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SEER*Stat Tools Webinars

A series of webinars highlighting SEER data, software and web tools, and statistical methods.

2026

Marriage as a risk factor for cancerExternal Web Site Policy

April 8, 2026 - Cancer Research Communications

A study in the journal Cancer Research Communications explored how the risk of developing cancer relates to a person’s marital status. The researchers used Surveillance, Epidemiology, and End Results (SEER) data from 12 states to perform this study. Compared to adults who are or have been married, never-married adults had a higher rate of new cancer cases regardless of sex or racial and ethnic group. Never-married Black men had the highest rates of new cancer cases overall. The researchers saw the largest differences between married and unmarried people with cancers that relate to behavioral risk factors, like tobacco and alcohol use, and preventive healthcare, including HPV vaccination and other sexual health screenings.

SEER data helps researchers understand secondary cancer risk for multiple myeloma patientsExternal Web Site Policy

April 6, 2026 - Frontiers in Oncology

Multiple myeloma is a blood cancer that begins in plasma cells, which are a type of white blood cell. When someone has multiple myeloma, the cancerous plasma cells crowd out healthy plasma cells that fight infections. The cancerous plasma cells also make proteins that build up in the body and can damage organs like the kidneys. Some of the treatments for multiple myeloma can increase a person’s chance of developing other types of cancer like leukemia. However, researchers do not know if having multiple myeloma itself raises a person’s chances of getting a second cancer diagnosis. In a recent meta-analysis, which is a type of research that combines data from multiple different studies, researchers studied if patients with multiple myeloma had a higher risk of developing new cancers compared to the expected rate of new cases in the general population.

The researchers combined data from 15 studies, three of which used data from the Surveillance, Epidemiology, and End Results (SEER) Program. In total, the researchers analyzed the data from 279,894 multiple myeloma patients. Compared to the general population and combining all cancer sites together, people with multiple myeloma did not have a higher overall risk of developing another cancer. However, when the researchers looked specifically at the risk of getting another type of blood cancer like non-Hodgkin lymphoma and acute myeloid leukemia, they found multiple myeloma patients were at higher risk. Multiple myeloma also raised the risk of developing other types of solid tumors, like skin cancer, melanoma, thyroid cancer, and mesothelioma. The researchers believe the higher risk for these types of cancers comes from myeloma-related dysfunction of the immune system.

U.S. cancer mortality rate improves, but depends on where you liveExternal Web Site Policy

March 30, 2026 - British Journal of Cancer

The cancer mortality rate peaked in the United States in the early 1990s and continues to fall to the present day. The falling death rate means over 3 million total fewer cancer deaths today than if the cancer death rate stayed at early 1990s levels. These improvements came from advances in cancer screening, detection, and treatment, along with public health efforts like smoking cessation. A paper published in the British Journal of Cancer, supported partly by data from the Surveillance, Epidemiology, and End Results (SEER) Program, explored how the cancer death rate varied by county across the contiguous United States from the 1980s to 2019.

The researchers gathered cancer mortality data and other information including level of education, income, and other demographics across 2954 counties in the United States. The counties with the largest improvements in the cancer death rate concentrated in large urban areas with higher median incomes along the coasts, including the Atlantic, Pacific, and Gulf of Mexico. However, most of the US population during this time lived in a county that saw some reduction in cancer mortality. The death rate also fell for everyone regardless of their median household income, but people with higher incomes saw the largest declines in the death rate. People who lived in the central US experienced the smallest decrease in the cancer death rate. The researchers believe these differences may happen since new advances in cancer screening and treatment may be adopted more quickly in urban areas, which tend to have more people and higher wealth.

More colorectal cancer cases detected and deaths prevented with multiple stool DNA tests over 10 yearsExternal Web Site Policy

March 25, 2026 - Journal of Medical Economics

Colorectal cancer is the fourth most diagnosed cancer in the United States, with an estimated 158,850 new cases in 2026. Doctors screen for colorectal cancer with a procedure called a colonoscopy, where a specialist uses a flexible camera to look inside the colon for tumors. The United States Preventive Services Task Force (USPSTF) recommends adults 45 and older get one colonoscopy every 10 years. Other less invasive tests can look for different signs of colorectal cancer, like blood or altered DNA in stool, and can be done at home without preparation or sedation. The USPSTF recommends these types of screening tests once every three years. A paper published in the Journal of Medical Economics used simulations to compare these two USPSTF colorectal cancer screening guidelines against each other and predict if one might save more lives over a 10-year window.

