Global Cancer Burden

Lindsey Torre, MSPH

Epidemiologist, Surveillance and Health
Services Research

Cancer statistics
Incidence (cancer registries)
Mortality (vital registration)

Rates
Estimated all sites cancer incidence
rate, 2016
Rhode Island
100,000

544.3 cases per

California
100,000

485.6 cases per

4

Rates
Example: Prostate cancer incidence
rate, California 2012
cases = 19,164
male population = 18,895,965
19,164
= 0.001014
18,895,965

x 100,000 = 101.4
5

Age-standardized rates (ASRs)

All-sites cancer incidence rates, both sexes,
Alaska
Florida
2012
Crude rate

351.4

535.8

Agestandardized
rate (ASR)

395.4

406.0

Common standard populations:

2000 US standard population
1960 world standard population
6

New cancer cases worldwide

2012

14.1 million

Source: GLOBOCAN 2012

2020

17.1 million

2030

21.6 million

New cancer cases worldwide

ller B (2006) Predicting the future burden of cancer

12 doi:10.1038/nrc1781

Tobacco

s, canceratlas.cancer.org; Institute for Health Metrics and Evaluation

Excess body weight (BMI>25)

anceratlas.cancer.org; WHO Global Health Observatory Data Repository

10

Estimated new cancer cases among males,

2012
Developed countries

Source: GLOBOCAN 2012

Developing countries

11

Estimated new cancer cases among females,

2012
Developed countries

Source: GLOBOCAN 2012

Developing countries

12

Common cancers

Lung
Colon and rectum
Prostate
Breast
Liver
Stomach
Cervix

13

Lung cancer incidence rates, males

Source: GLOBOCAN 2012

14

Lung cancer mortality rates

15

Colorectal cancer incidence rates, both sexes

Source: GLOBOCAN 2012

16

Colorectal cancer incidence

rates, males

17

Prostate cancer rates

Incidence

Mortality

Source: GLOBOCAN 2012

18

Most common cancers: males

r Atlas, canceratlas.cancer.org; GLOBOCAN 2012

19

Breast cancer incidence rates,

females

Source: GLOBOCAN 2012

20

Female breast cancer risk

factors

Weight gain after age 18

Excess body weight (postmenopausal)
Menopausal hormone therapy
Physical inactivity
Alcohol consumption
Reproductive and hormonal factors
Long menstrual history
Recent use of oral contraceptives
Not having children or late age at first birth
21

Breast cancer incidence rates,

females

22

Breast cancer mortality rates,

females

23

Most common cancers: females

r Atlas, canceratlas.cancer.org; GLOBOCAN 2012

24

Liver cancer incidence rates,

both sexes

Source: GLOBOCAN 2012

25

Hepatitis B virus prevalence

rce: J.J. Ott, G.A. Stevens, J. Groeger, S.T. Wiersma. Global epidemiology of hepatitis B virus infection: New estimates of age-specific
26
Ag seroprevalence and endemicity. Vaccine, Volume 30, Issue 12, 2012, 22122219. http://dx.doi.org/10.1016/j.vaccine.2011.12.116

Liver cancer mortality rates,

males

e: IARC Cancer Mortality Database

27

Stomach cancer incidence rates, both sexes

Source: GLOBOCAN 2012

28

Stomach cancer mortality rates,

males

29

Cervical cancer mortality rates

Source: GLOBOCAN 2012

30

Human papillomavirus infection

(HPV)

urce: The Cancer Atlas, canceratlas.cancer.org

31

Data sources: cancer registries

he Cancer Atlas, canceratlas.cancer.org

32

Data sources: vital registration

he Cancer Atlas, canceratlas.cancer.org

33

Data sources: CancerMondial

www-dep.iarc.fr
34

Data sources: GLOBOCAN

35

Data sources: GLOBOCAN

Useful for:
Maps
Projections
Estimates for world, regions, individual
countries (even those without
cancer/death registration)
Downloadable data

Not useful for:

Trends
Real data
globocan.iarc.fr
36

Data sources: Cancer Incidence in Five

Continents

37

Data sources: Cancer Incidence in Five

Continents

Useful for:

Real data
High quality data
Trends (CI5plus)
Downloadable data

Not useful for:

Maps
Worldwide data
Most recent data

ci5.iarc.fr
38

Data sources: Cancer Mortality Database

39

Data sources: Cancer Mortality Database

Useful for:
Real data (and most recent)
Trends
Downloadable data

Not useful for:

Guaranteed high-quality data
Maps
Worldwide data

www-dep.iarc.fr/WHOdb/WHOdb.htm
40

ACS educational
publications
Cancer Facts & Figures
Cancer Prevention &
Early
Detection
FactsFacts
& Figures
Breast Cancer
& Figures
Cancer Facts & Figures for
African Americans
Cancer Facts & Figures for
Hispanics/Latinos
Colorectal Cancer Facts &
Figures
Global Cancer Facts &
Figures
Cancer Treatment &
Survivorship Facts & Figures

cancer.org/research/cancerfactsstatistics
41

The Cancer Atlas & website

canceratlas.cancer.org

42

The Cancer Atlas & website

Useful for:
Maps
Downloadable data
Variety of data sources/topics

Not useful for:

Trends
All possible data

43

The Tobacco Atlas & website

tobaccoatlas.org

44

The Tobacco Atlas & website

Useful for:
Tobacco topics (use, economics, health,
policy)
Variety of data sources/topics
Downloadable figures

Not useful for:

Cancer statistics

45

Institute for Health Metrics and Evaluation

healthdata.org

46

Institute for Health Metrics and Evaluation

Useful for:
Graphics
Many health topics
Global and national
data
Burden of disease and
risk factors

Not useful for:

Real data
User-friendly
downloadable data
47

ACS Cancer Statistics

Center
cancerstatisticscenter.cancer.org

48

lindsey.torre@cancer.org

49

Prostate mortality trends

51