 15168 070 38(3642) -421 Wisconsin 16007 068 26(2331) 109Mississippi 19006 107 02(0203) 2003c Wyoming 14099 211 48(4349) -1096c

Missouri 17261 069 11(1012) 901c

Table 218All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

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400

1975 1985 1995 2005 20170

50

100

150

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250

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400

1975 1985 1995 2005 20170

50

100

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1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 19: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 18946 015

High Five StatesMississippi 24048 186 01(0102) 2693c

Kentucky 23964 149 02(0102) 2649c

Tennessee 22410 118 03(0307) 1828c

Arkansas 22389 170 04(0308) 1818c

West Virginia 22264 203 05(0308) 1751c

Low Five StatesArizona 16503 094 47(4549) -1290c

Wyoming 16341 336 48(4350) -1375c

Colorado 16064 118 49(4850) -1521c

Hawaii 15977 201 50(4750) -1567c

Utah 14631 165 51(5151) -2278c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 22103 135 07(0308) 1666c Montana 17775 245 40(3144) -618c

Alaska 18176 396 35(2344) -407 Nebraska 18678 199 29(2436) -141Arizona 16503 094 47(4549) -1290c Nevada 18316 163 34(2739) -332Arkansas 22389 170 04(0308) 1818c New Hampshire 18725 228 27(2337) -116California 16801 044 45(4447) -1132c New Jersey 17646 090 41(3843) -686c

Colorado 16064 118 49(4850) -1521c New Mexico 16715 176 46(4449) -1178c

Connecticut 17041 134 44(4346) -1005c New York 17481 060 43(4043) -773c

Delaware 19903 279 17(1225) 505c North Carolina 20214 092 14(1318) 669c

DC 18587 380 30(2042) -189 North Dakota 17625 307 42(3145) -697c

Florida 17896 053 39(3541) -554c Ohio 20973 083 10(1013) 1070c

Georgia 20137 100 15(1319) 629c Oklahoma 21918 151 08(0409) 1569c

Hawaii 15977 201 50(4750) -1567c Oregon 18586 132 31(2636) -190Idaho 18156 212 36(2842) -417 Pennsylvania 19987 075 16(1421) 549c

Illinois 19713 081 20(1723) 405 Rhode Island 19712 268 21(1327) 404Indiana 21392 116 09(0810) 1291c South Carolina 20913 131 11(0913) 1038c

Iowa 19844 154 18(1424) 474 South Dakota 19262 293 24(1632) 167Kansas 19380 164 23(1827) 229 Tennessee 22410 118 03(0307) 1828c

Kentucky 23964 149 02(0102) 2649c Texas 18381 059 32(2936) -298Louisiana 22154 144 06(0308) 1693c Utah 14631 165 51(5151) -2278c

Maine 20622 226 13(1017) 885c Vermont 19671 336 22(1328) 383Maryland 18694 117 28(2634) -133 Virginia 19054 100 26(2329) 057Massachusetts 18356 104 33(2837) -311 Washington 18082 103 37(3240) -456Michigan 19838 088 19(1522) 471 West Virginia 22264 203 05(0308) 1751c

Minnesota 17917 115 38(3442) -543c Wisconsin 19197 113 25(2128) 132Mississippi 24048 186 01(0102) 2693c Wyoming 16341 336 48(4350) -1375c

Missouri 20751 115 12(1014) 953c

Table 219All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

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0

50

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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1975-2017N

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1000

1500

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1975 1985 1995 2005 2017500

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1975 1985 1995 2005 2017500

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

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Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 20: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 5 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 13568 012

High Five StatesKentucky 16231 108 01(0102) 1963c

West Virginia 15979 157 02(0103) 1777c

Mississippi 15421 129 03(0206) 1366c

Oklahoma 15222 114 04(0309) 1219c

DC 15076 291 05(0217) 1112c

Low Five StatesNew Mexico 12231 138 47(4349) -985c

Arizona 12154 076 48(4549) -1042c

Colorado 11865 090 49(4749) -1255c

Hawaii 11106 156 50(5051) -1815c

Utah 10905 130 51(5051) -1962c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 14320 095 15(1221) 554c Montana 13559 202 32(1940) -006Alaska 14020 314 22(0839) 334 Nebraska 13561 154 31(2039) -005Arizona 12154 076 48(4549) -1042c Nevada 14247 134 18(1225) 500c

