Temporal trends in geographic disparities in small-area-level colorectal cancer incidence and mortality in the United States

Mario Schootman; Min Lian; Anjali D Deshpande; Amy McQueen; Sandi L Pruitt; Donna B Jeffe

doi:10.1007/s10552-011-9796-6

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Temporal trends in geographic disparities in small-area-level colorectal cancer incidence and mortality in the United States

Journal article

Peer reviewed

Temporal trends in geographic disparities in small-area-level colorectal cancer incidence and mortality in the United States

Mario Schootman, Min Lian, Anjali D Deshpande, Amy McQueen, Sandi L Pruitt and Donna B Jeffe

Cancer causes & control, Vol.22(8), pp.1173-1181

08/2011

DOI: 10.1007/s10552-011-9796-6

PMCID: PMC3153856

PMID: 21688130

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https://www.ncbi.nlm.nih.gov/pmc/articles/3153856View

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Abstract

We examined the extent of changes in absolute and relative geographic disparities in six colorectal cancer (CRC) indicators using data about persons aged 50 and older from 195 counties in the 1988-2006 Surveillance, Epidemiology, and End Results Program database. County-level trends in six colorectal cancer indicators (overall CRC incidence, descending colon cancer incidence, proximal colon cancer incidence, late-stage CRC incidence, CRC mortality, and 5-year probability of CRC death) were summarized using the estimated annual percentage change. Observed county rates were smoothed using Bayesian hierarchical spatiotemporal methods to calculate measures of absolute and relative geographic disparity and their changes over time. During the study period, absolute disparity for all six indicators decreased (CRC incidence: 43.2%; proximal colon cancer: 31.9%; descending colon cancer: 52.8%; late-stage CRC: 50.0%; CRC mortality: 57.8%; 5-year CRC-specific probability of death: 12.2%). Relative disparity remained stable for all six indicators over the entire study period. Important progress has been made toward achieving the Healthy People 2010 and NCI strategic objectives for reducing geographic disparities, although absolute and relative disparities remain in CRC.

Colorectal Neoplasms - epidemiology

Colorectal Neoplasms - mortality

United States - epidemiology

Health Status Disparities

Humans

Middle Aged

Bayes Theorem

Aged, 80 and over

Female

Male

Aged

Incidence

Details

Title: Subtitle: Temporal trends in geographic disparities in small-area-level colorectal cancer incidence and mortality in the United States
Creators: Mario Schootman - Department of Medicine, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO, USA. mschootm@wustl.edu
Min Lian
Anjali D Deshpande
Amy McQueen
Sandi L Pruitt
Donna B Jeffe
Resource Type: Journal article
Publication Details: Cancer causes & control, Vol.22(8), pp.1173-1181
DOI: 10.1007/s10552-011-9796-6
PMID: 21688130
PMCID: PMC3153856
NLM abbreviation: Cancer Causes Control
ISSN: 0957-5243
eISSN: 1573-7225
Publisher: Netherlands
Grant note: CA91842 / NCI NIH HHS R01 CA137750-02 / NCI NIH HHS R01 CA137750 / NCI NIH HHS P30 CA091842 / NCI NIH HHS KL2 TR000450 / NCATS NIH HHS CA137750 / NCI NIH HHS
Language: English
Date published: 08/2011
Academic Unit: Epidemiology
Record Identifier: 9983996079302771

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