The Cancer Burden in Michigan: Selected Statistics — 1993-2011 This report was developed by the Michigan Public Health Institute Cancer Epidemiology and Evaluation Cancer staff in support of the Michigan Comprehensive Cancer Control Program and the Michigan Cancer Consortium. It describes the cancer burden in Michigan in terms of morbidity and mortality and the human costs associated with cancer to the extent to which data are available at this time. Six cancer sites are presented: breast, cervical, colorectal, lung, prostate, and ovarian.
Colorectal Cancer in Michigan: State Capacity for Screening (2002-2003) (March 2006) (available as a Microsoft PowerPoint presentation)* As part of an assessment of the U.S. healthcare system's capacity to perform colorectal cancer screening tests and follow-up for the U.S. population aged 50 and older, the Centers for Disease Control and Prevention (CDC) initiated the National Survey of Endoscopic Capacity (SECAP). From 2002 through 2005, 15 selected states worked to estimate their capacity for colorectal cancer screening and follow-up exams. This presentation includes an overview of Michigan's findings. The results of the survey will be used to identify deficits in the current medical infrastructure, as well as to provide critical baseline information for use in planning national initiatives aimed at increasing colorectal cancer screening.
Michigan Behavioral Risk Factor Survey www.michigan.gov/brfs
The
Michigan Behavioral Risk Factor Survey is a statewide telephone survey of Michigan residents, aged 18 years and older. It is the only source of state specific, population-based estimates of the prevalence of various behaviors, medical conditions, and preventive health care practices among Michigan adults. The results of the annual survey are used by public health agencies, academic institutions, non profit organizations, and other stakeholders to develop and evaluate programs that promote the health of Michigan citizens.
Michigan Behavioral Risk Factor Survey — Supplemental Cancer Questions Analysis, 2009-2010(Michigan Public Health Institute and Michigan Department of Community Health; August 2011) (available as an Adobe Acrobat PDF file)**
The Michigan Comprehensive Cancer Control Program collaborates on a
yearly basis with the Behavioral Risk Factor Surveillance System (BRFSS)
office of the Michigan Department of Community Health (MDCH) to add
cancer-related questions to the state BRFSS. These special questions targeting the cancer-related behaviors and knowledge within the Michigan adult population are tailored to meet the need of the program for information regarding progress in achieving outcomes of the program’s strategic plan. The 2009-2010 report includes results of data analyses for the following modules: Breast/Ovarian Risk (2009); Skin Cancer (2009); Cervical Cancer (2009-2010); Cancer Genomics/Family History (2010); and Cancer Survivorship (2010).
The Special Cancer Behavioral Risk Factor Survey (SCBRFS) is an ongoing surveillance designed to measure progress towards achieving several Goals, Special Projects, and Maintenance Projects of the Michigan Cancer Consortium (MCC). The first baseline SCBRFS was conducted in 2001-2002. The SCBRFS was repeated in 2004, 2006, and 2008. Results from subsequent surveys can be compared against baseline data in order to evaluate the progress in cancer-related behaviors and knowledge within the Michigan adult population. The Michigan Department of Community Health Cancer Prevention and Control Section provides the funding for conducting the SCBRFS. The survey was designed and coordinated by evaluation staff at the Michigan Public Health Institute, and data collection was performed by the Office of Survey Research of the Institute for Public Policy and Social Research at Michigan State University in East Lansing, MI.
Michigan 2006 Palliative Care Census Project (December 2006)
This project was conducted in support of the End-of-Life Care Strategic Plan developed by the Michigan Cancer Consortium, specifically the objective to increase access to palliative services throughout Michigan. Its purpose was to assess the availability and scope of palliative care services in Michigan hospitals, given the need to prevent and reduce avoidable suffering during the last phase of life for persons with cancer and other advanced chronic illness.
