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Colorectal Cancer: National and International Perspective on the Burden of Disease and Public Health Impact Ziad F. Gellad, Dawn Provenzale Gastroenterology Volume 138, Issue 6, Pages (May 2010) DOI: /j.gastro Copyright © 2010 AGA Institute Terms and Conditions
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Figure 1 Trends in incidence and mortality for colorectal cancer by racial and ethnic group. Incidence data for white and black populations are from the SEER 9 areas. Incidence data for Asian/Pacific Islander, American Indian/Alaska Native, and Hispanic populations are from the SEER 13 areas. Mortality data are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention. aRates are age adjusted to the 2000 US standard population. Regression lines are calculated using the Joinpoint Regression Program version 3.3.1, April 2008, National Cancer Institute. Joinpoint analyses for white and black populations during the 1975–2006 period allow a maximum of 4 joinpoints. Analyses for other ethnic groups during the 1992–2006 period allow a maximum of 2 joinpoints. bAsian/Pacific Islander. cAmerican Indian/Alaska Native. Rates for American Indian/Alaska Native are based on the Contract Health Service Delivery Area (CHSDA) counties. dHispanic is not mutually exclusive from the white, black, Asian/Pacific Islander, and American Indian/Alaska Native populations. Incidence data for the Hispanic population are based on the Hispanic Identification Algorithm (NHIA) and exclude cases from the Alaska Native Registry. Mortality data for the Hispanic population exclude cases from Connecticut, the District of Columbia, Maine, Maryland, Minnesota, New Hampshire, New York, North Dakota, Oklahoma, and Vermont. Source: National Cancer Institute.5 Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 2 (A) Geographic variation in invasive colorectal cancer incidence rates for the United States, 2002–2006. Incidence rates (cases per 100,000 population per year) are age adjusted to the 2000 US standard population and adjusted for the population shifts due to Hurricanes Katrina and Rita. Created by statecancerprofiles.cancer.gov on December 11, 2009, at: (B) Geographic variation in colorectal cancer mortality rates for the United States, 2002–2006. Death data are provided by the National Vital Statistics System public use data file and calculated by the National Cancer Institute using SEER*Stat. Population counts are based on census populations and adjusted for the population shifts due to Hurricanes Katrina and Rita. Mortality rates (deaths per 100,000 population per year) are age adjusted to the 2000 US standard population. Created by statecancerprofiles.cancer.gov on December 11, 2009, at: (C) Geographic variation in colorectal cancer screening rates for the United States in 2002, 2004, and Percentage of adults older than 50 years who reported receiving an FOBT within the past year and/or a lower endoscopy (flexible sigmoidoscopy or colonoscopy) within the past 10 years, by state. Source: Behavioral Risk Factor Surveillance System survey data. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2003, 2005 and Available at: Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 2 (A) Geographic variation in invasive colorectal cancer incidence rates for the United States, 2002–2006. Incidence rates (cases per 100,000 population per year) are age adjusted to the 2000 US standard population and adjusted for the population shifts due to Hurricanes Katrina and Rita. Created by statecancerprofiles.cancer.gov on December 11, 2009, at: (B) Geographic variation in colorectal cancer mortality rates for the United States, 2002–2006. Death data are provided by the National Vital Statistics System public use data file and calculated by the National Cancer Institute using SEER*Stat. Population counts are based on census populations and adjusted for the population shifts due to Hurricanes Katrina and Rita. Mortality rates (deaths per 100,000 population per year) are age adjusted to the 2000 US standard population. Created by statecancerprofiles.cancer.gov on December 11, 2009, at: (C) Geographic variation in colorectal cancer screening rates for the United States in 2002, 2004, and Percentage of adults older than 50 years who reported receiving an FOBT within the past year and/or a lower endoscopy (flexible sigmoidoscopy or colonoscopy) within the past 10 years, by state. Source: Behavioral Risk Factor Surveillance System survey data. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2003, 2005 and Available at: Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 3 Colorectal cancer screening by race/ethnicity, years of education, and insurance status, 2003–2005. Colorectal cancer screening refers to an FOBT within the past year or a lower endoscopy within the past 10 years. †Groups have been combined (years of education, 13+) due to small sample sizes. Source: National Health Interview Survey 2003 and 2005, National Center for Health Statistics, Centers for Disease Control and Prevention, Reprinted with permission from the American Cancer Society.37 Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 4 Trends in incidence of colorectal cancer in selected countries by sex. Data from IARC's Cancer Incidence in Five Continents (CI5) databases, Adapted from Center et al.86 Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 5 Worldwide variation in colorectal cancer mortality rates (cases per 100,000) in (A) male subjects and (B) female subjects. Adapted from Ferlay J, Bray F, Pisani P, et al. GLOBOCAN 2002: cancer incidence, mortality and prevalence worldwide. IARC CancerBase no. 5, version 2.0. Lyon, France: IARCPress, 2004. Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Ziad F. Gellad Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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Dawn Provenzale Gastroenterology , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions
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