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Cancer Trends Progress Report – 2009/2010 Update

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Introduction
Trends-at-a-Glance
Summary Tables
Prevention
Early Detection
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New in the CTPR – 2009/2010 Update

Measures
When new data become available, current measures are updated and new measures are reported. New measures for the Cancer Trends Progress Report – 2009/2010 Update include:

  • Medicaid Coverage of Tobacco Dependence Treatments
  • Tobacco Company Marketing Expenditures
  • Prostate Cancer Treatment
  • Kidney Cancer Treatment
  • Lung Cancer Treatment
  • Ovarian Cancer Treatment
  • Bladder Cancer Treatment
  • Cost of Cancer Care (expanded)
  • Cancer Survivors and Smoking

Differences by race, income, and education
The Executive Committee of the Cancer Trends Progress Report decided in 2009 to systematically review and report on health differences and health inequalities across each measure, where they exist and tell an interesting story. The demographic variables considered for this year’s report—where data are available—include race/ethnicity, income level, and educational attainment.

Following are the variables and associated categories considered for analysis and presentation in this Update.

Racial/ethnic categories

  1. Hispanic (Mexican American)
  2. Non-Hispanic White
  3. Non-Hispanic Black

Poverty/income level

  1. Less than 200 percent of the federal poverty level (FPL)
  2. Greater than or equal to 200 percent of the FPL

Educational attainment

  • Less than high school
  • High school graduation (only)
  • More than high school

Methodology
A new addition to the methodology in the Cancer Trends Progress Report – 2009/2010 Update is the average annual percent change (AAPC), a measure that uses the underlying joinpoint model to compute a summary measure of the trend over a fixed pre-specified interval. The AAPC is useful for comparing the most recent trend across different groups (i.e., racial groups, gender, or across different measures) when the final joinpoint segments are not directly comparable because they are of different lengths. Regardless of where the joinpoints occur for the different series, the AAPC can be computed over the same fixed interval for all the series (e.g., 2002–2006 to characterize the most recent trend). For more information on the AAPC, see the Methodology for Characterizing Trends appendix.

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