Table 4.
Cancer-related Outcomes Among Persons Who Died of Cancera — US-Affiliated Pacific Islands, 2008–2013
| All-cause case fatality within 1-yearb (%) | Cancer-related case fatalityc (%) | Median time diagnosis to deathd (days) | Median age of death (years) | Access to palliative caree (%) | Documented off-island treatmente (%) | |
|---|---|---|---|---|---|---|
| Flag Territories | ||||||
| American Samoa | 27 | 29 | 110 (0–1,054) | 60 (3–82) | 10 | 27 |
| Guam | 27 | 31 | 128 (0–2,002) | 64 (11–97) | 16 | 10 |
| Commonwealth of the Northern Mariana Islands | 28 | 20 | 102 (0–1,299) | 58 (31–84) | 13 | 48 |
| Freely Associated States | ||||||
| Federated States of Micronesia | 67 | 24 | 8 (0–844) | 54 (4–81) | 9 | 36 |
| Marshall Islands | 58 | 54 | 28 (0–1,215) | 53 (1–100) | 13 | 35 |
| Palau | 67 | 64 | 18.5 (0–452) | 62 (10–90) | 14 | 32 |
| Asian/Pacific Islander, Hawai‘i | — | — | 270f | — | — | — |
Data from Pacific Regional Central Cancer Registry Cancer Council of the Pacific Islands, based on vital status deceased was reported, year of diagnosis January 1, 2008–December 30, 2013. Based on chart review using available clinical information from clinical notes, death summaries, pathology notes, and imaging results in cancer registry, cases were coded with cause of death using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) 2016 version. World Health Organization. International Classification of Diseases for Oncology, Third Edition, First Revision. [Internet]. Geneva: World Health Organization, 2013 [cited 2018 April 2]. Available from: http://codes.iarc.fr/.
Number of persons diagnosed with cancer that had vital status deceased in cancer registry and date of death ≤365 days from date of diagnosis (even when cancer may not have been the coded cause of death) divided by the incident cases.
Number of persons diagnosed with cancer that had vital status deceased and coded with cause-specific death classification of death attributable to cancer diagnosis divided by the incident cases.
Date of cancer diagnosis based on date recorded in cancer registry, many times based on date of pathology review of cancer tissue. Date of death based on date on death certificate or last clinical date entered in the cancer registry if date of death not recorded.
Based on clinical information included in cancer registry.
Median number of days calculated using Surveillance, Epidemiology, and End Results (SEER) registry data (2000–2015), Kaplan-Meier survival analysis with a cause-specific death classification attributable to cancer diagnosis, among Asian or Pacific Islander, diagnosed in Hawai‘i 2008–2013.