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. 2018 May 22;124(13):2785–2800. doi: 10.1002/cncr.31551

Table 1.

Age‐Standardized, Delay‐Adjusted Incidence Rates and Fixed‐Interval Trends (2010‐2014) for the Most Common Cancers by Sex, Race, and Ethnicity for Areas in the United States With High‐Quality Incidence Dataa , b

All Racesc Whitec Blackc APIc AI/AN (CHSDA)c Hispanicc Non‐Hispanicc
Sex/Cancer Site or Typed Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P Rank Ratee 2010‐2014 AAPCf P
All sitesg
Both sexes 453.8 −1.0h .001 457.3 −1.0h .001 467.5 −1.4h <.001 299.1 −0.4h <.001 423.4 0.1 .43 356.2 −1.2h <.001 465.7 −0.9h .002
Males 502.0 −2.2h <.001 500.1 −2.1h <.001 558.2 −3.0h <.001 309.0 −2.6h <.001 446.8 −0.5h .04 392.6 −2.8h <.001 514.7 −2.1h <.001
Females 420.6 0.0 .96 428.7 0.0 .59 406.8 0.3h <.001 295.8 0.7h <.001 409.9 0.6h <.001 335.3 0.6 .14 431.5 0.1 .07
Males
Prostate 1 118.2 −7.6h <.001 1 110.1 −7.0h <.001 1 193.5 −6.0h <.001 1 62.5 −9.5h <.001 1 86.6 −9.0h <.001 1 101.6 −7.8h <.001 1 120.2 −7.6h <.001
Lung and bronchus 2 73.2 −2.4h <.001 2 73.1 −2.3h <.001 2 85.8 −3.0h <.001 2 46.4 −1.5h <.001 2 74.4 −0.5 .16 3 41.4 −2.6h <.001 2 76.3 −2.2h <.001
Colon and rectum 3 46.5 −1.9h .004 3 45.5 −1.9h .005 3 56.1 −2.8h <.001 3 38.2 −2.2h <.001 3 53.2 −1.8h .01 2 43.0 −2.7h <.001 3 47.0 −1.8h .003
Urinary bladder 4 36.8 −0.8h <.001 4 39.3 −0.7h <.001 5 20.3 0.7h <.001 6 15.6 −0.4h .03 5 21.5 0.4 .38 7 20.2 −1.9h <.001 4 38.3 −0.6h <.001
Melanoma of the skin 5 27.4 2.3h <.001 5 31.1 2.5h <.001 19 1.2 −0.3 .52 18 1.6 0.2 .72 12 10.1 11.7 .12 15 5.1 3.1 .10 5 30.0 2.6h <.001
Non‐Hodgkin lymphoma 6 23.7 −0.2 .11 6 24.4 −0.4h .02 7 17.6 0.2 .12 5 16.4 0.4 .14 7 18.1 0.1 .94 5 20.6 −0.2 .32 6 24.1 −0.2 .85
Kidney and renal pelvis 7 22.3 1.1h .001 7 22.5 0.7h .001 4 24.7 1.0h .03 9 11.4 2.3h <.001 4 31.9 2.1h .002 4 21.5 1.0 .21 7 22.5 1.2h .001
Leukemia 8 19.0 1.6h <.001 8 19.8 1.6h <.001 11 14.7 1.0h <.001 10 10.4 0.8h .03 9 14.0 0.5 .55 8 14.1 0.5h .03 8 19.3 1.7h <.001
Oral cavity and pharynx 9 17.7 1.3h <.001 9 18.3 1.6h <.001 10 14.8 −1.9h <.001 8 11.7 0.5 .13 8 17.1 1.3 .07 11 10.9 −0.9h .003 9 18.6 1.6h <.001
Pancreas 10 14.5 1.0h <.001 10 14.4 1.1h <.001 8 17.0 0.6h .003 11 10.3 0.5h .04 10 12.6 1.3 .19 10 12.3 0.5h .03 10 14.7 1.1h <.001
Liver and intrahepatic bile duct 11 12.5 2.8h <.001 11 11.3 3.3h <.001 6 17.7 2.6h .002 4 20.6 −1.7h .003 6 20.7 4.6h <.001 6 20.4 1.1 .18 11 11.7 2.9h <.001
Stomach 12 9.4 −0.3 .13 12 8.6 0.0 .95 12 14.3 −1.8h <.001 7 14.3 −2.8h <.001 11 11.9 −2.2h .01 9 13.1 −2.1h <.001 12 9.0 −0.1 .70
Myeloma 13 8.7 2.5h <.001 15 8.0 2.3h <.001 9 16.9 2.2h <.001 13 5.2 2.6h <.001 13 8.7 1.8 .11 12 8.5 1.5h <.001 13 8.7 2.5h <.001
Esophagus 14 8.1 −1.6h <.001 14 8.4 −1.3h .002 14 7.0 −4.7h <.001 15 3.8 −1.0 .10 14 8.1 −0.8 .50 17 4.9 −3.6h <.001 14 8.4 −0.9 .21