Arkansas 15027 126 06(0312) 1076c New Hampshire 13864 178 25(1537) 218California 12462 034 45(4347) -815c New Jersey 13488 068 34(2838) -059Colorado 11865 090 49(4749) -1255c New Mexico 12231 138 47(4349) -985c

Connecticut 12552 101 44(4147) -749c New York 13016 045 40(3841) -406Delaware 14252 211 17(0930) 504c North Carolina 13758 066 28(2132) 141DC 15076 291 05(0217) 1112c North Dakota 12710 241 43(3548) -632c

Florida 12735 041 42(4145) -614c Ohio 15009 063 07(0411) 1062c

Georgia 13569 070 30(2637) 001 Oklahoma 15222 114 04(0309) 1219c

Hawaii 11106 156 50(5051) -1815c Oregon 14029 105 21(1529) 340Idaho 13377 169 37(2341) -141 Pennsylvania 14275 056 16(1321) 522c

Illinois 14324 060 14(1320) 557c Rhode Island 14034 198 20(1235) 344Indiana 14812 085 10(0513) 917c South Carolina 13916 094 23(1831) 257Iowa 13815 117 26(1834) 182 South Dakota 13434 227 36(2041) -098Kansas 13871 125 24(1733) 224 Tennessee 14947 084 09(0412) 1017c

Kentucky 16231 108 01(0102) 1963c Texas 12777 043 41(4044) -582c

Louisiana 14959 104 08(0412) 1025c Utah 10905 130 51(5051) -1962c

Maine 14670 172 12(0519) 812c Vermont 14090 257 19(1037) 385Maryland 13777 087 27(2033) 154 Virginia 13518 073 33(2737) -037Massachusetts 13256 077 38(3340) -230 Washington 13456 080 35(2838) -082Michigan 14566 067 13(1016) 736c West Virginia 15979 157 02(0103) 1777c

Minnesota 13172 089 39(3441) -292 Wisconsin 13714 086 29(2135) 108Mississippi 15421 129 03(0206) 1366c Wyoming 12309 271 46(3949) -928c

Missouri 14732 086 11(0714) 858c

Table 220All Cancer Sites (Invasive)

Age-Adjusted Cancer Deatha Rates by State All Races 2013-2017

Females

SEE

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ancer Statistics Review

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ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 20170

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1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

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ancer Statistics Review

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1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

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1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

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ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 21: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

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1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 4863591 3678954 2671940 1874577 1156722 14245784 1515155 15760939

Males 2338455 1857458 1307418 852831 477140 6833302 397509 7230811Females 2525136 1821495 1364523 1021746 679582 7412482 1117646 8530128

White Both Sexes 4024750 3103763 2301691 1639332 1019739 12089276 1304407 13393683Males 1927986 1556489 1120549 741727 420910 5767660 356439 6124100Females 2096765 1547275 1181142 897605 598830 6321616 947968 7269584

Black Both Sexes 522353 366426 243349 153030 87254 1372412 107632 1480045Males 258109 197693 128021 76937 38045 698805 20401 719206Females 264244 168733 115328 76093 49209 673608 87231 760839

Asian Both Sexes 183298 121582 80129 51196 29176 465381 + +Pacific Males 72929 49034 31005 17917 9032 179916 + +Islander Females 110369 72548 49124 33279 20144 285465 + +

Hispanic Both Sexes 408638 276391 184454 116896 68716 1055094 + +Males 177231 127177 83223 49354 25903 462888 + +Females 231407 149214 101232 67542 42812 592206 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 43954 00901 02070 04041 09211 21986 50523 105439 185788 221076 37298

Males 42813 00920 02200 03959 07363 14994 39928 106625 221101 298954 39647Females 45060 00881 01934 04127 11074 28862 60653 104365 156244 172583 36235

White Both Sexes 47774 00947 02237 04462 10025 23143 51610 106316 188503 225479 38150Males 45989 00958 02385 04391 08084 15833 39945 104705 219382 299112 39716Females 49527 00935 02081 04537 12035 30536 63009 107809 162101 178801 37752

Black Both Sexes 30132 00672 01434 02520 06091 16838 45141 104660 175131 186314 33375Males 31967 00714 01455 02433 04611 11542 41869 127224 248331 298122 41795Females 28439 00629 01412 02608 07458 21530 47992 86631 123947 130482 28361

