Table 1.
Characteristics of newly diagnosed cancer patients, data compiled by the North American Association of Central Cancer Registriesa
| Characteristic | Total No. (%) |
Medicaid expansion states, No. (%) |
Nonexpansion states, No. (%) |
||||||
|---|---|---|---|---|---|---|---|---|---|
| Cases | Deaths | Cause-specific deaths | Cases | Deaths | Cause-specific deaths | Cases | Deaths | Cause-specific deaths | |
| (N = 2 555 302) | (N = 453 487) | (N = 332 520) | (n = 1 523 585) | (n = 257 950) | (n = 177 765) | (n = 1 031 717) | (n = 195 537) | (n = 154 755) | |
| Year of diagnosis | |||||||||
| 2010-2012 | 1 239 110 (48.5) | 226 685 (50.0) | 164 762 (49.5) | 744 802 (48.9) | 131 053 (50.8) | 89 606 (50.4) | 494 308 (47.9) | 95 632 (48.9) | 75 156 (48.6) |
| 2014-2016 | 1 316 192 (51.5) | 226 802 (50.0) | 167 758 (50.5) | 778 783 (51.1) | 126 897 (49.2) | 88 159 (49.6) | 537 409 (52.1) | 99 905 (51.1) | 79 599 (51.4) |
| Sex | |||||||||
| Male | 1 198 446 (46.9) | 263 781 (58.2) | 192 306 (57.8) | 709 125 (46.5) | 149 373 (57.9) | 102 255 (57.5) | 489 321 (47.4) | 114 408 (58.5) | 90 051 (58.2) |
| Female | 1 356 856 (53.1) | 189 706 (41.8) | 140 214 (42.2) | 814 460 (53.5) | 108 577 (42.1) | 75 510 (42.5) | 542 396 (52.6) | 81 129 (41.5) | 64 704 (41.8) |
| Race and ethnicity | |||||||||
| Hispanic | 295 501 (11.6) | 48 586 (10.7) | 39 451 (11.9) | 183 073 (12.0) | 29 859 (11.6) | 23 421 (13.2) | 112 428 (10.9) | 18 727 (9.6) | 16 030 (10.4) |
| Non-Hispanic Black | 340 173 (13.3) | 76 020 (16.8) | 50 482 (15.2) | 165 396 (10.9) | 36 164 (14.0) | 20 751 (11.7) | 174 777 (16.9) | 39 856 (20.4) | 29 731 (19.2) |
| Non-Hispanic Otherb | 129 006 (5.0) | 20 646 (4.6) | 16 270 (4.9) | 100 661 (6.6) | 15 685 (6.1) | 12 284 (6.9) | 28 345 (2.7) | 4961 (2.5) | 3986 (2.6) |
| Non-Hispanic White | 1 790 622 (70.1) | 308 235 (68.0) | 226 317 (68.1) | 1 074 455 (70.5) | 176 242 (68.3) | 121 309 (68.2) | 716 167 (69.4) | 131 993 (67.5) | 105 008 (67.9) |
| Age group, y | |||||||||
| 18-44 | 534 393 (20.9) | 50 109 (11.0) | 37 506 (11.3) | 319 829 (21.0) | 28 774 (11.2) | 20 405 (11.5) | 214 564 (20.8) | 21 335 (10.9) | 17 101 (11.1) |
| 45-54 | 848 092 (33.2) | 144 222 (31.8) | 106 767 (32.1) | 505 423 (33.2) | 81 384 (31.6) | 56 713 (31.9) | 342 669 (33.2) | 62 838 (32.1) | 50 054 (32.3) |
| 55-62 | 1 172 817 (45.9) | 259 156 (57.1) | 188 247 (56.6) | 698 333 (45.8) | 147 792 (57.3) | 100 647 (56.6) | 474 484 (46.0) | 111 364 (57.0) | 87 600 (56.6) |
| Rural/urban status | |||||||||
| Metropolitan | 2 176 758 (85.2) | 372 833 (82.2) | 272 350 (81.9) | 1 331 108 (87.4) | 218 761 (84.8) | 149 939 (84.3) | 845 650 (82.0) | 154 072 (78.8) | 122 411 (79.1) |
| Nonmetropolitan urban | 338 607 (13.3) | 71 666 (15.8) | 53 527 (16.1) | 174 987 (11.5) | 35 345 (13.7) | 24 928 (14.0) | 163 620 (15.9) | 36 321 (18.6) | 28 599 (18.5) |
| Nonmetropolitan rural | 39 937 (1.6) | 8988 (2.0) | 6643 (2.0) | 17 490 (1.1) | 3844 (1.5) | 2898 (1.6) | 22 447 (2.2) | 5144 (2.6) | 3745 (2.4) |