Brain and other nervous system 15 7.9 −0.2h .003 13 8.5 −0.1 .08 15 5.0 0.3 .24 14 4.4 0.3 .32 15 6.1 1.0 .34 13 6.1 −0.5h .003 15 8.3 0.0 .95
Thyroid 16 7.3 2.4h <.001 16 7.8 2.3h .001 16 3.9 4.9h <.001 12 7.1 5.6h <.001 18 4.8 4.2h .01 14 5.5 4.5h <.001 16 7.7 2.3h <.001
Larynx 17 6.1 −2.3h <.001 18 6.0 −2.1h <.001 13 8.5 −3.2h <.001 16 2.2 −2.9h .001 17 5.1 −1.9h .04 16 5.0 −3.0h <.001 17 6.2 −2.2h <.001
Females
Breast 1 125.6 0.4h .008 1 126.9 0.4h .03 1 125.6 0.7h .03 1 94.9 1.7h <.001 1 108.8 1.9h .001 1 95.3 0.4h .03 1 129.5 0.5h .002
Lung and bronchus 2 53.3 −1.2h <.001 2 55.1 −1.1h <.001 2 49.8 −0.9h .001 2 28.6 0.2 .07 2 58.1 −2.0h .02 3 25.6 −0.8h <.001 2 56.2 −1.0h <.001
Colon and rectum 3 35.2 −1.7h .004 3 34.5 −1.7h .02 3 41.5 −2.0h .01 3 27.8 −3.5h <.001 3 44.1 −0.8h .04 2 30.0 −1.1 .11 3 35.9 −1.7h .01
Corpus and uterus, NOS 4 26.3 1.2h <.001 4 26.8 1.1h <.001 4 25.9 2.4h <.001 5 18.9 2.2h <.001 4 23.5 1.5h .005 4 22.7 2.7h <.001 4 26.7 1.2h <.001
Thyroid 5 21.6 1.9h <.001 5 22.7 1.6h <.001 6 14.1 2.7h .05 4 21.8 1.5 .22 6 16.2 5.9h <.001 5 20.5 2.5h .002 5 21.9 1.8h .001
Melanoma of the skin 6 16.8 1.2h .002 6 19.6 1.4h <.001 21 1.0 0.4 .38 18 1.3 −0.3 .66 16 6.5 1.7h .04 17 4.4 0.2 .51 6 18.7 1.4h .001
Non‐Hodgkin lymphoma 7 16.3 −0.4h .002 7 16.9 −0.5h .001 8 12.5 0.7h <.001 6 11.1 0.2 .44 7 14.7 0.2 .80 6 15.7 0.1 .42 7 16.4 −0.4h .002
Ovary 8 11.8 −1.6h <.001 8 12.2 −1.6h <.001 10 9.5 −0.6h .002 7 9.6 −0.2 .30 8 11.5 −0.5 .58 8 10.6 −1.3h <.001 8 11.9 −1.6h <.001
Leukemia 9 11.5 1.4h <.001 9 12.0 1.1h <.001 11 9.4 2.1h <.001 11 6.7 1.1h .002 10 9.8 0.6 .53 11 9.7 0.5h .02 9 11.6 1.4h <.001
Kidney and renal pelvis 10 11.5 0.4h .03 10 11.7 0.4h .03 7 12.7 −0.1 .89 14 5.1 −0.2 .79 5 18.9 1.7h .01 7 12.4 2.0h <.001 10 11.4 0.3 .09
Pancreas 11 11.2 1.1h <.001 11 10.9 1.1h <.001 5 14.6 0.8h <.001 8 9.0 0.8h .003 9 11.1 0.8 .32 9 10.6 0.6h <.001 11 11.3 1.1h <.001
Urinary bladder 12 9.1 −0.8h <.001 12 9.6 −0.7h <.001 14 6.8 −0.3 .19 15 4.0 −0.4 .42 15 6.6 1.8h .05 15 5.2 −1.3h .001 12 9.5 −0.6h <.001
Cervix uteri 13 7.7 −1.0h <.001 13 7.5 −0.7h .004 12 9.4 −3.7h .001 12 6.2 −2.8h <.001 11 9.4 −6.3h .03 10 9.9 −1.6 .10 13 7.4 −0.8h .001
Oral cavity and pharynx 14 6.5 0.8h <.001 14 6.7 1.0h <.001 15 5.2 −0.8h .001 13 5.3 −0.7 .09 14 6.6 0.7 .53 18 4.3 −0.2 .60 14 6.8 0.9h <.001
Myeloma 15 5.7 1.6h .003 16 5.0 2.3h <.001 9 12.5 2.0h <.001 16 3.4 1.0 .06 17 5.8 −1.0 .35 14 5.7 2.0h .003 16 5.7 1.6h .004
Brain and other nervous system 16 5.7 −0.7h .008 15 6.1 −0.7h .01 17 3.6 0.1 .71 17 3.4 3.7h .001 18 3.9 0.1 .95 16 4.6 −1.1h <.001 15 5.9 −0.6h .03
Stomach 17 4.7 0.1h .77 17 4.1 0.5 .32 13 8.0 −1.3h <.001 9 8.3 −2.5h <.001 13 6.7 −1.5 .09 12 7.9 −1.5h <.001 17 4.4 −0.8h <.001
Liver and intrahepatic bile duct 18 4.3 3.8h <.001 18 4.0 4.5h <.001 16 5.2 3.6h <.001 10 7.8 −0.5 .05 12 9.2 3.9h .002 13 7.8 2.3h <.001 18 4.0 4.1h <.001