The researchers used a simulation called the Colorectal Cancer and Adenoma Incidence and Mortality (CRC-AIM) model for this study, which was validated both with Surveillance, Epidemiology, and End Results (SEER) Program data and by the Cancer Intervention and Surveillance Modeling Network (CISNET). They compared the simulated outcomes of patients receiving either three stool DNA tests or one colonoscopy over 10 years. The group receiving multiple stool DNA tests over 10 years had a 13% higher detection rate of precancerous polyps and 11% higher detection rate of colorectal cancers. The higher rates of detection with stool DNA tests translated to a 17% lower mortality rate and a 62% increase in life-years gained compared to the group that received one colonoscopy in 10 years. The researchers believe these benefits come from detection, diagnosis, and treatment at early stages, when the cancer is easier to deal with.

Rising rates of new colorectal cancer cases and deaths in younger adultsExternal Web Site Policy

March 2, 2026 - American Cancer Society

Colorectal cancer is the third most diagnosed cancer in the United States and second leading cause of cancer-related death. In a new study from the American Cancer Society, authors use data from the Surveillance, Epidemiology, and End Results (SEER) Program to explore colorectal cancer statistics and trends in incidence, mortality, and screening across the U.S.

By 2022, the rate of new colorectal cancer cases had fallen by nearly half from its peak in 1985. The decrease in new cases comes mostly from fewer cases in older adults, who have higher rates of cancer. However, this decrease masks increasing rates of cases in younger adults. Almost half of all new colorectal cancer cases now occur in people under 65; in 1995, this age group accounted for only 27% of all new diagnoses. Specifically among people under 50, the rates of new cases increased by between 2% and 4% each year from 2013 to 2022. For this population, rates of cancer in the left side of the colon and rectum doubled from 1998 to 2022. Researchers are studying if gut inflammation from factors like ultraprocessed food and microplastics could explain these trends. The authors note that long-established colorectal cancer risk factors do not completely explain these newly emerging trends. For example, obesity and physical inactivity are more strongly associated with colon tumors, but recent increases are driven by rectal tumors.

Colorectal cancer screening saved over 742,000 lives between 1975 and 2020. Researchers attribute the marked decline in incidence since 2002 among Americans ages 65 and over to the Medicare coverage of screening, which began the year before. In 2021, the US Preventive Services Task Force lowered the recommended starting age for colorectal cancer screening from 50 to 45. The researchers found that about 65% of people 45 and older are up to date with colorectal cancer screening, which includes methods like colonoscopy and stool-based tests.

Short-term cancer survival worse during COVID-19 pandemicExternal Web Site Policy

February 5, 2026 - JAMA Oncology

According to the 2025 Annual Report to the Nation on the Status of Cancer, the rate of new cancer cases and deaths fell during periods of time that included the COVID-19 pandemic. However, a new study in JAMA Oncology found that people diagnosed with cancer between 2020 and 2021 had worse short-term survival compared to people diagnosed with cancer between 2015 and 2019. Data for both of these studies came from the Surveillance, Epidemiology, and End Results (SEER) Program.

To separate out deaths caused by COVID-19 from deaths caused by cancer, the authors of the recent JAMA Oncology publication used a metric called “cause-specific survival” from the SEER database. Cause-specific survival (CSS) measures the length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, to the date of death from the disease. Before the pandemic, the 1-year cause-specific survival increased each year from 2015 to 2019 for both cancers diagnosed in early and late stages. This means, each year, more people were alive 1 year after their cancer diagnosis.