| Census tract % persons below poverty | |||||||||
| <5.0% | 466 766 (18.3) | 54 725 (12.1) | 39 248 (11.8) | 315 412 (20.7) | 36 878 (14.3) | 25 754 (14.5) | 151 354 (14.7) | 17 847 (9.1) | 13 494 (8.7) |
| 5.0%-9.99% | 636 805 (24.9) | 95 062 (21.0) | 69 248 (20.8) | 403 453 (26.5) | 59 000 (22.9) | 40 556 (22.8) | 233 352 (22.6) | 36 062 (18.4) | 28 692 (18.5) |
| 10.0%-19.99% | 824 246 (32.3) | 155 029 (34.2) | 114 465 (34.4) | 463 752 (30.4) | 83 669 (32.4) | 57 546 (32.4) | 360 494 (34.9) | 71 360 (36.5) | 56 919 (36.8) |
| ≥20.0% or more | 627 485 (24.6) | 148 671 (32.8) | 109 559 (32.9) | 340 968 (22.4) | 78 403 (30.4) | 53 909 (30.3) | 286 517 (27.8) | 70 268 (35.9) | 55 650 (36.0) |
| Geographic region | |||||||||
| Pacific region | 427 456 (16.7) | 70 720 (15.6) | 57 996 (17.4) | 427 456 (28.1) | 70 720 (27.4) | 57 996 (32.6) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Mountain states | 172 484 (6.8) | 28 176 (6.2) | 21 202 (6.4) | 134 067 (8.8) | 22 758 (8.8) | 16 740 (9.4) | 38 417 (3.7) | 5418 (2.8) | 4462 (2.9) |
| East North Central region | 394 420 (15.4) | 68 995 (15.2) | 29 351 (8.8) | 335 775 (22.0) | 59 801 (23.2) | 20 991 (11.8) | 58 645 (5.7) | 9194 (4.7) | 8360 (5.4) |
| West North Central region | 167 139 (6.5) | 28 853 (6.4) | 26 185 (7.9) | 90 941 (6.0) | 14 175 (5.5) | 12 887 (7.2) | 76 198 (7.4) | 14 678 (7.5) | 13 298 (8.6) |
| New England | 76 604 (3.0) | 11 661 (2.6) | 8 938 (2.7) | 63 358 (4.2) | 9262 (3.6) | 6727 (3.8) | 13 246 (1.3) | 2399 (1.2) | 2211 (1.4) |
| Mid-Atlantic region | 461 134 (18.0) | 74 667 (16.5) | 46 665 (14.0) | 392 789 (25.8) | 63 506 (24.6) | 46 665 (26.3) | 68 345 (6.6) | 11 161 (5.7) | 0 (0.0) |
| South Atlantic region | 376 663 (14.7) | 72 040 (15.9) | 65 003 (19.5) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 376 663 (36.5) | 72 040 (36.8) | 65 003 (42.0) |
| East South Central states | 186 518 (7.3) | 40 709 (9.0) | 26 522 (8.0) | 50 058 (3.3) | 11 212 (4.3) | 9971 (5.6) | 136 460 (13.2) | 29 497 (15.1) | 16 551 (10.7) |
| West South Central states | 292 884 (11.5) | 57 666 (12.7) | 50 658 (15.2) | 29 141 (1.9) | 6516 (2.5) | 5788 (3.3) | 263 743 (25.6) | 51 150 (26.2) | 44 870 (29.0) |
| Cancer type | |||||||||
| Female breast | 469 917 (18.4) | 19 516 (4.3) | 13 707 (4.1) | 281 914 (18.5) | 10 747 (4.2) | 7070 (4.0) | 188 003 (18.2) | 8769 (4.5) | 6637 (4.3) |
| Prostate | 295 275 (11.6) | 6512 (1.4) | 3 270 (1.0) | 176 474 (11.6) | 3 837 (1.5) | 1778 (1.0) | 118 801 (11.5) | 2675 (1.4) | 1492 (1.0) |
| Colon and rectum | 213 405 (8.4) | 35 597 (7.8) | 26 244 (7.9) | 124 383 (8.2) | 19 938 (7.7) | 13 848 (7.8) | 89 022 (8.6) | 15 659 (8.0) | 12 396 (8.0) |
| Lung and bronchus | 209 800 (8.2) | 127 177 (28.0) | 95 844 (28.8) | 118 351 (7.8) | 69 925 (27.1) | 49 188 (27.7) | 91 449 (8.9) | 57 252 (29.3) | 46 656 (30.1) |