Note: The following project materials are available as Adobe Acrobat PDF files:**
Michigan 2007 Quick Palliative Care Survey Results (October 2007)
This project gathered information from hospital-based palliative care teams regarding: 1) barriers to optimal palliative care, and 2) sources of referral. Twenty of the 24 active programs that responded to the Michigan 2006 Palliative Care Census responded to a two-item follow-up survey they were sent. Results showed that barriers to optimal palliative care are commonly experienced by the majority of programs regardless of size of facility, tenure of program, number of patients served, or composition of the palliative care team. Physician resistance to palliative services and patient/family lack of awareness of prognosis were the top two barriers reported in most settings.
Michigan Rural Health Profile: A Report on the Health Trends and Resources of Rural Michigan, 1990 - 2005(available as an Adobe Acrobat PDF file)* www.michigan.gov/documents/mdch/MichiganRuralHealthProfile-2008-0801_243955_7.pdf
This report features: 1) state characteristics (geographic, demographic, and socio-economic characteristics throughout Michigan); 2) health status (uses indicators identified in the Critical Health Indicators Report, but includes additional data for metropolitan, micropolitan, and rural areas); 3) health resources (health facility and manpower statistics of rural Michigan); and 4) definition of "rural" (explains the several different definitions of "rural" from the federal government, including the Office of Management and Budget definition of Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Rural Areas, which are used in this report).
American Cancer Society (ACS): Cancer Prevention & Early Detection Facts & Figures, 2010
Contents include national and state-level risk factor and screening data,
including: adult and youth tobacco use; tobacco control measures; adult
and youth obesity prevalence; and prevalence of screening tests for
breast, cervical, colorectal, and prostate cancers.
ACS: Cancer Facts & Figures for African Americans, 2011-2012
This report stimates the number of new cancer cases and deaths for 2011 and
provides the most recent statistics on cancer incidence, mortality, and
five-year relative survival. It also includes sections on cancer risk
factors, such as tobacco use, physical activity, and use of cancer
screening examinations.
ACS: Cancer Facts & Figures for Hispanics/Latinos, 2009-2011
This report is intended to provide a detailed summary of information
about cancer in the U.S. Hispanic population to community leaders, public
health and health care workers, and others interested in cancer
prevention, early detection, and treatment for Hispanics/Latinos.
ACS: Cancer Screening in the United States, 2011: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening
This is the latest in the ACS' annual series of published reports on
data and trends in the country’s cancer screening rates, as well as select issues related to cancer screening. This edition, which appeared in the January-February 2011 issue of CA: A Cancer Journal for Clinicians, a peer-reviewed journal of the ACS, summarizes the current ACS guidelines, describes the anticipated impact of new health care reform legislation on cancer screening, and discusses recent public debates over the comparative effectiveness of different colorectal cancer screening tests. It also details the latest data on the utilization of cancer screening from the National Health Interview Survey, as well as several recent reports on the role of health care professionals in adult utilization of cancer screening.
ACS: Breast Cancer Facts & Figures, 2009-2010
This report is intended to provide a detailed summary of information
about breast cancer in the United States to community leaders, public health and
health care workers, and others interested in breast cancer prevention,
early detection, and treatment.
ACS: Colorectal Cancer Facts & Figures, 2011-2013
This is a comprehensive summary of information about colorectal cancer, the third most commonly diagnosed cancer and third leading cause of cancer death in both men and women in the United States. The report includes incidence and mortality rates by race/ethnicity and state, as well as information on risk factors, screening, and stage-specific treatment.
ACS: Global Cancer Facts & Figures, 2nd Edition
This report presents data on the estimated numbers of new cancer cases and deaths in
2008, both worldwide and by level of economic development, as well as
detailed information on select cancer sites. It also includes a special section
on cancer in Africa.
