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Ghafoor A, Feuer EJ, Thun MJ.
CA
Cancer J Clin. 2005 Jan-Feb;55(1):10-30. Erratum in: CA Cancer J Clin.
2005 Jul-Aug;55(4):259.
Department of Epidemiology and Research Surveillance,
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 based on incidence data from the National Cancer Institute and
mortality data from the National Center for Health Statistics. Incidence and
death rates are age-standardized to the 2000 US standard million population. A
total of 1,372,910 new cancer cases and 570,280 deaths are expected in the
United States in 2005. When deaths are aggregated by age, cancer has surpassed
heart disease as the leading cause of death for persons younger than 85 since
1999. When adjusted to delayed reporting, cancer incidence rates stabilized in
men from 1995 through 2001 but continued to increase by 0.3% per year from
1987 through 2001 in women. The death rate from all cancers combined has
decreased by 1.5% per year since 1993 among men and by 0.8% per year since
1992 among women. The mortality rate has also continued to decrease from the
three most common cancer sites in men (lung and bronchus, colon and rectum,
and prostate) and from breast and colorectal cancers in women. Lung cancer
mortality among women has leveled off after increasing for many decades. In
analyses by race and ethnicity, African American men and women have 40% and
20% higher death rates from all cancers combined than White men and women,
respectively. Cancer incidence and death 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 Whites. Furthermore,
minority populations are more likely to be diagnosed with advanced stage
disease than are Whites. Progress in reducing the burden of suffering and
death from cancer can be accelerated by applying existing cancer control
knowledge across all segments of the population.