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Complete Health Indicator Report of Colorectal Cancer Deaths

Definition

The rate of death from cancer of the colon or rectum (ICD-10: C18-C21) per 100,000 persons.

Numerator

The number of deaths due to colorectal cancer for a given time period (ICD-10: C18-C21).

Denominator

The population in Utah or the U.S. for a given time period.

Why Is This Important?

Colorectal cancer is one of the leading causes of cancer-related deaths in Utah and across the U.S. Deaths from colorectal cancer can be substantially reduced when precancerous polyps are detected early and removed. When colorectal cancer is diagnosed early, 90% of patients survive at least five years^1^. Several scientific organizations recommend that routine screening for colorectal cancer begin at age 50 for adults at average risk. Persons at high risk may need to begin screening at a younger age. Routine screening can include either an annual fecal occult blood test (FOBT), a flexible sigmoidoscopy every five years, a colonoscopy every 10 years, or a double-contrast barium enema every 5 to 10 years. Studies have shown that FOBT testing, when performed every 1 to 2 years in people aged 50 to 80 years, can help reduce the number of deaths due to colorectal cancer by 15 to 33 percent^2,3^. The National Cancer Institute advises each individual to discuss risk factors and screening options with their health care provider. Medicare and many insurance plans now help to pay for colorectal cancer screening.[[br]] [[br]] ---- 1. American Cancer Society, Colorectal Cancer Facts & Figures 2017-2019 Accesed at: [http://www.cancer.org/acs/groups/content/documents/document/acspc-042280.pdf].[[br]] 2. Burch JA, Soares-Weiser K, St John DJ, et al. Diagnostic accuracy of fecal occult blood tests used in screening for colorectal cancer: A systematic review. ''Journal of Medical Screening'' 2007; 14(3):132-137.[[br]] 3. Ouyang DL, Chen JJ, Getzenberg RH, Schoen RE. Noninvasive testing for colorectal cancer: A review. ''American Journal of Gastroenterology'' 2005; 100(6):1393-1403.

Healthy People Objective C-5:

Reduce the colorectal cancer death rate
U.S. Target: 14.5 deaths per 100,000 population

How Are We Doing?

The Utah colorectal cancer mortality rate has decreased significantly, from 17.8 deaths per 100,000 persons in the year 2000 to 10.3 deaths per 100,000 persons in 2020. The Utah colorectal cancer mortality rate has also remained slightly lower than the U.S. mortality rate over time. The latest available data estimates from 2018 show the U.S. colorectal cancer death rate to be 13.5 deaths per 100,000 persons, compared to 9.9 deaths per 100,000 persons in Utah. Rates of colorectal cancer deaths in Utah vary by age, sex, geography, ethnicity, and race. Looking at data from combined years 2018-2020, rates of colorectal cancer death significantly increase with age for both males and females. Males have higher rates of colorectal cancer deaths than females across all age groups. From 2016 to 2020 combined data, TriCounty Local Health District (LHD) had the highest colorectal cancer mortality rate of 15.7 deaths per 100,000 persons, while Summit County LHD had the lowest rate with 7.3 deaths per 100,000 persons. Other geographical distribution of colorectal cancer deaths can also be viewed in more detail at the Utah Small Area level (see additional data views). For combined years 2018-2020, there was no significant difference in colorectal cancer death rates between those of Hispanic (8.3 deaths per 100,000 persons) and non-Hispanic ethnicity (10.5 deaths per 100,000 persons). When looking at colorectal cancer mortality rates by race for the time period 2016-2020, those who identified racially as Pacific Islander/Native Hawaiian had significantly higher colorectal cancer death rates (19.2 deaths per 100,000 persons) than all other races combined (10.4 deaths per 100,000 persons).

How Do We Compare With the U.S.?

The Utah colorectal cancer mortality rate has remained slightly lower than the U.S. mortality rate over time. The latest available data estimates from 2018 show the U.S. colorectal cancer death rate to be 13.5 deaths per 100,000 persons, compared to 9.9 deaths per 100,000 persons in Utah.

