Annual report to the nation on the status of cancer, part II: Progress toward Healthy People 2020 objectives for 4 common cancers

• Published in: Cancer 2020-05, Vol.126 (10), p.2250-2266
• Main Authors: Henley, S. Jane, Thomas, Cheryll C., Lewis, Denise Riedel, Ward, Elizabeth M., Islami, Farhad, Wu, Manxia, Weir, Hannah K., Scott, Susan, Sherman, Recinda L., Ma, Jiemin, Kohler, Betsy A., Cronin, Kathleen, Jemal, Ahmedin, Benard, Vicki B., Richardson, Lisa C.
• Format: Article
• Language: English
• Subjects: American Cancer Society; Breast cancer; Breast Neoplasms - epidemiology; Breast Neoplasms - mortality; Cancer; Cancer screening; Centers for Disease Control and Prevention, U.S; Cigarette smoking; Colorectal carcinoma; Colorectal Neoplasms - epidemiology; Colorectal Neoplasms - mortality; Death; Disease control; Drug addiction; Early Detection of Cancer; epidemiology; Female; Health risks; Healthy People 2020; Healthy People Programs; Humans; Lung cancer; Lung Neoplasms - epidemiology; Lung Neoplasms - mortality; Male; Medical screening; Mortality; National Cancer Institute (U.S.); Oncology; Passive smoking; Physical activity; Prevention; Prostate; Prostatic Neoplasms - epidemiology; Prostatic Neoplasms - mortality; Registries; Risk analysis; Risk Factors; Rural areas; Sociodemographics; surveillance; Surveillance systems; Trends; United States - epidemiology; Websites
• ISSN: 0008-543X; 1097-0142
• DOI: 10.1002/cncr.32801

Background The Centers for Disease Control and Prevention, the American Cancer Society, the National Cancer Institute, and the North American Association of Central Cancer Registries collaborate to provide annual updates on cancer occurrence and trends in the United States and to address a special topic of interest. Part I of this report focuses on national cancer statistics, and part 2 characterizes progress in achieving select Healthy People 2020 cancer objectives. Methods For this report, the authors selected objectives—including death rates, cancer screening, and major risk factors—related to 4 common cancers (lung, colorectal, female breast, and prostate). Baseline values, recent values, and the percentage change from baseline to recent values were examined overall and by select sociodemographic characteristics. Data from national surveillance systems were obtained from the Healthy People 2020 website. Results Targets for death rates were met overall and in most sociodemographic groups, but not among males, blacks, or individuals in rural areas, although these groups did experience larger decreases in rates compared with other groups. During 2007 through 2017, cancer death rates decreased 15% overall, ranging from −4% (rural) to −22% (metropolitan). Targets for breast and colorectal cancer screening were not yet met overall or in any sociodemographic groups except those with the highest educational attainment, whereas lung cancer screening was generally low (