scholarly journals Steps in transforming the Missouri Cancer Registry (MCR) from anincidence registry to a survival registry : estimate and interactively visualize female breast cancer burden in Missouri senatorial districts and assess the usability of the Missouri Cancer Registry and Research Center's (MCRARC'S) published interactive maps

2017 ◽  
Author(s):  
◽  
Awatef Ahmed Ben Ramadan

Female breast cancer (FBC) is the most common invasive cancer among women of all races and ethnicities in the United States (US). About 12 percent of women in the United States will be diagnosed with breast cancer at some point in their lives. The Missouri Cancer Registry (MCR) needs to be transformed from an incidence registry to a survival registry to accurately measure the impact of Missouri public health programs. In addition, it needs to use interactive mapping reports of maps and statistics to improve data visualization. Many studies have concluded the importance of estimation of cancer incidence, mortality and survival together. We aimed to estimate breast cancer burden in Missouri during recent years in terms of breast cancer incidence, mortality and survival rates; to visualize these results; and to assess the usability of the Missouri Cancer Registry and Research Center's (MCR-ARC's) interactive maps and profile reports. FBC survival data were calculated from 2004 to 2010 after matching MCR's FBC cases with Missouri's state death records, the Social Security Death Index (SSDI) and the National Death Index (NDI). FBC incidence and mortality rates were measured from 2008 to 2012. Survival and incidence data were measured for each senate district by age, race, stage and grade at diagnosis. Mortality data was measured for each county and Senate District Groups of Counties by age and race. The rates were visualized using Instant Atlas. A scoping review and a two round usability testing study were conducted to explore perceptions of public health professionals about the use of geographic information systems and to assess the usability of the MCR-ARC's published maps. The dissertation results could be very informative for Missouri decision makers and public health leaders. Instant Atlas reports might enhance the communication between collaborators from different fields related to breast cancer and to disseminate female breast cancer data and inform health professionals and the public.

2017 ◽  
Author(s):  
Awatef Ahmed Ben Ramadan ◽  
Jeannette Jackson-Thompson ◽  
Chester Lee Schmaltz

BACKGROUND The Missouri Cancer Registry collects population-based cancer incidence data on Missouri residents diagnosed with reportable malignant neoplasms. The Missouri Cancer Registry wanted to produce data that would be of interest to lawmakers as well as public health officials at the legislative district level on breast cancer, the most common non-skin cancer among females. OBJECTIVE The aim was to measure and interactively visualize survival data of female breast cancer cases in the Missouri Cancer Registry. METHODS Female breast cancer data were linked to Missouri death records and the Social Security Death Index. Unlinked female breast cancer cases were crossmatched to the National Death Index. Female breast cancer cases in subcounty senate districts were geocoded using TIGER/Line shapefiles to identify their district. A database was created and analyzed in SEER*Stat. Senatorial district maps were created using US Census Bureau’s cartographic boundary files. The results were loaded with the cartographic data into InstantAtlas software to produce interactive mapping reports. RESULTS Female breast cancer survival profiles of 5-year cause-specific survival percentages and 95% confidence intervals, displayed in tables and interactive maps, were created for all 34 senatorial districts. The maps visualized survival data by age, race, stage, and grade at diagnosis for the period from 2004 through 2010. CONCLUSIONS Linking cancer registry data to the National Death Index database improved accuracy of female breast cancer survival data in Missouri and this could positively impact cancer research and policy. The created survival mapping report could be very informative and usable by public health professionals, policy makers, at-risk women, and the public.


2007 ◽  
Vol 25 (23) ◽  
pp. 3437-3439 ◽  
Author(s):  
Anthony S. Robbins ◽  
Christina A. Clarke

Purpose Recently, an unprecedented 1-year 7% decrease in the overall incidence of invasive female breast cancer in the United States was reported. It has been suggested that the decrease resulted from the mass cessation of estrogen-progestin hormone therapy (EPHT) in 2002. We took advantage of California's unique population-based cancer surveillance resources to assess whether regional changes in breast cancer incidence observed between 2001 and 2004 correlated with regional changes in EPHT use between 2001 and 2003. Methods We obtained statewide cancer registry and California Health Interview Survey (CHIS) EPHT data for almost 3 million non-Hispanic white women age 45 to 74 years, residing in California's 58 counties. We examined trends in the age-adjusted incidence of invasive female breast cancer and compared these with trends in the use of EPHT, after grouping all California counties into three groups based on EPHT use in 2001. We also examined CHIS data on trends in screening mammography. Results In 2001, there were large regional differences in EPHT use and breast cancer incidence. From 2001 to 2004, incidence declined by 8.8% in the counties with the smallest EPHT reductions, by 13.9% in those with intermediate reductions, and by 22.6% in counties with the largest EPHT reductions. Between 2001 and 2003, CHIS data did not show any significant change in the proportion of women who reported having a mammogram in the previous 2 years. Conclusion These data support the hypothesis that changes in EPHT use in 2002 may be responsible for significant declines in breast cancer incidence between 2002 and 2003 and sustained through 2004.


1991 ◽  
Vol 44 (1) ◽  
pp. 29-39 ◽  
Author(s):  
Theodore R. Holford ◽  
George C. Roush ◽  
Lisa A. McKay

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