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Table 20.2

Cancer of the Oral Cavity and Pharynx for Selected Subsites (Invasive)

Trends in SEER 9 Observed Incidencea using the Joinpoint Regression Program, 1975-2014, with up to Five Joinpoints by Race and Sex

Cancer of the Tongue

Race Sex Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCb
Years APC Years APC Years APC Years APC Years APC Years APC 2010-14
All Races Both Sexes 1975-81 2.6* 1981-97 0.0 1997-14 2.0*             2.0*
Male 1975-99 0.4* 1999-14 2.4*                 2.4*
Female 1975-14 0.6*                     0.6*
White Male 1975-98 0.6* 1998-14 3.0*                 3.0*
Female 1975-14 0.8*                     0.8*
Black Male 1975-89 1.0 1989-14 -2.4*                 -2.4*
Female 1975-14 -1.5*                     -1.5*

Cancer of the Floor of Mouth, Gum and Other Mouth

Race Sex Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCb
Years APC Years APC Years APC Years APC Years APC Years APC 2010-14
All Races Both Sexes 1975-83 0.2 1983-14 -3.6*                 -3.6*
Male 1975-84 -0.6 1984-14 -3.8*                 -3.8*
Female 1975-80 4.6 1980-14 -3.4*                 -3.4*
White Male 1975-14 -3.1*                     -3.1*
Female 1975-82 1.9 1982-14 -3.3*                 -3.3*
Black Male 1975-77 56.3 1977-93 -2.7* 1993-14 -6.7*             -6.7*
Female - -                     -

Cancer of the Oropharynx and Tonsil

Race Sex Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCb
Years APC Years APC Years APC Years APC Years APC Years APC 2010-14
All Races Both Sexes 1975-99 0.0 1999-14 3.1*                 3.1*
Male 1975-99 0.4* 1999-14 3.5*                 3.5*
Female 1975-00 -1.6* 2000-14 1.4*                 1.4*
White Male 1975-97 0.3 1997-14 4.1*                 4.1*
Female 1975-04 -1.1* 2004-14 3.1*                 3.1*
Black Male 1975-14 -0.5*                     -0.5*
Female 1975-14 -1.6*                     -1.6*

Cancer of the Salivary Gland

Race Sex Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCb
Years APC Years APC Years APC Years APC Years APC Years APC 2010-14
All Races Both Sexes 1975-14 0.5*                     0.5*
Male 1975-14 0.5*                     0.5*
Female 1975-14 0.4*                     0.4*
White Male 1975-14 0.5*                     0.5*
Female 1975-14 0.3*                     0.3*
Black Male 1975-94 3.2* 1994-14 -1.9*                 -1.9*
Female 1975-14 0.7                     0.7

Cancer of the Lip

Race Sex Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCb
Years APC Years APC Years APC Years APC Years APC Years APC 2010-14
All Races Both Sexes 1975-98 -3.2* 1998-08 -5.6* 2008-14 1.1             1.1
Male 1975-96 -3.6* 1996-09 -6.1* 2009-14 2.0             2.0
Female 1975-14 -0.8*                     -0.8*
White Male 1975-96 -3.4* 1996-09 -6.0* 2009-14 2.2             2.2
Female 1975-14 -0.5*                     -0.5*
Black Male - -                     -
Female - -                     -

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 The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint over the time range of 1975-2014.

* 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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