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Complete Health Indicator Report of Colorectal Cancer Incidence

Definition

The rate of colon cancer incidence in Utah per 100,000 population. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]

Numerator

The number of incidents of colon cancer among Utah residents for a given time period. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]

Denominator

The population of Utah or U.S. for a specific time period.

Why Is This Important?

Colorectal cancer is a cancer that starts in the colon or the rectum. These cancers can also be named colon cancer or rectal cancer, depending on where they start. Colon cancer and rectal cancer are often grouped together because they have many features in common. Most colorectal cancers start as a growth on the inner lining of the colon or rectum, called polyps. Thanks to colorectal cancer screening, polyps can be found early and removed before they turn into cancer. ^1^ Colorectal cancer is the fourth most common cancer found in men and women in the U.S. It is also the fourth leading cause of cancer death. According to American Cancer Society Surveillance Research, it is estimated that there will be 147,950 new cases of colorectal cancer diagnosed in the U.S. during 2020, resulting in an estimated 53,200 deaths . ^2^ [[br]] ---- 1. [http://www.cancer.org/content/dam/CRC/PDF/Public/8604.00.pdf] 2. [https://cancerstatisticscenter.cancer.org/#!/]

Healthy People Objective C-9:

Reduce invasive colorectal cancer
U.S. Target: 39.9 new cases per 100,000 population

Other Objectives

Utah Cancer Action Network Target for Change:[[br]] Reduce the rate of colorectal cancer diagnosed at an advanced (regional or distant) stage among adults ages 50 to 74.[[br]] '''Utah 2020 Target:''' 32 per 100,000 population

How Are We Doing?

The colorectal cancer incidence rate in Utah was 29.85 cases per 100,000 persons in 2017. Colorectal cancer incidence increases with age. From 2015-2017, men aged 55-64 and 85+ had significantly higher rates of colorectal cancer incidence compared to women of the same age group. Among Utah Health districts in the same time period, TriCounty Health District had the highest rates of colorectal cancer incidence at 44 per 100,000 persons, while and Summit County Health District had the lowest at 16.7 per 100,000 persons. From 2014-2016, there were no significant differences in colorectal cancer incidence between those who identified as Hispanic vs Non-Hispanic. Those who racially identified as Native Hawaiian or Other Pacific Islander had significantly higher rates of colorectal cancer incidence (52.5 cases per 100,000 persons) compared to those who identified as White (28.7 cases per 100,000 persons). Among Utah Health districts, between 2012-2014 TriCounty Health District had the highest rates of colorectal cancer incidence at 49.0 per 100,000 persons and Summit County Health District had the lowest at 18.7 per 100,000 persons.

How Do We Compare With the U.S.?

Utah's rate of colorectal cancer has historically remained lower than that of the U.S. In 2016, the age-adjusted rate of new colorectal cancer diagnoses in the U.S. was 37.4 cases per 100,000 persons, compared to 28.22 cases 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 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

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 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

From 2009-2015, the UCCP received a CDC grant to begin offering colorectal cancer screenings to low-income and uninsured Utahns. In addition to the screening program, monies were used for educational and promotional activities. Education efforts serve to increase awareness about colorectal cancer and promote screening and early detection for Utahns aged 50 and older. In addition, 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, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, skin cancer prevention, and cancer survivorship advocacy.