National Cancer Institute — Surveillance Epidemiology and End Results (SEER) data http://seer.cancer.gov
The Surveillance, Epidemiology, and End Results (SEER) Program, an authoritative source of information on cancer incidence and survival in the United States, collects and publishes cancer incidence and survival data from population-based cancer registries covering approximately 28 percent of the U.S. population. SEER coverage includes 26 percent of African Americans, 41 percent of Hispanics, 43 percent of American Indians and Alaska Natives, 54 percent of Asians, and 71 percent of Hawaiian/Pacific Islanders. The SEER Program registries routinely collect data on patient demographics, primary tumor site, tumor morphology and stage at diagnosis, first course of treatment, and follow-up for vital status. The SEER Program is the only comprehensive source of population-based information in the United States that includes stage of cancer at the time of diagnosis and patient survival data.
Centers for Disease Control and Prevention (CDC) — Cancer Data and Statistics www.cdc.gov/cancer/dcpc/data/index.htm
The
United States Cancer Statistics: 2007 Incidence and Mortality report (USCS) combines cancer registry data from CDC's National Program of Cancer Registries and the National Cancer Institute's Surveillance, Epidemiology and End Results Program to produce a new set of official federal statistics on cancer incidence (newly diagnosed cases) for a single year. The current report provides state-specific and regional data for cancer cases diagnosed and for cancer deaths that occurred in 2007, the most recent year for which incidence data are available. Most of the statistics presented on this Web site are based on USCS data. Breakdowns by demographic and cancer type are available.
CDC — Cervical Cancer Detection Rates by Race and Ethnicity (Adobe Acrobat PDF file)*
The CDC developed the first race- and ethnic-specific rates of cervical cancer detection from its national screening program for low-income, uninsured women and published them in the January 2001 issue of Cancer Causes and Control.
CDC — Behavioral Risk Factor Surveillance System (BRFSS) data www.cdc.gov/brfss Established in 1984 by the CDC, the BRFSS is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. For many states, the BRFSS is the only available source of timely, accurate data on health-related behaviors. BRFSS data are collected monthly in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. More than 350,000 adults are interviewed each year, making the BRFSS the largest telephone health survey in the world. States use BRFSS data to identify emerging health problems, establish and track health objectives, and develop and evaluate public health policies and programs. Many states also use BRFSS data to support health-related legislative efforts.
CDC — Selected Metropolitan/Micropolitan Area Risk Trends (SMART) BRFSS
data http://apps.nccd.cdc.gov/brfss-smart
The Selected Metropolitan/Micropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance System (BRFSS) to analyze the data of selected metropolitan and micropolitan statistical areas (MMSAs) with 500 or more respondents. BRFSS data can be used to identify emerging health problems, establish and track health objectives, and develop and evaluate public health policies and programs.
CDC — 1999-2007 United States Cancer Statistics: Incidence and Mortality Data www.cdc.gov/uscs
The 1999-2007 United States Cancer Incidence and Mortality Data Web-based report includes the official federal statistics on cancer incidence from
registries that have high-quality data and cancer mortality statistics
for each year and 2003–2007 combined. It is produced by the CDC and the National Cancer Institute (NCI), in collaboration with the North American Association of Central Cancer Registries (NAACCR).
CDC — Smoking and Tobacco Use Data and Statistics www.cdc.gov/tobacco/data_statistics/index.htm
This site is a portal to data and other information from various sources, such as CDC surveillance systems, journal articles, and reports. Selections include: Surgeon General's Reports; state data; surveys; tables, charts, and graphs; information by topic; fact sheets; and Morbidity and Mortality Weekly Reports.
The 2009 Annual Report to the Nation on the Status of Cancer, 1975-2006, Featuring Trends in Colorectal Cancer www.seer.cancer.gov/report_to_nation/index.html
Every year, the American Cancer Society, the Centers for Disease Control
and Prevention, the National Cancer Institute, and the North American
Association of Central Cancer Registries collaborate to provide updated
information regarding cancer occurrence and trends in the United States.
The current report, published in December 2009, includes trends in
colorectal cancer incidence and death rates and highlights the use of
statistical modeling as a tool for interpreting past and future trends
to assist in cancer control planning and policy decisions.
