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Table 2.1
All Cancer Sites (Invasive)
Trends in SEER Incidencea b and U.S. Mortalityc Using the Joinpoint Regression Program,
1975-2016 With up to Five Joinpoints, 2000-2016 With up to Three Joinpoints,
Both Sexes by Race/Ethnicity
SEER 9 Delay-Adjusted Incidencea, 1975-2016
| 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 | 2007-16 | 2012-16 | |
| All Races | 1975-89 | 1.2* | 1989-92 | 2.8 | 1992-95 | -2.4 | 1995-98 | 1.1 | 1998-08 | -0.3* | 2008-16 | -1.0* | -0.9* | -1.0* |
| White | 1975-82 | 0.8* | 1982-92 | 1.8* | 1992-95 | -2.1 | 1995-98 | 1.4 | 1998-08 | -0.3 | 2008-16 | -1.0* | -0.9* | -1.0* |
| Black | 1975-84 | 1.6* | 1984-89 | 0.5 | 1989-92 | 3.9* | 1992-09 | -0.6* | 2009-14 | -1.9* | 2014-16 | 0.4 | -1.1* | -0.8 |
SEER 21 Delay-Adjusted Incidenceb, 2000-2016
| 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 | 2007-16 | 2012-16 | |
| All Races | 2000-04 | -0.9* | 2004-07 | 0.6 | 2007-16 | -1.0* | -1.0* | -1.0* | ||||||
| White | 2000-04 | -0.9 | 2004-07 | 0.7 | 2007-16 | -1.0* | -1.0* | -1.0* | ||||||
| White NHe f | 2000-04 | -0.8 | 2004-07 | 0.9 | 2007-16 | -0.9* | -0.9* | -0.9* | ||||||
| Black | 2000-06 | -0.7* | 2006-09 | 0.5 | 2009-14 | -1.8* | 2014-16 | 0.1 | -0.9* | -0.9 | ||||
| Black NHe f | 2000-05 | -0.7* | 2005-09 | 0.3 | 2009-14 | -1.8* | 2014-16 | 0.2 | -0.9* | -0.8 | ||||
| APIe | 2000-16 | -0.4* | -0.4* | -0.4* | ||||||||||
| AI/ANe g | 2000-16 | 0.1 | 0.1 | 0.1 | ||||||||||
| Hispanicf | 2000-16 | -0.6* | -0.6* | -0.6* | ||||||||||
U.S. Cancer Mortalityc, 1975-2016
| 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 | 2007-16 | 2012-16 | |
| All Races | 1975-84 | 0.5* | 1984-91 | 0.3* | 1991-94 | -0.5 | 1994-98 | -1.3* | 1998-01 | -0.8* | 2001-16 | -1.5* | -1.5* | -1.5* |
| White | 1975-90 | 0.4* | 1990-94 | -0.3 | 1994-98 | -1.2* | 1998-01 | -0.6 | 2001-16 | -1.4* | -1.4* | -1.4* | ||
| Black | 1975-83 | 1.3* | 1983-91 | 0.7* | 1991-95 | -0.8* | 1995-01 | -1.6* | 2001-16 | -2.1* | -2.1* | -2.1* | ||
U.S. Cancer Mortalityc, 2000-2016
| 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 | 2007-16 | 2012-16 | |
| All Races | 2000-16 | -1.5* | -1.5* | -1.5* | ||||||||||
| White | 2000-16 | -1.4* | -1.4* | -1.4* | ||||||||||
| White NHe f | 2000-16 | -1.4* | -1.4* | -1.4* | ||||||||||
| Black | 2000-16 | -2.1* | -2.1* | -2.1* | ||||||||||
| Black NHe f | 2000-16 | -2.0* | -2.0* | -2.0* | ||||||||||
| APIe | 2000-16 | -1.3* | -1.3* | -1.3* | ||||||||||
| AI/ANe g | 2000-16 | -0.9* | -0.9* | -0.9* | ||||||||||
| Hispanicf | 2000-16 | -1.3* | -1.3* | -1.3* | ||||||||||
Footnotes:
Joinpoint Regression Program Version 4.7, February 2019, 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 21 areas (SEER 9 areas, Los Angeles, Alaska Native Registry, Rural Georgia, California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, Georgia excluding ATL/RG, Idaho, New York and Massachusetts).
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.
g Data for American Indian/Alaska Native are based on the Purchased/Referred Care Delivery Area (PRCDA) 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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