Related Indicators

Related Relevant Population Characteristics Indicators:




Graphical Data Views

Colorectal Cancer Incidence by Year, Utah and U.S., 2000-2017

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confidence limits

Utah vs. U.S.YearAge-adjusted Incidence per 100,000 PopulationLower LimitUpper Limit
Record Count: 35
Utah200043.540.346.9
Utah200138.635.641.8
Utah200241.938.845.2
Utah200343.440.346.6
Utah200438.936.042.0
Utah200539.136.342.1
Utah200637.334.640.1
Utah200736.834.239.6
Utah200837.034.439.8
Utah200933.030.635.6
Utah201031.729.334.2
Utah201133.130.735.6
Utah201230.628.433.0
Utah201332.330.034.7
Utah201430.428.232.6
Utah201528.326.230.5
Utah201628.226.230.4
Utah201729.827.832.0
U.S.200055.855.556.1
U.S.200154.954.755.2
U.S.200253.753.453.9
U.S.200352.752.453.9
U.S.200451.250.951.4
U.S.200549.849.550.0
U.S.200648.348.048.5
U.S.200747.146.947.3
U.S.200845.945.647.3
U.S.200943.843.544.0
U.S.201041.841.542.0
U.S.201140.940.741.1
U.S.201239.739.539.9
U.S.201339.138.939.3
U.S.201439.038.839.2
U.S.201538.538.338.7
U.S.201637.437.237.6

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age-adjusted to U.S. 2000 population.[[br]]

Data Sources

  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2017
  • Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation
  • 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]


Colorectal Cancer Incidence by Age Group and Sex, Utah, 2015-2017

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confidence limits

Males vs. FemalesAge GroupCrude Incidence per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 18
Male5-14**0.11.1**
Male15-241.30.62.4
Male25-344.83.36.8
Male35-4414.711.918.0
Male45-5444.839.051.3
Male55-6464.356.972.4
Male65-7497.185.8109.5
Male75-84150.6130.0173.4
Male85+225.9183.6275.0
Female5-141.40.72.6
Female15-241.81.03.1
Female25-346.54.78.7
Female35-4413.610.816.9
Female45-5441.736.048.0
Female55-6445.939.852.7
Female65-7486.075.897.2
Female75-84119.1102.4137.7
Female85+144.2116.4176.6

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   **The estimate has been suppressed because 1) The relative standard error is greater than 50% or when the relative standard error can't be determined. Consider aggregating years to decrease the relative standard error and improve the reliability of the estimate. 2) the observed number of events is very small and not appropriate for publication, or 3) it could be used to calculate the number in a cell that has been suppressed.

Data Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Colorectal Cancer Incidence by Local Health District, Utah, 2015-2017

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confidence limits

Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 14
Bear River28.623.734.3
Central27.521.235.1
Davis County27.924.431.8
Salt Lake County27.825.929.8
San Juan17.97.635.7
Southeast33.524.445.0
Southwest30.926.935.3
Summit16.79.826.5
Tooele26.919.236.6
TriCounty44.033.956.2
Utah County30.327.233.8
Wasatch31.120.145.9
Weber-Morgan30.126.134.5
State of Utah28.827.630.0

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]] ^ ^Age-adjusted to U.S. 2000 population.[[br]] ^ ^^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 Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Colorectal Cancer Rate per 100,000 Persons by Ethnicity, Utah, 2014-2016

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confidence limits

Hispanic EthnicityAge-adjusted Incidence per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic31.326.436.9
Non-Hispanic28.427.229.8
All Utahns28.727.529.9

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age-adjusted to the U.S. 2000 standard population.

Data Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Colorectal Cancer Incidence Rate per 100,000 Persons by Race, Utah, 2014-2016

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confidence limits

RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan32.520.249.4
Asian31.022.641.6
Black21.911.438.0
Pacific Islander52.533.079.1
White28.727.430.0
All Races28.727.829.9

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]+Native Hawaiian or Other Pacific Islander

Data Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Colorectal Cancer Incidence by Utah Small Area, 2015-2017

