Cancer Survivorship in Utah, Part 2

CANCER SURVIVORSHIP IN UTAHBRFSS Survivorship Module Results

During this webinar…

Breakdown of the DataDemographicsCancer Survivorship Module ResultsCancer and Other Health Conditions/BehaviorsFindings/ConclusionsQ&A

Cancer Survivorship in the U.S.

Morbidity and Mortality Weekly Report, January 20, 2012

http://www.cdc.gov/mmwr/pdf/ss/ss6101.pdf

The Data (2009-2010)

Four questions asked on the core surveyHave you EVER been told by a doctor, nurse, or other health professional that you had cancer?How many different types of cancer have you had?At what age were you told you had cancer?What type of cancer was it?

Health status, chronic disease, health behaviors, disability, emotional support and life satisfaction

The Data (2010)

Behavioral Risk Factor Surveillance System (BRFSS) Cancer Survivorship Module

Made up of 10 additional questions covering cancer treatment, doctor, written instructions, healthcare access, clinical trials, physical pain, and more.

Have you EVER been told by a doctor, nurse, or other health professional that you had cancer?

157713%

1066487%

Yes No

How many different types of cancer have you had?

86.5%

10.6%

2.9%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Only One Two Three or More

At what age were you told you had cancer?

121376.9%

36423.1%

40 years and over Under 40 years

What type of cancer was it?

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

Other skin cancer

Melanoma

Breast

Prostate

Cervical

Other

Bladder

Thyroid

Colorectal

Endometrial

Non-Hodgkin's Lymphoma

Leukemia (blood)

Cancers representing <0.35%

Ovarian

Renal (kidney)

Hodgkin's Lymphoma

Pharyngeal

Testicular

Stomach

Lung

Age-adjusted percent among cancer survivors

Demographics

Demographic

Cancer Status

Cancer Survivors Without Cancer

N % N %Age59 and Under 521 43.1 7584 85.060 and Over 1056 56.9 3080 15.0Total 1577 100.0 10664 100.0

Demographics

Cancer Status

Cancer Survivors Without Cancer

N % N %EthnicityHispanic 36 3.4 625 7.4Non‐Hispanic 1536 96.6 9991 92.6Total 1572 100.0 10616 100.0RaceWhite 1522 95.1 9856 90.8Non‐White 55 4.9 808 9.2Total 1577 100.0 10664 100.0

Demographics

Demographic

Cancer Status

Cancer Survivors Without Cancer

N % N %County DensityUrban 900 70.6 6172 73.5Rural 534 24.6 3575 22.1Frontier 119 4.5 755 4.4Total 1553 100.0 10502 100.0

Demographics

Are you currently receiving treatment for cancer?

5.6% said they were currently receiving treatment

Were you EVER given a written summary of all the cancer treatments you received?

28% said they were given a written summary

Cancer Survivorship Module

Is your pain currently under control?

90.8% said yes

Cancer Survivorship Module

Do you currently have physical pain caused by your cancer or cancer treatment?

11.6% said yes

Were you EVER denied health insurance or life insurance coverage because of your cancer?

5.2% said yes

Cancer Survivorship Module

With your most recent diagnosis of cancer, did you have health insurance that paid for all or part of your cancer treatment?

91.9% said yes

Cancer Survivorship Module

Did you participate in a clinical trial as part of your cancer treatment?

5.8% said yes

Cancer Survivorship Module

What type of doctor provides the majority of your health care?

0.40

1.11

1.57

2.36

3.90

4.97

15.83

17.68

52.18

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Plastic Surgeon

Medical Oncologist

Urologist

General Surgeon

Cancer Surgeon

Gynecologic Oncologist

Internist

Other (Unspecified)

Family Practitioner

Percent

Did you receive written instructions on where you should return or who you should see for routine cancer check-ups after completing treatment for cancer?

68.5% said yes

Cancer Survivorship Module

Did you receive a written summary of all the cancer treatments that you received?

30.9% said yes

Cancer and Other Health Conditions/Behaviors

Chronic ConditionsHealth BehaviorsQuality of Life

Cancer and Other Health Conditions/Behaviors

1.99 1.73 1.38 1.27 1.25 1.25 1.08 1.060.00

0.50

1.00

1.50

2.00

2.50

3.00

*Asthma *Smoker *Hypertension Angina *Obesity Heart Attack High Chol Sedentary

Odds Ratio

Cancer and Quality of Life

1.92 1.76 1.74 1.73 1.71 1.27 1.050.00

0.50

1.00

1.50

2.00

2.50

3.00

*PoorHealth

*LifeSatisfaction

*GeneralHealth

*PhysicalHealth

*LimitedActivity

MentalHealth

EmotionalSupport

Odds Ratio

Cancer Survivorship Conclusion

Higher burden of chronic diseaseMore likely to report poor health and life dissatisfactionPublic health programs regarding cancer survivorship - room for improvement

For more information

Utah Health Status Update: Cancer Survivorshiphttp://health.utah.gov/opha/publications/hsu/1209_CancerS.pdfSeptember 2012Meghan Balough, Epidemiologist

Phone: (801) 538-6204Email: mbalough@utah.gov