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Table 6.22

Cancer of the Colon (Invasive) and Cancer of the Rectum (Invasive)

Age-adjusted Rates and Trendsa by Race/Ethnicity and Sex

Cancer of the Colon, SEER Incidence, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex

Race/Ethnicity SEER 21 Areasb
Rate 2013-2017
Rate per 100,000 persons
SEER 21 Areasb
Trend 2008-2017c
AAPC (%)
SEER 9 Areasb
Trend 2008-2017d
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females Both
Sexes
Males Females
All Races 26.8 29.5 24.6 -2.7* -2.9* -2.5* -2.6* -2.6* -2.4*
White 26.5 29.0 24.4 -2.6* -2.9* -2.3* -2.7* -3.0* -2.3*
White Hispanice 23.8 26.9 21.5 -2.5* -3.0* -1.7* - - -
White Non-Hispanice 27.0 29.5 24.9 -2.5* -2.8* -2.1* - - -
Black 32.0 36.5 28.8 -3.2* -3.3* -3.1* -3.1* -3.2* -3.2*
Asian/Pacific Islander 20.7 23.4 18.5 -2.6* -2.6* -3.4* - - -
American Indian/
Alaska Nativef
26.8 26.6 27.0 -1.2* -1.2 -1.1* - - -
Hispanice 23.2 26.1 21.0 -2.0* -2.3* -1.5* - - -

Cancer of the Rectum, SEER Incidence, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex

Race/Ethnicity SEER 21 Areasb
Rate 2013-2017
Rate per 100,000 persons
SEER 21 Areasb
Trend 2008-2017c
AAPC (%)
SEER 9 Areasb
Trend 2008-2017d
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females Both
Sexes
Males Females
All Races 11.4 14.3 9.1 -1.5* -1.6* -1.5* -1.1* -1.3* -1.0
White 11.2 13.9 8.9 -1.6* -1.7* -1.5* -1.1* -1.3* -1.0
White Hispanice 10.8 13.9 8.3 -1.5* -1.8* -1.3* - - -
White Non-Hispanice 11.4 14.1 9.1 -1.5* -1.6* -1.5* - - -
Black 11.6 14.8 9.3 -2.2* -1.1* -2.5* -2.2* -1.5* -2.6*
Asian/Pacific Islander 11.1 14.5 8.3 -1.7* -1.6* -1.8 - - -
American Indian/
Alaska Nativef
12.2 13.8 10.9 -0.1 -1.1 1.1 - - -
Hispanice 10.5 13.5 8.1 -1.5* -1.8* -1.2* - - -

Footnotes:

The AAPC is the Average Annual Percent Change over the time interval. The AAPCs are calculated by the Joinpoint Regression Program Version 4.8, April 2020, National Cancer Institute.

- Statistic not shown. Rate based on less than 16 cases for the time interval. Trend based on less than 10 cases for at least one year within the time interval.

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130). Trends are based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

b The SEER 9 areas are San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta.
The SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey, Los Angeles, the Alaska Native Registry, Rural Georgia, California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, Georgia excluding ATL/RG, Idaho, New York and Massachusetts.

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints over diagnosis years 2000-2017.

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints over diagnosis years 1975-2017.

e 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.

f Incidence data for American Indian/Alaska Native are based on the Purchased/Referred Care Delivery Area (PRCDA) counties.

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

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