Surveillance of screening-detected cancers (colon and rectum, breast, and cervix), United States, 2004-2006
By: [S. Jane Henley, Jessica B. King, Robert R. German, Lisa C. Richardson, Marcus Plescia, Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion]
Contributors: National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Cancer Prevention and Control; Centers for Disease Control and Prevention (U.S.)
Series: MMWR. Morbidity and mortality weekly report. Surveillance summaries -- v. 59, no. SS-9; Morbidity and mortality weekly report -- v. 59, no. SS-9.
Publisher: Dept. of Health and Human Services, Centers for Disease Control and Prevention
Published: 2010
Place of publication: Atlanta, GA
Language: eng
Number of pages: 25
Subjects: Statistics; Cancer; Cervix uteri; Colon (Anatomy); Medical screening; Breast; Diagnosis; Rectum
Description: "Problem/Condition: Population-based screening is conducted to detect diseases or other conditions in persons before symptoms appear; effective screening leads to early detection and treatment, thereby reducing disease-associated morbidity and mortality. Based on systematic reviews of the evidence of the benefits and harms and assessments of the net benefit of screening, the U.S. Preventive Services Task Force (USPSTF) recommends population-based screening for colon and rectum cancer, female breast cancer, and uterine cervix cancer. Few publications have used national data to examine the stage at diagnosis of these screening-amenable cancers. Reporting Period Covered: 2004-2006. Description of Systems: Data were obtained from cancer registries affiliated with CDC's National Program of Cancer Registries (NPCR) and the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program. Combined data from the NPCR and SEER programs provide the best source of information on national population-based cancer incidence. Data on cancer screening were obtained from the Behavioral Risk Factor Surveillance System. This report provides stage-specific cancer incidence rates and screening prevalence by demographic characteristics and U.S. state. Results: Approximately half of colorectal and cervical cancer cases and one third of breast cancer cases were diagnosed at a late stage of disease. Incidence rates of late-stage cancer differed by age, race/ethnicity, and state. Incidence rates of late-stage colorectal cancer increased with age and were highest among black men and women. Incidence rates of late-stage breast cancer were highest among women aged 60-79 years and black women. Incidence rates of late-stage cervical cancer were highest among women aged 50-79 years and Hispanic women. The percentage of persons who received recommended screening differed by age, race/ethnicity, and state. Interpretation: Differences in late-stage cancer incidence rates might be explained partially by differences in screening use. Public Health Action: The findings in this report emphasize the need for ongoing population-based surveillance and reporting to monitor late-stage cancer incidence trends. Screening can identify colorectal, cervical, and breast cancers in earlier and more treatable stages of disease. Multiple factors, including individual characteristics and health behaviors as well as provider and clinical systems factors, might account for why certain populations are underscreened. Cancer control planners, including comprehensive cancer-control programs, can use late-stage cancer incidence and screening prevalence data to identify populations that would benefit from interventions to increase screening utilization and to monitor performance of early detection programs"--P. 1.
Notes: Cover title.

"November 26, 2010."

"U.S. Government Printing Office: 2010-623-026/21008, Region IV"--P. [4] of cover.

Includes bibliographical references (p. 9-10).

Also available via the World Wide Web.