Abbreviations: AAPC, average annual percent change; AI/AN, American Indian/Alaska Native; APC, annual percent change; API, Asian/Pacific Islander; CHSDA, Indian Health Service Contract Health Services Delivery Area; NOS, not otherwise specified.

a

Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results areas reported by the North American Association of Central Cancer Registries as meeting high‐quality incidence data standards for the specified time periods.

b

The following registries were included in the incidence rates (2010‐2014) and Joinpoint models (1999‐2014) for all races/ethnicities, white, black, AI/AN, API, Hispanic, and non‐Hispanic (42 states): Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin, and Wyoming.

c

White, black, API, and AI/AN (CHSDA 2012 counties) include Hispanic and non‐Hispanic; the race and ethnicity categories are not mutually exclusive. AI/AN (CHSDA 2012) statistics exclude data from Kansas.

d

Cancers are sorted in descending order according to sex‐specific rates for all races/ethnicities. More than 15 cancers may appear under males and females to include the top 15 cancers in every race/ethnicity group.

e

Rates are per 100,000 persons and were age standardized to the 2000 US standard population (19 age groups; US Bureau of the Census, Current Population Reports, Publication 25‐1130. Washington, DC: US Government Printing Office; 2000 [Census P25‐1130]).

f

The AAPC is the average APC and is a weighted average of the APCs over the fixed interval from 2010 to 2014 using the underlying Joinpoint model for the period from 1999 to 2014. Joinpoint models with up to 2 joinpoints are based on rates per 100,000 persons and age standardized to the 2000 US standard population (19 age groups; Census P25‐1130). For joinpoint analysis, the Joinpoint Regression Program was used (version 4.5.0.1; Bethesda, MD: Statistical Research and Applications Branch, National Cancer Institute; June 2017).

g

For all sites, myelodysplastic syndromes are included for the rate calculations but not for the APC calculations; they are excluded from cancer‐specific analysis. Ovary excludes borderline tumors.

h

The AAPC is statistically significantly different from zero (two‐sided P <.05).