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confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 100
Brigham City38.525.256.2
Box Elder Co (Other) V223.410.046.7
Tremonton19.98.539.5
Logan V233.923.846.9
North Logan17.37.733.4
Cache (Other)/Rich (All) V242.426.963.5
Hyrum10.31.237.4
Smithfield16.65.339.1
Ben Lomond30.021.840.2
Weber County (East)27.518.239.8
Morgan County24.810.549.4
Ogden (Downtown)34.122.948.8
South Ogden29.319.841.7
Roy/Hooper38.627.852.2
Riverdale23.814.237.4
Clearfield Area/Hooper43.332.256.9
Layton/South Weber21.615.629.3
Kaysville/Fruit Heights23.714.536.6
Syracuse19.910.235.0
Centerville31.217.651.0
Farmington31.116.653.2
North Salt Lake35.018.261.0
Woods Cross/West Bountiful32.715.560.7
Bountiful24.317.133.4
SLC (Rose Park)41.128.158.1
SLC (Avenues)26.916.541.4
SLC (Foothill/East Bench)22.212.137.2
Magna42.326.464.3
SLC (Glendale) V228.915.948.3
West Valley (Center)34.724.647.5
West Valley (West) V234.118.258.3
West Valley (East) V225.216.836.4
SLC (Downtown) V218.310.629.4
SLC (Southeast Liberty)24.513.141.7
South Salt Lake31.719.848.1
SLC (Sugar House)28.419.040.8
Millcreek (South)21.012.333.4
Millcreek (East)26.416.440.1
Holladay V226.617.039.7
Cottonwood19.213.027.4
Kearns V232.520.748.6
Taylorsville (E)/Murray (W)34.824.647.8
Taylorsville (West)33.422.947.1
Murray35.124.448.9
Midvale31.820.746.8
West Jordan (Northeast) V226.916.142.2
West Jordan (Southeast)27.016.641.5
West Jordan (W)/Copperton25.812.746.8
South Jordan V223.014.834.1
Daybreak34.513.073.6
Sandy (West)34.922.951.0
Sandy (Center) V228.317.742.8
Sandy (Northeast)15.28.026.2
Sandy (Southeast)23.814.636.4
Draper23.214.535.3
Riverton/Bluffdale23.714.436.8
Herriman53.932.384.4
Tooele County (Other)36.219.361.8
Tooele Valley24.215.935.1
Eagle Mountain/Cedar Valley34.315.366.1
Lehi28.618.841.7
Saratoga Springs12.13.828.9
American Fork22.114.033.1
Alpine12.42.536.6
Pleasant Grove/Lindon33.323.545.9
Orem (North)41.328.158.5
Orem (West)26.115.241.7
Orem (East)28.316.345.8
Provo/BYU30.219.644.4
Provo (West City Center)41.526.062.8
Provo (East City Center)43.221.776.9
Salem City37.216.671.7
Spanish Fork36.323.353.9
Springville31.319.547.7
Mapleton44.720.186.0
Utah County (South) V244.419.686.2
Payson28.416.645.3
Park City17.47.634.0
Summit County (East)21.58.843.7
Wasatch County31.620.646.6
Daggett and Uintah County47.234.363.4
Duchesne County37.422.558.3
Nephi/Mona35.215.070.0
Delta/Fillmore36.818.366.0
Sanpete Valley19.89.735.9
Central (Other)27.916.843.5
Richfield/Monroe/Salina32.017.653.4
Carbon County35.322.253.2
Emery County36.819.264.0
Grand County32.915.860.4
Blanding/Monticello23.37.455.1
San Juan County (Other)15.22.946.3
St. George35.028.143.2
Washington Co (Other) V240.121.967.4
Washington City29.917.647.3
Hurricane/La Verkin34.422.251.1
Ivins/Santa Clara11.55.022.7
Cedar City43.931.859.1
Southwest LHD (Other)24.715.337.9
State of Utah29.428.230.6

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age adjusted to the U.S. 2000 standard population. [[br]]

Data Sources

  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2017
  • Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation

References and Community Resources

__'''Other resources:'''__[[br]] [[br]] 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][[br]]

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 02/11/2020, Published on 03/12/2021
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 Tue, 16 August 2022 10:11:39 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 12 Mar 2021 13:22:48 MST