Table 1.
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.
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.
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.
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.
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.
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]).
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).
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.
The AAPC is statistically significantly different from zero (two‐sided P <.05).