Cancer statistics, 2004. Jemal A, Tiwari RC, Murray T, Ghafoor A, Samuels
A, Ward E, Feuer EJ, Thun MJ; American Cancer Society.
CA
Cancer J Clin. 2004 Jan-Feb;54(1):8-29. Review.
Cancer Occurrence, Department of Epidemiology and
Surveillance Research, American Cancer Society, Atlanta, GA, USA.
Each year, the American Cancer Society estimates the
number of new cancer cases and deaths expected in the United States in the
current year and compiles the most recent data on cancer incidence, mortality,
and survival rates based on incidence data from the National Cancer Institute
and mortality data from the National Center for Health Statistics. Incidence
and mortality rates are age standardized to the 2000 US standard million
population. A total of 1,368,030 new cancer cases and 563,700 deaths are
expected in the United States in 2004. Incidence rates stabilized among men
from 1995 through 2000 but continued to increase among females by 0.4% per
year from 1987 through 2000. Mortality rates have decreased by 1.5% per year
since 1992 among men, but have stabilized from 1998 through 2000 among women.
Cancer death rates continued to decrease from the three major cancer sites in
men (lung and bronchus, colon and rectum, and prostate) and from female breast
and colorectal cancers in women. In analyses by race and ethnicity,
African-American men and women have 40% and 20% higher death rates from all
cancers combined compared with White men and women, respectively. Cancer
incidence and mortality rates are lower in other racial and ethnic groups than
in Whites and African Americans for all sites combined and for the four major
cancer sites. However, these groups generally have higher rates for stomach,
liver, and cervical cancers than do Whites. Furthermore, minority populations
are more likely to be diagnosed with advanced stage disease than are Whites.
Progress in reducing the burden from cancer can be accelerated by applying
existing cancer control knowledge into practice among all segments of the
population.