| Uterine corpus | 108 016 (4.2) | 8805 (1.9) | 6 351 (1.9) | 68 431 (4.5) | 5346 (2.1) | 3622 (2.0) | 39 585 (3.8) | 3459 (1.8) | 2729 (1.8) |
| Oral cavity and pharynx | 79 527 (3.1) | 15 088 (3.3) | 10 511 (3.2) | 46 051 (3.0) | 8172 (3.2) | 5264 (3.0) | 33 476 (3.2) | 6916 (3.5) | 5247 (3.4) |
| Kidney and renal pelvis | 100 759 (3.9) | 12 424 (2.7) | 8 703 (2.6) | 58 277 (3.8) | 7071 (2.7) | 4653 (2.6) | 42 482 (4.1) | 5353 (2.7) | 4050 (2.6) |
| Melanoma | 126 222 (4.9) | 5781 (1.3) | 4 134 (1.2) | 76 107 (5.0) | 3329 (1.3) | 2259 (1.3) | 50 115 (4.9) | 2452 (1.3) | 1875 (1.2) |
| Non-Hodgkin lymphoma | 98 584 (3.9) | 13 636 (3.0) | 9 490 (2.9) | 60 128 (3.9) | 7929 (3.1) | 5187 (2.9) | 38 456 (3.7) | 5707 (2.9) | 4303 (2.8) |
| Thyroid | 150 539 (5.9) | 1 399 (0.3) | 735 (0.2) | 96 575 (6.3) | 816 (0.3) | 396 (0.2) | 53 964 (5.2) | 583 (0.3) | 339 (0.2) |
| Pancreas | 52 749 (2.1) | 35 953 (7.9) | 28 051 (8.4) | 31 215 (2.0) | 20 987 (8.1) | 15 459 (8.7) | 21 534 (2.1) | 14 966 (7.7) | 12 592 (8.1) |
| Liver and intrahepatic bile duct | 54 862 (2.1) | 33 164 (7.3) | 24 529 (7.4) | 31 881 (2.1) | 18 719 (7.3) | 12 927 (7.3) | 22 981 (2.2) | 14 445 (7.4) | 11 602 (7.5) |
| Ovary | 40 430 (1.6) | 7236 (1.6) | 5480 (1.6) | 25 026 (1.6) | 4413 (1.7) | 3155 (1.8) | 15 404 (1.5) | 2823 (1.4) | 2325 (1.5) |
| Bladder | 57 664 (2.3) | 6989 (1.5) | 4713 (1.4) | 35 521 (2.3) | 4071 (1.6) | 2572 (1.4) | 22 143 (2.1) | 2918 (1.5) | 2141 (1.4) |
| Esophagus | 22 310 (0.9) | 13 778 (3.0) | 10 370 (3.1) | 13 097 (0.9) | 7962 (3.1) | 5594 (3.1) | 9213 (0.9) | 5816 (3.0) | 4776 (3.1) |
| Leukemia | 62 618 (2.5) | 11 876 (2.6) | 8390 (2.5) | 37 167 (2.4) | 7043 (2.7) | 4793 (2.7) | 25 451 (2.5) | 4833 (2.5) | 3597 (2.3) |
| Brain and other nervous system | 45 123 (1.8) | 18 236 (4.0) | 14 126 (4.2) | 27 267 (1.8) | 10 862 (4.2) | 7978 (4.5) | 17 856 (1.7) | 7374 (3.8) | 6148 (4.0) |
| Cervix | 44 182 (1.7) | 7696 (1.7) | 5943 (1.8) | 24 745 (1.6) | 4143 (1.6) | 3016 (1.7) | 19 437 (1.9) | 3553 (1.8) | 2927 (1.9) |
| Stomach | 33 815 (1.3) | 16 382 (3.6) | 12 690 (3.8) | 20 845 (1.4) | 10 044 (3.9) | 7445 (4.2) | 12 970 (1.3) | 6338 (3.2) | 5245 (3.4) |
| Other sites | 289 505 (11.3) | 56 242 (12.4) | 39 239 (11.8) | 170 130 (11.2) | 32 596 (12.6) | 21 561 (12.1) | 119 375 (11.6) | 23 646 (12.1) | 17 678 (11.4) |
a
The percentages for cause-specific deaths were based on 2 077 319 cases with usable cause of death information. Medicaid expansion states included 24 states (AZ, AR, CA, CO, CT, DE, HI, IL, IA, KY, MD, MI, MN, NV, NH, NJ, NM, NY, ND, OH, OR, RI, WA, WV) and the District of Columbia that expanded Medicaid eligibility under the Affordable Care Act in 2014; nonexpansion states included 17 states (AL, FL, GA, ID, ME, MS, MO, NE, NC, OK, SD, TN, TX, UT, VA, WI, WY) that had not expanded Medicaid eligibility by the end of 2017.
b
Non-Hispanic Other included non-Hispanic American Indian or Alaska Native, Asian or Pacific Islander, and unknown.