What Is Being Done?

Screening for colorectal cancer has recently been identified by the Centers for Disease Control and Prevention (CDC) as a priority public health issue. The the Utah Cancer Control Program (UCCP) monitors the use of colorectal cancer screening tests by Utahns through the statewide Behavioral Risk Factor Surveillance System (BRFSS), which is conducted annually.

Available Services

Insurance coverage of colorectal cancer screening tests is required by the Affordable Care Act (ACA). However, the ACA doesn't apply to health plans that were in place before it was passed (so-called grandfathered plans). You can find out your insurance plan's grandfathered status by contacting your health insurance company or your employer's human resources department. If your plan started on or after September 23, 2010, it is required to cover regular colonoscopies and other colorectal cancer screening tests. If a plan started before September 23, 2010, it may still have coverage requirements from state laws, which vary, and other federal laws.

Health Program Information

The Utah Comprehensive Cancer Control program (CCC) and its affiliated coalition, the Utah Cancer Action Network (UCAN), work together with state and local partners to reduce the burden of cancer in Utah. Their mission is to lower cancer incidence, morbidity, and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result, they support community-based strategies around food security, healthy neighborhoods, access to health care, and financial toxicity in order to prevent cancer; detect cancer early; and improve the lives of cancer survivors, caregivers, and their families.


Related Indicators

Relevant Population Characteristics

The risk of developing colorectal cancer increases with age. Lack of physical activity also contributes to a person's risk of developing colorectal cancer. Smoking, a low fiber and high-fat diet, low fruit and vegetable intake, excessive alcohol use, and obesity may also increase risk.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Medicare will pay for an annual fecal occult blood test (FOBT), a flexible sigmoidoscopy every four years, and a colonoscopy every 10 years for persons with Medicare aged 50 or older who are at average risk for colorectal cancer. Medicare also covers surveillance of high risk patients (those with a personal history of colorectal cancer or adenomatous polyps or a history of colorectal cancer or adenomatous polyps in a first degree relative or those diagnosed with inflammatory bowel disease) with colonoscopy every two years.

Related Health Care System Factors Indicators:


Risk Factors

Risk factors for colorectal cancer include increasing age, inflammatory bowel disease, a family history of polyps or colorectal cancer, a personal history of polyps or colorectal cancer, and certain hereditary syndromes. Physical inactivity, a low fiber/high fat diet, obesity, excessive alcohol consumption, and tobacco use may all increase risk. A diet high in fruits and vegetables, hormone replacement therapy in post-menopausal women, and aspirin use may reduce colorectal cancer risk.

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Colorectal Cancer Deaths by Year, Utah and U.S., 1999-2020

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confidence limits

Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 42
Utah199916.414.418.6
Utah200017.815.820.0
Utah200113.611.915.6
Utah200215.413.517.4
Utah200314.512.716.4
Utah200412.510.814.3
Utah200513.411.815.3
Utah200613.011.414.8
Utah200712.511.014.2
Utah200811.49.913.0
Utah200912.711.214.4
Utah201011.910.413.4
Utah201111.610.213.2
Utah201210.69.312.0
Utah201311.09.712.4
Utah201411.810.413.3
Utah201511.610.313.1
Utah201611.310.012.7
Utah201710.69.412.0
Utah20189.98.711.1
Utah201911.610.413.0
Utah202010.39.211.6
U.S.199920.920.821.1
U.S.200020.820.620.9
U.S.200120.220.020.4
U.S.200219.819.620.0
U.S.200319.219.019.4
U.S.200418.218.018.3
U.S.200517.717.517.8
U.S.200617.417.317.6
U.S.200717.016.917.2
U.S.200816.616.516.8
U.S.200916.015.916.1
U.S.201015.815.715.9
U.S.201115.315.215.4
U.S.201214.914.815.0
U.S.201314.614.514.7
U.S.201414.414.214.5
U.S.201514.314.214.4
U.S.201614.013.914.1
U.S.201713.813.713.9
U.S.201813.413.313.6

