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C-5 Data Details

C-5 Reduce the colorectal cancer death rate

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
17.1 (2007)
Target
14.5
Target-Setting Method
Projection/trend analysis
Numerator
Number of deaths due to colorectal cancer (ICD-10 codes C18-C21 and C26.0)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Death due to malignant neoplasm of the colon and rectum (ICD-10 codes C18-C21 and C26.0).

FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

Age Adjustment

At the National level this Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
Trend Issues
Colorectal cancer mortality data for this indicator have been coded for consistency with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI. ICD-10 code C26.0 typically is not included in this category for the reporting of mortality data from NCHS. Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.
Target Calculation Methods
A linear regression model was used to estimate the Healthy People 2020 target based on available data from the National Vital Statistics System. Baseline data are deaths due to colorectal cancer in 2007 and the target was set to be between a 10% improvement and the expected death rate (based on linear regression) a decade later.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-5 in that ICD-10 code C26.0 has been added. The change was made to be consistent with cancer incidence and mortality data reported by United States Cancer Statistics (USCS), CDC and Surveillance Epidemiology and End Results (SEER), NIH, NCI.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2013, rates for 2007–2009 were revised using intercensal population estimates based on the 2000 and 2010 censuses instead of the postcensal estimates for the denominator. Thus, the original baseline was revised from 17.0 to 17.1.

References

Additional resources about the objective.

  1. Cancer Control P.L.A.N.E.T., NCI
    http://cancercontrolplanet.cancer.gov
  2. Colon and Rectal Cancer Home Page, NCI
    http://www.cancer.gov/cancertopics/types/colon-and-rectal
  3. Data Documentation and Variable Recodes, Surveillance Epidemiology and End Results (SEER), NCI
    http://seer.cancer.gov/analysis