Health Indicator Report of Cancer Deaths
Cancer is the second leading cause of death in the U.S. and in Utah. According to the National Institutes of Health, the financial costs of cancer are substantial, with an overall annual cost estimated at $216.6 billion in 2009 in the U.S. Treatment for lung, prostate, and breast cancers accounts for more than half of the direct medical costs. Cancer generally develops over several years and has many causes. Several factors both inside and outside the body contribute to the development of cancer. Some of these factors include genetics, tobacco, diet, weight, physical inactivity, and excessive sunlight exposure. Other factors include exposure to ionizing radiation and environmental chemicals that may be present in the workplace, food, air, or water such as asbestos, benzene, and arsenic.
Cancer Death Rate, Utah and U.S., 1980-2013
NotesICD-9 codes 140-208, ICD-10 codes C00-C97. The International Classification of Diseases has been revised approximately every ten years since 1900. The latest revision, ICD-10, was implemented in 1999 replacing ICD-9, the standard since 1979. ICD-10 differs from ICD-9 in several respects. ICD-10 is far more detailed with about 8,000 categories compared with 5,000 in ICD-9. Some of the coding rules and rules for selecting the underlying cause of death have also been changed. These changes create discontinuities in cause-of-death statistics and are critical to the interpretation of mortality trends. Comparability ratios have been created for many cause-of-death classifications in order to reduce the impact of these changes but caution should be used when interpreting trends across the Ninth and Tenth ICD revisions. Age-adjusted to the U.S. 2000 standard population. U.S. data available through 2011.
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention
- Population Estimates: Utah Governor's Office of Planning and Budget
- Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2013
DefinitionThe rate of death from all cancers per 100,000 persons.
NumeratorNumber of deaths due to cancer (ICD-9 codes 140-208 and ICD-10 codes C00-C97).
DenominatorPopulation of Utah or U.S. for a given time period.
Healthy People Objective C-1:Reduce the overall cancer death rate
U.S. Target: 160.6 deaths per 100,000 population
State Target: 107.3 deaths per 100,000 population
Other ObjectivesUtah's 42 Community Health Indicators CSTE Chronic Disease Indicators
How Are We Doing?Utah's age-adjusted cancer mortality rate has been steadily decreasing, from a high of 162.7 deaths per 100,000 population in 1991 to 124.2 per 100,000 population in 2009. In 2013, Utah's age-adjusted cancer mortality rate increased to 127.2 per 100,000 population. From 2011 to 2013 significant differences in mortality rates existed between Utah Small Areas. Excluding those without complete data, the cancer mortality rate ranged from a high of 169.5 per 100,000 population in West Jordan (West)/Copperton to a low of 98.3 per 100,000 population in Orem (West).
How Do We Compare With the U.S.?The age-adjusted cancer mortality rate in Utah has been consistently lower then the U.S. age-adjusted cancer mortality rate. For example, in 2011 (the most recent national data provided by SEER) the U.S. cancer mortality rate was 168.7 per 100,000 population compared with the Utah cancer mortality rate of 125.2 per 100,000 population.
What Is Being Done?The Utah Department of Health initiated the Utah Cancer Action Network (UCAN), a statewide partnership whose goal is to reduce the burden of cancer. The mission of the UCAN is to lower cancer incidence and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result of this planning process, objectives and strategies have been developed by community partners regarding the early detection of cervical, lung, prostate, skin, breast, ovarian, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and smoking cessation. UCAN has five work groups and eight committees that are working on implementing the strategies from the 2006-2011 state cancer plan and writing the 2011-2015 state cancer plan.
Available ServicesThe Utah Cancer Control Program (UCCP) provides free to low cost clinical breast exams, mammogram, pelvic exams, and Pap smears to women who meet age and income guidelines. Eligible women with abnormal screening exams are offered diagnostic evaluation by participating providers. In addition, the UCCP provides education about the need for early detection and the availability of screening services, conducts outreach to eligible women, uses an annual reminder system, collects outcome data, and disseminates information about breast and cervical cancers. Beginning on July 1, 2001, the UCCP began referring women in need of treatment for breast or cervical cancers or precancerous lesions to Utah Medicaid for treatment. (The women must meet all requirements as outlined in the National Breast and Cervical Cancer Treatment Act.)
Health Program InformationIn 1976, the Utah Department of Health received a cervical cancer grant from the National Cancer Institute. In 1980, the Utah Department of Health began providing clinical breast exams and Pap tests on a sliding fee scale. In 1993, state funding was appropriated for mammography. That same year, the Utah Cancer Control Program (UCCP) first received a capacity building grant from the Centers for Disease Control and Prevention (CDC) to lay the groundwork for breast and cervical cancer screening in Utah. A five year comprehensive grant was awarded to the program in 1994 to continue breast and cervical cancer screening. In October 1999, this grant was renewed for an additional five years. The UCCP continues to receive funding from the CDC for breast and cervical cancer screenings. With this funding, the UCCP and partners, including local health departments, mammography facilities, pathology laboratories, and private providers, have worked together to ensure the appropriate and timely provision of clinical services. The UCCP continues to receive funding from the CDC to implement comprehensive cancer control strategies that were identified by Utah Cancer Action Network statewide partnership.
Page Content Updated On 12/02/2014, Published on 12/02/2014