Asian Both Sexes 22316 00756 01492 02405 05355 15093 35040 67079 107417 134818 23412Pacific Males 17996 00780 01624 02220 03636 07925 20939 55224 115436 172364 21409Islander Females 26294 00732 01358 02591 06920 21434 47256 76631 100999 110339 25440

Hispanic Both Sexes 18149 00836 01966 03481 06952 15731 35145 73612 128691 153187 26454Males 15761 00868 02121 03525 05450 09735 24303 67974 153010 215215 27366Females 20588 00802 01805 03433 08587 21895 45874 78620 109951 114686 26693

Table 221All Cancer Sites (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 22: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

600

700

800

900

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017100

200

300

400

500

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites by Race and Sex

a

Figure 21

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2013-17 = -08

US Mortality APC2002-17 = -17

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -02

US Mortality APC2001-17 = -27

SEER Incidence APCsDelay Adj 2003-17 = 00Observed 1998-17 = -02

US Mortality APC2001-17 = -13

SEER Incidence APCsDelay Adj 1992-17 = 00Observed 2009-17 = -08

US Mortality APC1999-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 23: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

0

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 20170

50

100

150

200

250

300

350

400

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Under 65 Years of Age by Race and Sex

a

Figure 22

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = 00Observed 2013-17 = -04

US Mortality APC2015-17 = -30

SEER Incidence APCsDelay Adj 2014-17 = 05Observed 2014-17 = -01

US Mortality APC2015-17 = -43

SEER Incidence APCsDelay Adj 2004-17 = 03Observed 1998-17 = 01

US Mortality APC2010-17 = -11

SEER Incidence APCsDelay Adj 1988-17 = 00Observed 1991-17 = -01

US Mortality APC1990-17 = -19

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 24: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

1000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 20171000

1500

2000

2500

3000

3500

4000

4500

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017500

1000

1500

2000

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesAll Cancer Sites Ages 65 and Over by Race and Sex

a

Figure 23

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 2013-17 = -03Observed 2007-17 = -20

US Mortality APC2001-17 = -17

SEER Incidence APCsDelay Adj 2015-17 = 23Observed 2014-17 = -04

US Mortality APC2001-17 = -26

SEER Incidence APCsDelay Adj 2009-17 = -04Observed 2009-17 = -07

US Mortality APC2007-17 = -14

SEER Incidence APCsDelay Adj 2008-17 = -08Observed 2008-17 = -12

US Mortality APC2002-17 = -16

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity
Page 25: SEER Cancer Statistics Review 1975-2017 · 2020. 7. 24. · Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry.

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

100

200

300

400

500

600

1975 1985 1995 2005 20170

100

200

300

400

500

600

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesAll Cancer Sites Both Sexes

Figure 24

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

  • Trends in SEER Incidence and US Mortality Both Sexes
  • Trends in SEER Incidence and US Mortality Males
  • Trends in SEER Incidence and US Mortality Females
  • Annual Delay-adjusted Incidence Rates
  • Annual Incidence Rates
  • Annual Death Rates
  • Incidence and Mortality Rates by Age
  • 5-year Relative and Period Survival
  • Relative Survival by Year of Diagnosis Both Sexes
  • Relative Survival by Year of Diagnosis Males
  • Relative Survival by Year of Diagnosis Females
  • Risk of DevelopingDying Both Sexes
  • Risk of DevelopingDying Males
  • Risk of DevelopingDying Females
  • Rates and Trends by RaceEthnicity
  • Age-Adjusted SEER Incidence Rates by Registry
  • Age-Adjusted SEER Death Rates by Registry
  • Age-Adjusted Cancer Death Rates By State Both Sexes
  • Age-Adjusted Cancer Death Rates By State Males
  • Age-Adjusted Cancer Death Rates By State Females
  • US Prevalence Estimates
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages lt65)
  • Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex (Ages 65+)
  • Graph - SEER Incidence and US Death Rates by RaceEthnicity

150 Famous Hispanics

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NHIA National Coding Standard for Home Infusion Claims under … · 2020. 4. 28. · NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective

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EER & SEER AS PREDICTORS OF SEASONAL …doe2.com/Download/DEER/SEER+ProgThermostats/EER-SEER Overview.pdfeer & seer as predictors of seasonal energy performance report summary southern

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