Data Notes

ICD-10 codes used to define colorectal cancer: C18-C21. Age-adjusted to U.S. 2000 standard population.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020
  • U.S. Cancer Statistics: WONDER Online Database. United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Accessed at [http://wonder.cdc.gov/cancer.html]
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Colorectal Cancer Deaths by Age and Sex, Utah, 2018-2020

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confidence limits

Males vs. FemalesAge GroupDeaths per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 18
Male0-340.30.10.5*
Male35-443.01.84.6
Male45-549.67.112.7
Male55-6424.019.729.0
Male65-7439.632.947.2
Male75+83.671.397.5
Female0-340.30.10.6*
Female35-442.81.64.4
Female45-548.46.011.4
Female55-6416.212.820.4
Female65-7426.921.733.0
Female75+79.368.591.3
Total0-340.30.10.4
Total35-442.92.03.9
Total45-549.07.211.1
Total55-6420.117.323.2
Total65-7433.028.737.6
Total75+81.273.090.1

Data Notes

Codes used to define colorectal cancer: ICD-10 C18-21. [[br]] *Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020


Colorectal Cancer Deaths by Local Health District, Utah, 2016-2020

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confidence limits

Local Health DistrictAge-adjusted Death Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River9.47.311.9
Central10.47.614.0
Davis County10.08.411.9
Salt Lake County11.010.112.0
San Juan13.46.624.3*
Southeast12.18.017.4
Southwest9.58.011.2
Summit7.33.812.8
Tooele15.510.921.4
TriCounty15.711.221.5
Utah County11.39.813.0
Wasatch10.35.617.5
Weber-Morgan10.48.612.4
State of Utah10.710.211.3

Data Notes

Codes used to define colorectal cancer: ICD-10 C18-21.[[br]] Age-adjusted to U.S. 2000 standard population.[[br]] ^ ^*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf].[[br]] Note: Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020


