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State of Alaska

Health Indicator Report of Cancer Mortality Rate - All (HA2020 Leading Health Indicator: 1)

Although there have been declines in the death rates for cancer overall over the past decade, cancer remains the leading cause of mortality among all Alaskans and among Alaska Native people. Cancer mortality represents an important public health concern not only because of the burden of cancer among the population, but because there are effective means for cancer prevention and for the early detection and treatment of cancer. Monitoring cancer mortality rates is an important way to assess efforts being made to prevent and treat cancer, including screening efforts. Several other HA2020 leading health indicators are related to this objective because they monitor risk factors associated with cancer, such as tobacco use, physical activity, and diet.

Notes

Age-adjusted to U.S. 2000 population. Number of deaths due to cancer defined as International Classification of Diseases (ICD)-9 codes 140-208 and ICD-10 codes C00-C97) as the underlying cause of death among residents during a calendar year. Cancer is not a single disease, but rather numerous diseases with different causes, risks, and potential interventions. Interpretation of increases or decreases in cancer mortality can be made only by examination of specific types of cancers. Because certain cancers have a long latency period, years might pass before changes in behavior or clinical practice patterns affect cancer mortality. In addition, certain cancers are not amenable to primary prevention or screening.   Alaska/Alaska Native - Alaska Bureau of Vital Statistics U.S. - Centers for Disease Control and Prevention - National Center for Health Statistics - Mortality Data Release Series

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Health Statistics

Data Interpretation Issues

Cancer cases are invasive, except for special instances such as bladder cancers that include in situ. Mortality rates may vary from source to source. This may be due to using provisional data or using different population databases. The cancer mortality rates provided by the [http://dhss.alaska.gov/dph/chronic/pages/cancer/registry.aspx Alaska Cancer Registry] use population estimates provided by the [http://seer.cancer.gov/ Surveillance, Epidemiology, and End Results Program (SEER)] of the [http://www.cancer.gov/ National Cancer Institute]. In contrast, the [http://dhss.alaska.gov/dph/VitalStats/Pages/data/default.aspx Alaska Bureau of Vital Statistics] uses [http://labor.alaska.gov/research/pop/popest.htm population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Definition

Rate of mortality from all cancers per 100,000 population.

Numerator

Number of deaths due to cancer for a specific time period in the resident population.

Denominator

Mid-year resident population for a specific time period.

Healthy People Objective: Reduce the overall cancer death rate

U.S. Target: 160.6 deaths per 100,000 population
State Target: Healthy Alaskans 2020 Target: 162.0 per 100,000 population

How Are We Doing?

Malignant neoplasms, or cancer, is the number one leading cause of death in Alaska. In 2015, cancer claimed the lives of 962 Alaskans. More Alaskans died from cancer of the trachea, bronchus, and lung than any other type of cancer; 145 males and 112 females.^1^ Among the leading causes of death in Alaska, cancer ranked second in total years of potential life lost with 9,214 years lost. On average, 9.6 years of life were lost prematurely for each cancer death.^1^ Since 2006, the crude death rate for cancer has increased 12.6%. During this same time period, the age-adjusted death rate for cancer has decreased 14.4%.^1^ In 2015, the age-adjusted cancer mortality rate for all Alaskans was 152.9 per 100,000 population. Alaska Native residents had an age-adjusted cancer mortality rate of 235.9 per 100,000, over 50% higher than the rate for all Alaskans. Overall cancer mortality has decreased by a third in Alaska from levels of over 200 individuals per 100,000 in the period between 1990 and 2000 to just under 155 individuals in 2015. Cancer mortality levels for Alaska Native people have been statistically higher than for white Alaskans for the period from 2000. The Northern region had the significantly highest cancer mortality with a rate of 238.1 per 100,000 in the 5-year period from 2010-2014. The next highest cancer mortality level was in the Southwest region with 219.7 per 100,000, which was significantly higher than the remaining regions of Alaska. In 2015, the cancer mortality rate for all Alaskans remained below the Healthy Alaskans 2020 goal of 162.0 deaths per 100,000 population.[[br]][[br]] ---- {{class .SmallerFont 1. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. }}

How Do We Compare With the U.S.?

Overall cancer mortality in Alaska has tracked closely with the rate for the United States as a whole. In 2014, the cancer mortality rate for the U.S. was 161.2 per 100,000 and 159.1 per 100,000 for all Alaskans. Although the annual rates for Alaska are more variable, they are following the same downward tend seen nationally.

What Is Being Done?

