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Cancer Tracking: The State of the Nation James S. Marks, M.D., M.P.H. Director Chronic Disease Prevention and Health Promotion. - PowerPoint PPT Presentation
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Cancer Tracking:The State of the Nation
James S. Marks, M.D., M.P.H.Director
Chronic Disease Prevention and Health Promotion
“ If the United States is to reduce the human and financial costs of chronic diseases with effective public health prevention efforts, the first step is to establish a tracking capacity for chronic diseases and environmental exposures.”
Source: Transition Report to the New Administration: Strengthening our Public Health Defense Against Environmental Threats. January 2001, The PEW ENVIROMENTAL HEALTH COMMISSION
• Why cancer tracking is critical.
• Why strong cancer registries are needed in every state.
• The present and future of cancer registries.
State Cancer Registries
PURPOSE:• Is progress occurring? • Are specific populations at higher risk? • Are cancer prevention and control efforts
having the expected effect?• Where and how would resources be best
used? • Evaluate clusters, quality of care and new
interventions.
CDC’s National Program of Cancer Registries
• Providing national leadership by helping states and territories:
• Fund all 45 states not wholly funded by SEER• Recommend standards for data completeness,
timeliness, and quality • Modernize and computerize reporting and data-
processing • Develop laws and regulations that promote quality
registries
*North American Association of Central Cancer Registries Certification of data from cancers diagnosed 1995, 1996, 1998, 2000
NAACCR*-Certified State Cancer Registries
1997 1998
2000 2002
DCDC
DCDC
Female Breast Cancer Cases Diagnosed at Early Stage
Michigan, 1985–1987
Percentageof Cases
< 39.1
39.1–48.1
48.2–55.9
56 & over
Female Breast Cancer Cases Diagnosed at Early Stage
Michigan, 1995–1997
Percentageof Cases
< 39.1
39.1–48.1
48.2–55.9
56 & over
Patterns of Care Study
• Two studies examining four cancer sites: breast, prostate, colon and ovarian.
• Compares quality of treatment data reported to NPCR registries with data from medical records
• Population-based samples estimate proportion of patients who receive recommended standard of care
What is the Present and Future of Cancer Registries
• Trust for America’s Health- “Improving Cancer Tracking Today Saves Lives Tomorrow: Do States Make the Grade?” is an interim report in establishing systems and great growth in the quality of data.
• The future is to use cancer registries for issues of cancer prevention, detection and care.
• To serve as a model, as implied in the first Trust For America’s Health report, “America’s Environmental Health Gap: Why the Country Needs a Nationwide Health Tracking Network” for the tracking of critical chronic disease health problems of our time.
The Cancer Weapon America Needs Most
“ Although not as glamorous, cancer tabulation can be more important in the fight against cancer than performing an intricate operation or an elegant experiment. A network of cancer registries can be our most potent new weapon against the disease. “
Source: Healey JH. The cancer weapon America needs most. Reader’s Digest June 1992;140(842):69–72.
The Cancer Weapon America Needs Most
“ People do not naturally rally round a cause like cancer record-keeping because no one can point to victims who will suffer without it. Rather, it is our larger understanding of cancer that suffers. And thus, we are all victims. “
Source: Healey JH. The cancer weapon America needs most. Reader’s Digest June 1992;140(842):69–72.