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Cancer Trends Progress Report – 2009/2010 Update

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In the Report
Introduction
Trends-at-a-Glance
Summary Tables
Prevention
Early Detection
Diagnosis
Treatment
Life After Cancer
End of Life



Report Highlights

Major Conclusions

The nation is making progress toward major cancer-related Healthy People targets.

  • Death rates for the four most common cancers (prostate, breast, lung, and colorectal), as well as for all cancers combined, continue to decline.

  • The rate of cancer incidence has declined since the early 2000s.

  • Length of cancer survival has increased for all cancers combined. For All Sites, the percent of cases surviving five years from diagnosis in 2001 (most recent year with five-year follow-up) was 68.3%. Improvement in survival must continue in order to meet the Healthy People 2010 objective for five year survival of 70%.

  • Adult cigarette smoking prevalence has been slowly declining since 1991, while smoking prevalence among adolescents has declined since the late 1990s. Despite these declines, one in five adults and adolescents is a smoker.

  • Substantial decreases in secondhand smoke exposure have been realized since the beginning of the 1990’s for all subgroups and across a variety of measures. This includes biological measures, as well as work place policies, rules about smoking in the home and, more recently through state and local smoke-free indoor air legislation.

  • Sun protective behaviors have risen slightly but young adults, especially young men, show much lower levels of this behavior.

  • Teen indoor tanning has decreased since 2005. However, recent usage by girls remains high with over 10% of all girls 14-17 years old and 16% of Non-Hispanic White girls of the same age reporting using an indoor tanning device in 2008.

The nation is losing ground in other important areas that demand attention.

  • Incidence rates of some cancers are rising including melanoma of the skin, non-Hodgkin lymphoma, childhood cancer, cancers of the kidney and renal pelvis, leukemia, thyroid, pancreas, liver and intrahepatic bile duct, testis, and esophagus.

  • Lung cancer incidence rates in women continue to rise, but not as rapidly as before.

  • Death rates for cancer of the pancreas, esophagus, thyroid, and liver are increasing.

  • While more than 40 percent of smokers attempt to quit smoking each year, successful quitting rates have been low and are not improving for most of the population.

  • While progress has been made in all segments of the population, subgroups including children living in homes with smokers, young adults, subgroups of nonsmoking workers (for example, blue collar occupations and hospitality industry), and non-Hispanic Blacks have higher rates of exposure to secondhand smoke.

  • Dentists are half as likely as physicians to advise their patients to quit smoking.

  • More people are overweight and obese, and leisure time physical activity is not increasing.

  • Alcohol consumption has risen slightly since the mid 1990s. Fruit and vegetable intake is not increasing. Red meat and fat consumption are not decreasing.

  • Adult indoor tanning has increased slightly.

  • Cancer treatment spending continues to rise along with total health care spending.

  • Unexplained cancer-related health disparities remain among population subgroups. For example, Blacks and people with low socioeconomic status have the highest rates of both new cancers and cancer deaths.

  • Mammography rates dropped slightly between 2003–2005, especially for women 50–64. This will be monitored when data for 2008 are released to see whether this trend continues. Screening for colorectal cancer remains low, despite its proven effectiveness, though use is increasing.

National Cancer InstituteDepartment of Health and Human ServicesNational Institutes of HealthUSA.gov