The [http://dhss.alaska.gov/Pages/default.aspx Alaska Department of Health and Social Services] initiated the [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/comprehensive.aspx Alaska Comprehensive Cancer Control Program (CCCP)], a statewide partnership whose goal is to reduce the burden of cancer. The mission of the CCCP is to lower cancer incidence and mortality in Alaska 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, lung, prostate, skin, breast, ovarian, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and smoking cessation and prevention.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Increase breast, cervical and colorectal cancer screening. '''Evidence Base:''' [[br]]Screening increases the chances of detecting certain cancers early, when they are most likely to be curable. Increasing screening rates will reduce the rate of deaths due to cancer in those cancers that can be screened for (breast, cervical and colorectal cancer). Currently 61% of Alaskans have been screened for colorectal cancer, 72% for breast cancer and 81% for cervical cancer (Alaska BRFSS 2010). '''Sources:''' [[br]] [http://archive.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide2012/abstract.htm Recommendations of the U.S. Preventive Services Task Force] [[br]][http://www.thecommunityguide.org/index.html The Community Guide] '''Strategy 2:''' [[br]]Increase participation in clinical trials. '''Evidence Base:''' [[br]]Participation in clinical trials promotes the development of new cancer treatments and expands the number of options available to a cancer patient. Clinical trials also offer opportunities to try potentially effective new treatments. More effective diagnostic and treatment options will reduce cancer incidence and mortality. Only modest gains have been achieved in cancer mortality since 1993. Successful development of new cancer therapies requires translation of laboratory observations into the clinic, with clinical trials representing the application of the scientific method to this process. Fewer than 5% of adult cancer patients enroll in clinical trials. '''Source:''' [[br]][http://www.clinicaltrials.gov ClinicalTrials.gov] '''Strategy 3:''' [[br]]Increase use of patient navigation for improving access to cancer screening, timely diagnosis and treatment, and palliative care. '''Evidence Base:''' [[br]]Successful patient navigation supports those diagnosed with suspected cancers by eliminating barriers to timely screening, treatment, and supportive care of cancer and other chronic diseases. When implemented at the organizational level within a community, it results in increased efficiencies and improved screening rates. '''Source:''' [[br]][http://www.hpfreemanpni.org/our-model/ Harold P. Freeman Patient Navigation Institute] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_1_Cancer.pdf].

Health Program Information

'''Strategy 1:''' [[br]]Increase breast, cervical and colorectal cancer screening. '''Action 1:''' [[br]]Conduct community education around cancer screening through evidence based interventions. Examples include: [http://www.cdc.gov/cancer/nbccedp/ National Breast and Cervical Cancer Early Detection Program (NBCCEDP)] Activities: [[br]]1) Outreach to rarely/never screened women utilizing paycheck stuffers and worksite presentations on Breast and Cervical Cancer Health Check (BCHC) programs [[br]]2) Outreach to underserved populations (those living in poverty, English as a second language) utilizing YWCA/BCHC Outreach ToolKit [[br]]3) Identify and provide outreach to regions with lowest statewide screening rates Colorectal Cancer Screening activities: [[br]]4) Present on colorectal cancer screening at professional and community conferences and meetings [[br]]5) Develop promotional videos by Alaskans who have been screened for colorectal cancer and make them available statewide through [http://www.alaskacolonhealth.org/] '''Key Partners:''' [[br]][http://anthctoday.org/community/ Alaska Native Tribal Health Consortium, Community Health Services (CHS)], Cancer Programs [http://www.cancer.org American Cancer Society] [http://50.28.64.252/services/hospital-services/screening-for-life-services/ Arctic Slope Native Association, Screening for Life] [https://www.southcentralfoundation.com/services/health-and-wellness-programs/cancer-preventionsupport/ Southcentral Foundation, Screening and Prevention Programs] [http://searhc.org/service/health-promotion/ SouthEast Alaska Regional Health Consortium, Breast and Cervical Health Program] [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/comprehensive.aspx Alaska Dept. of Health and Social Services (DHSS), Comprehensive Cancer Control Program] [http://www.muni.org/departments/health/pages/default.aspx Municipality of Anchorage, Health and Human Services] [http://dhss.alaska.gov/dph/wcfh/Pages/bchc/default.aspx Alaska DHSS, Breast and Cervical Health Check Program] [http://www.ykhc.org/services/womens-health/ Yukon Kuskokwim Health Corporation, Breast and Cervical Health Check Program]
Page Content Updated On 06/26/2017, Published on 06/26/2017
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 21 July 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 26 Jun 2017 13:38:03 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 21 July 2018 1:49:46 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 26 Jun 2017 13:38:03 AKDT