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Table 16.2

Melanoma of the Skin (Invasive)

Trends in SEER Incidencea b and U.S. Mortalityc Using the Joinpoint Regression Program,

1975-2014 With up to Five Joinpoints, 1992-2014 With up to Four Joinpoints,

Males by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-86 5.4* 1986-05 3.1* 2005-14 1.8*             1.8* 1.8*
White 1975-85 5.9* 1985-05 3.4* 2005-14 2.0*             2.0* 2.0*
Black 1975-14 -0.5                     -0.5 -0.5

SEER 13 Delay-Adjusted Incidenceb, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-96 5.0* 1996-14 2.0*                 2.0* 2.0*
White 1992-05 3.2* 2005-14 1.6*                 1.6* 1.6*
Black 1992-95 52.9* 1995-14 -2.6*                 -2.6* -2.6*

SEER 9 Observed Incidencea, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-85 5.6* 1985-05 3.2* 2005-14 1.5*             1.5* 1.5*
White 1975-85 5.9* 1985-05 3.5* 2005-14 1.6*             1.6* 1.6*
Black 1975-14 -0.5                     -0.5 -0.5

SEER 13 Observed Incidenceb, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-96 5.2* 1996-14 1.8*                 1.8* 1.8*
White 1992-06 3.1* 2006-14 1.1*                 1.3* 1.1*
White NHe f 1992-05 3.6* 2005-14 1.6*                 1.6* 1.6*
Black 1992-95 53.3* 1995-14 -2.8*                 -2.8* -2.8*
Black NHe f 1992-95 53.6* 1995-14 -2.7*                 -2.7* -2.7*
APIe 1992-14 1.2*                     1.2* 1.2*
AI/ANe g 1992-14 1.5                     1.5 1.5
Hispanicf 1992-14 1.4*                     1.4* 1.4*

U.S. Cancer Mortalityc, 1975-2014
Alternate mortality trends adjusted for ICD-9/ICD-10 coding change available at: https://surveillance.cancer.gov/joinpoint/jump.html

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-90 2.2* 1990-02 0.0 2002-09 0.9* 2009-14 -1.3*         -0.3 -1.3*
White 1975-87 2.5* 1987-97 1.0* 1997-00 -1.6 2000-09 1.1* 2009-14 -1.0*     -0.1 -1.0*
Black 1975-14 -0.8*                     -0.8* -0.8*

U.S. Cancer Mortalityc, 1992-2014
Alternate mortality trends adjusted for ICD-9/ICD-10 coding change available at: https://surveillance.cancer.gov/joinpoint/jump.html

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-02 -0.1 2002-09 1.0 2009-14 -1.3*             -0.3 -1.3*
White 1992-02 0.0 2002-09 1.1* 2009-14 -1.1             -0.1 -1.1
White NHe f 1992-02 0.2 2002-09 1.4* 2009-14 -0.9             0.1 -0.9
Black 1992-14 -0.3                     -0.3 -0.3
Black NHe f 1992-14 -0.2                     -0.2 -0.2
APIe 1992-14 -1.8*                     -1.8* -1.8*
AI/ANe g 1992-14 2.4                     2.4 2.4
Hispanicf 1992-14 -0.2                     -0.2 -0.2

Footnotes:

Joinpoint Regression Program Version 4.4, January 2017, 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 13 areas (SEER 9 Areas, Los Angeles, San Jose-Monterey, Rural Georgia, and the Alaska Native Registry).

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. The Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

g Data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

* The APC/AAPC is significantly different from zero (p<.05).

- Joinpoint regression line analysis could not be performed on data series.

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