The authors used SEER*Stat software to analyze population-based data. Between 2020 and 2021, more than 1 million people covered by SEER registries were diagnosed with cancer, and over 140,000 died within 1 year of diagnosis. Cases reported outside SEER-covered areas were not included in this analysis. The authors further examined stage at diagnosis and 1-year survival among cancers diagnosed in SEER-covered areas, grouping 2020 and 2021 diagnoses into early- and late-stage disease. In both groups, the 1-year cause-specific survival was lower than expected, breaking from the increasing trends from 2015 to 2019. While it is difficult to determine what specific causes of the decline in survival rates, the researchers note COVID-19 related healthcare disruptions affected the timeliness of cancer screening, diagnosis, and treatment. The researchers estimate that these disruptions led to 17,390 excess cancer deaths in the first year of diagnosis between 2020 and 2021.

Lifetime drinking patterns influence colorectal cancer riskExternal Web Site Policy

January 26, 2026 - American Cancer Society

According to a report from the Surgeon General in 2025, alcohol use is a leading preventable cause of cancer and contributes to 100,000 cancer cases and 20,000 cancer deaths each year. The report also indicates that alcohol can cause cancer in at least 7 specific sites of the body, mostly in the digestive system. Authors of a recent study in the journal Cancer used data from the Surveillance, Epidemiology, and End Results (SEER) Program and the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial to estimate the association between average lifetime drinking habits and current drinking status with the risk of developing colorectal cancer by anatomic site.

The PLCO followed nearly 155,000 participants between 55 and 74 years from 1993 to 2001 and collected survey data about participant cancer risk factors, including alcohol use during defined age ranges. The researchers defined drinking patterns as either light, moderate, or heavy, using current sex-specific US Dietary Guidelines. Female drinkers were either light (7 drinks or less per week), moderate (7 to 14 drinks per week), or heavy (more than 14 drinks per week). Male drinkers were either light (14 drinks or less per week), moderate (14 to 21 drinks per week), or heavy (more than 21 drinks per week). The researchers confirmed cancer outcomes through SEER and CDC registries through 2017.

The researchers found that higher lifetime alcohol intake, particularly heavy drinking, was associated with an increased risk of colorectal cancer. For rectal cancer specifically, the risk among heavy drinkers was nearly double. However, current moderate drinkers showed a lower risk of developing tumors in the distal (left) colon. Former moderate to heavy drinkers were not at higher risk of developing colorectal cancer compared with consistently light drinkers, suggesting that reducing or stopping alcohol use may lower risk over time.

Risk-based breast cancer screening strategies may save more livesExternal Web Site Policy

January 20, 2026 - JAMA Network

Many factors, including lifestyle, diet, age, and genetics, contribute to our risk for developing cancer. When doctors think about cancer screening standards for the general population, one of the simplest ways to group people into risk categories is by age. But, age may not tell the whole story about a person’s specific risk for developing cancer. Today, women and their doctors can use tools like the Breast Cancer Surveillance Consortium (BCSC) risk calculator to better understand their risk of getting breast cancer in the next five years. In a recent study published in JAMA Network Open, researchers used Cancer Intervention and Surveillance Modeling Network (CISNET) to model different screening strategies for breast cancer that include additional risk factors beyond just age.

The researchers compared these risk-sensitive simulation models to the current breast cancer screening guidelines from the United States Preventive Services Task Force, which makes recommendations for health care services like cancer screenings. The risk-sensitive models used factors from the BCSC calculator, like family history of breast cancer and breast density, to group women into different risk categories. Women who fell into low-risk groups received screening less often than women in high-risk groups. The simulations also updated each woman’s risk every 5 years as she aged. Based on the simulated outcomes, the researchers found risk-based breast cancer screenings could save the same or more lives and had fewer false positives compared to the current age-based screening guidelines.

SEER*Stat Tools Webinars

A series of webinars highlighting SEER data, software and web tools, and statistical methods.

Toward Precision Cancer Surveillance Blog

Featuring current initiatives of the Surveillance Research Program.

SEER 50th Anniversary

The SEER Program began on January 1, 1973. Geographic area and demographic coverage have expanded over the past 50 years, to represent nearly 50% of the U.S. population today.