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Table 22.3

Cancer of the Pancreas (Invasive)

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

1975-2017 With up to Five Joinpoints, 2000-2017 With up to Three Joinpoints,

Females by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2017

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 2008-17 2013-17
All Races 1975-84 1.4* 1984-96 -0.5 1996-17 1.0*             1.0* 1.0*
White 1975-84 1.3* 1984-96 -0.6 1996-17 1.1*             1.1* 1.1*
Black 1975-17 0.1                     0.1 0.1

SEER 21 Delay-Adjusted Incidenceb, 2000-2017

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 2008-17 2013-17
All Races 2000-17 0.8*                     0.8* 0.8*
White 2000-17 0.9*                     0.9* 0.9*
White NHe f 2000-17 0.9*                     0.9* 0.9*
Black 2000-17 0.4*                     0.4* 0.4*
Black NHe f 2000-17 0.4*                     0.4* 0.4*
APIe 2000-17 0.7*                     0.7* 0.7*
AI/ANe g 2000-17 -1.9*                     -1.9* -1.9*
Hispanicf 2000-17 0.5*                     0.5* 0.5*

U.S. Cancer Mortalityc, 1975-2017

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 2008-17 2013-17
All Races 1975-84 0.8* 1984-03 0.1 2003-06 1.0 2006-17 0.0         0.0 0.0
White 1975-83 0.7* 1983-02 0.1 2002-06 0.9 2006-17 0.1         0.1 0.1
Black 1975-86 2.5* 1986-17 -0.3*                 -0.3* -0.3*

U.S. Cancer Mortalityc, 2000-2017

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 2008-17 2013-17
All Races 2000-17 0.2*                     0.2* 0.2*
White 2000-17 0.3*                     0.3* 0.3*
White NHe f 2000-17 0.4*                     0.4* 0.4*
Black 2000-17 -0.3*                     -0.3* -0.3*
Black NHe f 2000-17 -0.2*                     -0.2* -0.2*
APIe 2000-17 0.1                     0.1 0.1
AI/ANe g 2000-17 -0.1                     -0.1 -0.1
Hispanicf 2000-17 0.1                     0.1 0.1

Footnotes:

Joinpoint Regression Program Version 4.8, April 2020, 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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