Health Indicator Report of Colorectal Cancer Incidence
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/#!/]
Colorectal Cancer Incidence by Year, Utah and U.S., 2000-2017
NotesCancer sites include Colon, Rectum, and Rectosigmoid Junction. [[br]]Age-adjusted to U.S. 2000 population.[[br]]
- 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]
DefinitionThe rate of colon cancer incidence in Utah per 100,000 population. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]
NumeratorThe number of incidents of colon cancer among Utah residents for a given time period. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]
DenominatorThe population of Utah or U.S. for a specific time period.
Healthy People Objective C-9:Reduce invasive colorectal cancer
U.S. Target: 39.9 new cases per 100,000 population
Other ObjectivesUtah 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 ServicesCoverage 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 InformationFrom 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.
Page Content Updated On 02/11/2020, Published on 03/12/2021