State Cancer Profiles www.statecancerprofiles.cancer.gov
The objective of the State Cancer Profiles website is to provide a system to characterize the cancer burden in a standardized manner in order to motivate action, integrate surveillance into cancer control planning, characterize areas and demographic groups, and expose health disparities. The focus is on cancer sites for which there are evidence-based control interventions. Interactive graphics and maps provide visual support for deciding where to focus cancer control efforts. The website brings together data that are collected from public health surveillance systems by using either their published reports or public use files. The data may appear dated but they are the most recent that have completed the national data synthesis and quality assurance processes. Many states provide Web sites with just their state's data; these data may be more recent or in more detail than can be provided nationally.
Healthy People 2020: Cancer www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=5
The cancer objectives for Healthy People 2020 support monitoring trends in cancer incidence, mortality, and survival to better assess the progress made toward decreasing the burden of cancer in the United States. The objectives reflect the importance of promoting evidence-based screening for cervical, colorectal, and breast cancer by measuring the use of screening tests identified in the U.S. Preventive Services Task Force recommendations. The objectives for 2020 also highlight the importance of monitoring the incidence of invasive cancer (cervical and colorectal) and late-stage breast cancer, which are intermediate markers of cancer screening success.
Health Information National Trends Survey (HINTS) http://hints.cancer.gov/
The National Cancer Institute fielded the first Health Information National Trends Survey (HINTS) in 2002-2003; subsequent surveys followed in 2005 and 2007. HINTS routinely
collects nationally representative data about the American public's use of cancer-related information. The survey: provides updates on changing patterns, needs, and information opportunities in health; identifies changing communications trends and practices; assesses cancer information access and usage; provides information about how cancer risks are perceived; and offers a testbed to researchers to test new theories in health communication.
HINTS Briefs http://hints.cancer.gov/briefs.jsp HINTS Briefs provide a snapshot of noteworthy, data-driven research findings from the Health Information National Trends Survey (HINTS). The Briefs introduce population-level estimates for specific questions in the survey and summarize significant research findings that are a result of analyzing how age, race and gender influence specific outcomes. Many Briefs summarize research findings from recent peer-reviewed journal articles that use HINTS data.
NCI — Cancer Trends Progress Report, 2009/2010 Update http://progressreport.cancer.gov/
This online report, first issued in 2001 as the Cancer Progress Report,
is updated every two years and when new data become available. Spanning the cancer control continuum from prevention through end of life and summarizing the nation's progress against cancer in relation to the Healthy People targets developed by the U.S. Department of Health and Human Services, the report is designed to offer updated national trends data in a user-friendly format that can be used by policy makers, researchers, clinicians, and public health service providers. The current edition of the report includes nine new measures (Medicaid coverage of tobacco dependence treatments; tobacco company marketing expenditures; treatment for prostate, kidney, lung, ovarian, and bladder cancers; the cost of cancer care; and cancer survivors and smoking), as well as a reporting of health differences and health inequalities across measures, where they exist, and a new summary measure of the most recent trends.
U.S. Census Bureau: Small Area Health Insurance Estimates www.census.gov/hhes/www/sahie/data/index.html
This data set provides estimates of the low-income, uninsured populations at both the state and county level; which are being made available for the first time.
Intercultural Cancer Council (ICC) Caucus: From Awareness to Action: A Renewed Call to Eliminate the Unequal Burden of Cancer(available as an Adobe Acrobat PDF file)* http://icc-caucus.org/ICC_Caucus_Action_Plan.pdf
To help determine why ethnic minority and poor populations do not share equally in the improvements in cancer survival now enjoyed by other Americans and what can be done to reduce the unequal burden of cancer, the ICC Caucus compiled the most up-to-date information about disparities in cancer incidence, morbidity and mortality among the nation’s minorities and the medically underserved. Based upon this assessment, the ICC issued this report in April 2008 as a nationwide call to action.
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(Michigan Public Health Institute and Michigan Department of Community Health; August 2011) (available as an Adobe Acrobat PDF file)** 