Colorectal Cancer Deaths by Utah Small Area, 2016-2020

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confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 103
Brigham City14.68.822.8
Box Elder Co (Other) V27.31.919.0*
Tremonton5.61.514.4*
Logan V29.45.614.8
North Logan5.91.914.0*
Cache (Other)/Rich (All) V215.38.625.0
Hyrum****
Smithfield****
Ben Lomond12.58.617.5
Weber County (East)11.77.317.9
Morgan County****
Ogden (Downtown)8.54.414.8
South Ogden7.13.911.8
Roy/Hooper10.26.215.8
Riverdale11.86.918.6
Clearfield Area/Hooper15.310.322.0
Layton/South Weber8.65.612.6
Kaysville/Fruit Heights5.52.410.6*
Syracuse12.05.124.1*
Centerville11.75.621.6*
Farmington13.67.123.7
North Salt Lake5.11.313.8*
Woods Cross/West Bountiful20.28.042.0*
Bountiful9.76.414.1
SLC (Rose Park)10.76.017.6
SLC (Avenues)6.22.612.6*
SLC (Foothill/East Bench)6.62.713.4*
Magna20.812.133.5
SLC (Glendale) V215.37.827.1
West Valley (Center)14.69.521.4
West Valley (West) V214.77.526.0
West Valley (East) V216.811.424.0
SLC (Downtown) V27.33.712.9
SLC (Southeast Liberty)10.95.220.2*
South Salt Lake16.29.825.2
SLC (Sugar House)6.63.511.4
Millcreek (South)2.20.65.6*
Millcreek (East)9.55.216.1
Holladay V212.88.019.4
Cottonwood9.96.514.4
Kearns V212.87.121.2
Taylorsville (E)/Murray (W)12.37.718.6
Taylorsville (West)16.110.324.1
Murray9.25.314.9
Midvale13.58.121.1
West Jordan (Northeast) V210.85.419.1
West Jordan (Southeast)13.37.322.0
West Jordan (W)/Copperton6.22.811.7*
South Jordan V27.84.412.7
Daybreak15.16.529.9*
Sandy (West)12.47.220.0
Sandy (Center) V210.25.417.7
Sandy (Northeast)14.18.023.1
Sandy (Southeast)8.94.715.1
Draper12.67.819.3
Riverton/Bluffdale13.17.621.2
Herriman14.77.226.8
Tooele County (Other)13.96.127.0*
Tooele Valley15.810.422.9
Eagle Mountain/Cedar Valley21.07.845.5*
Lehi8.74.614.8
Saratoga Springs11.63.926.8*
American Fork10.76.217.0
Alpine13.14.729.1*
Pleasant Grove/Lindon10.06.215.4
Orem (North)18.411.727.6
Orem (West)8.84.216.3*
Orem (East)13.07.221.7
Provo/BYU5.82.710.9*
Provo (West City Center)15.48.326.1
Provo (East City Center)13.85.528.5*
Salem City****
Spanish Fork15.79.225.0
Springville10.15.217.7
Mapleton14.24.633.5*
Utah County (South) V224.010.247.7*
Payson14.37.524.7
Park City2.00.55.2*
Summit County (East)17.77.834.4*
Wasatch County10.85.918.2
Daggett and Uintah County18.011.826.2
Duchesne County13.57.023.4
Nephi/Mona22.210.042.7*
Delta/Fillmore****
Sanpete Valley7.83.315.5*
Central (Other)12.77.320.6
Richfield/Monroe/Salina9.64.418.3*
Carbon County12.77.021.1
Emery County14.96.230.0*
Grand County11.04.323.1*
Blanding/Monticello19.68.239.3*
San Juan County (Other)****
St. George10.68.013.7
Washington Co (Other) V29.13.419.4*
Washington City7.33.613.2*
Hurricane/La Verkin12.67.220.4
Ivins/Santa Clara9.64.717.3*
Cedar City14.09.120.6
Southwest LHD (Other)7.13.612.7
State of Utah11.110.511.7

Data Notes

Age-adjusted to the U.S. 2000 standard population. *Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf] **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Colorectal Cancer Deaths by Ethnicity, Utah, 2018-2020

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confidence limits

Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic8.36.210.9
Non-Hispanic10.59.811.2
All Utahns10.39.611.0

Data Notes

Codes used to define colorectal cancer: ICD-10 C18-21.[[br]] Age-adjusted to U.S. 2000 standard population. Used 3 age adjustment groups (0-44, 45-64, and 65+)

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2020


Colorectal Cancer Deaths by Race, Utah, 2016-2020

::chart - missing::
confidence limits

RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 6
American Indian/Native Alaskan8.24.214.4
Asian11.88.216.5
Black10.85.020.2*
Pacific Islander19.211.530.0
White10.29.710.8
All Races10.49.910.9

Data Notes

Codes used to define colorectal cancer: ICD-10 C18-21.[[br]] Rates are age-adjusted to the 2000 U.S. standard population using 3 age groups (0-44, 45-64, and 65+). *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. Consider aggregating years to decrease the relative standard error and improve the reliability of the estimate.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2020

References and Community Resources

Utah Cancer Control Program: [http://www.cancerutah.org][[br]] Utah Cancer Action Network: [http://www.ucan.cc][[br]] American Cancer Society: [http://www.cancer.org][[br]] National Cancer Institute: [http://www.cancer.gov][[br]] Huntsman Cancer Institute: [http://www.huntsmancancer.org][[br]] Centers for Disease Control and Prevention: [http://www.cdc.gov][[br]] American Society of Clinical Oncology: [http://www.asco.org]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 10/22/2021, Published on 01/13/2022
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 21 January 2022 13:23:57 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 13 Jan 2022 15:16:03 MST