CANCER of the KIDNEY and RENAL PELVIS
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1 CANCER of the KIDNEY and RENAL PELVIS Data Highlights There were 1,695 cases of cancer of the kidney and renal pelvis diagnosed in 1997 among residents of Pennsylvania, the highest annual number since statewide reporting began in Males had an average annual ( ) age-adjusted incidence rate about twice that of females (14.1 and 7.1 per 1,, respectively). Annual numbers of cases and age-adjusted incidence rates by sex and race for 1988 through 1997 have all been on the increase. There are few understood causes of kidney cancer; however, cigarette smoking is an important risk factor. Approximately a quarter of all cases are caused by this behavior. As with age-adjusted rates, age-specific incidence rates were much higher among males for almost all age groups. Fifty-eight percent of all the cases for 1997 were diagnosed during the local stage of the disease. During the five-year period of , over 7 percent of the cases of kidney and renal pelvis cancers were diagnosed among residents 6 years of age or older. In 1997, there were 631 resident deaths due to cancer of the kidney and renal pelvis, the highest annual number recorded between 1988 and The average annual ( ) age-adjusted death rate (3.5 per 1,) was over 65 percent lower than the average annual incidence rate (1.1 per 1,). The death rates were also much higher for males, as occurred with the incidence rates. There were no apparent trends for the mortality rates among the four sex/race groups. FIGURE 18 Average Annual Age-Adjusted Incidence and Mortality Rates* by Sex and Race, Incidence Mortality Race/Sex All Cases/Deaths All Males All Females Age-Adjusted Rate Risk Factors Cigarette smoking. Etiological factors are obscure. *per 1, 197 U.S. standard million population. Early Detection None proven to be effective or currently being evaluated. Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 156
2 Cancer of the Kidney and Renal Pelvis: INCIDENCE TABLE 18-A Number of Cancer Cases, Age-Adjusted Incidence Rates and Range for 95% Confidence Intervals by Sex, Race and Year, Pennsylvania Residents, All Cases* All Races* White Black All Races* White Black Year No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/ , , , , , , , , , , , , * Includes any unknowns. NOTES: Age-adjusted rates are per 1, and are computed by the direct method using the 197 U.S. standard million population. Rates based on less than 2 events are considered statistically unreliable. The value of CI+/- added to and subtracted from the age-adjusted rate = 95% confidence interval. The value of CI+/- was calculated using a formula for estimating the standard error or SE (see Technical Notes). 25 FIGURE 18-A Age-Adjusted Incidence Rates by Sex and Race Pennsylvania Residents, Rate per 1, Year Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 157
3 Cancer of the Kidney and Renal Pelvis: INCIDENCE TABLE 18-B Average Annual Age-Specific Incidence Rates by Sex and Race Age Group All Cases All Races White Black All Races White Black Total Under NOTE: Rates are per 1, population ( ) for each specified group. FIGURE 18-B Average Annual Age-Specific Incidence Rates by Sex and Race 1 8 RATE PER 1, Under AGE GROUP 85+ Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 158
4 Cancer of the Kidney and Renal Pelvis: INCIDENCE TABLE 18-C Total Number of Cancer Cases by Age, Sex and Race Age Group All Cases* All Races* White Black All Races* White Black Total 7,959 4,83 4, ,156 2, Under , , , * Includes any unknowns. FIGURE 18-C Stage of Disease at Diagnosis, Percent by Sex and Race Pennsylvania Residents, In Situ Local Regional Distant Percent Number and Percent of Cases Microscopically Confirmed: 1, % Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 159
5 Cancer of the Kidney and Renal Pelvis: MORTALITY TABLE 18-D Number of Deaths, Age-Adjusted Death Rates and Range for 95% Confidence Intervals by Sex, Race and Year, Pennsylvania Residents, All Deaths* All Races* White Black All Races* White Black Year No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/- No. Rate CI+/ * Includes any unknowns. NOTES: Age-adjusted rates are per 1, and are computed by the direct method using the 197 U.S. standard million population. Rates based on less than 2 events are considered statistically unreliable. The value of CI+/- added to and subtracted from the age-adjusted rate = 95% confidence interval. The value of CI+/- was calculated using a formula for estimating the standard error or SE (see Technical Notes). 1 FIGURE 18-D Age-Adjusted Death Rates by Sex and Race Pennsylvania Residents, Rate per 1, Year Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 16
6 Cancer of the Kidney and Renal Pelvis: MORTALITY TABLE 18-E Number of Deaths and Average Annual Age-Specific Death Rates by Sex and Race All Deaths* All Races* White Black All Races* White Black Age Group No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate Total* 2, , , , , Under * Includes any unknowns. NOTE: Rates are per 1, population ( ) for each specified group. FIGURE 18-E Average Annual Age-Specific Death Rates by Sex and Race 8 6 Rate per 1, 4 2 Under Age Group Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 161
7 Cancer of the Kidney and Renal Pelvis: INCIDENCE TABLE 18-F Number of Cases, Average Annual Age-Adjusted Incidence Rates and Range for 95% Confidence Intervals by County and Sex, Total Total County Cases No. Rate CI+/- No. Rate CI+/- County Cases No. Rate CI+/- No. Rate CI+/- All Counties 7,959 4, , Adams Juniata Allegheny Lackawanna Armstrong Lancaster Beaver Lawrence Bedford Lebanon Berks Lehigh Blair Luzerne Bradford Lycoming Bucks McKean Butler Mercer Cambria Mifflin Cameron Monroe Carbon Montgomery Centre Montour Chester Northampton Clarion Northumberland Clearfield Perry Clinton Philadelphia 1, Columbia Pike Crawford Potter Cumberland Schuylkill Dauphin Snyder Delaware Somerset Elk Sullivan Erie Susquehanna Fayette Tioga Forest Union Franklin Venango Fulton Warren Greene Washington Huntingdon Wayne Indiana Westmoreland Jefferson Wyoming York NOTES: Age-adjusted rates are per 1, and are computed by the direct method using the 197 U.S. standard million population. Rates based on less than 2 events are considered statistically unreliable. The value of CI+/- added to and subtracted from the age-adjusted rate = 95% confidence interval. The value of CI+/- was calculated using a formula for estimating the standard error or SE (see Technical Notes). Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 162
8 Cancer of the Kidney and Renal Pelvis: MORTALITY TABLE 18-G Number of Deaths, Average Annual Age-Adjusted Death Rates and Range for 95% Confidence Intervals By County and Sex, Total Total County Deaths No. Rate CI+/- No. Rate CI+/- County Deaths No. Rate CI+/- No. Rate CI+/- All Counties 2,963 1, , Adams Juniata Allegheny Lackawanna Armstrong Lancaster Beaver Lawrence Bedford Lebanon Berks Lehigh Blair Luzerne Bradford Lycoming Bucks McKean Butler Mercer Cambria Mifflin Cameron Monroe Carbon Montgomery Centre Montour Chester Northampton Clarion Northumberland Clearfield Perry Clinton Philadelphia Columbia Pike Crawford Potter Cumberland Schuylkill Dauphin Snyder Delaware Somerset Elk Sullivan Erie Susquehanna Fayette Tioga Forest Union Franklin Venango Fulton Warren Greene Washington Huntingdon Wayne Indiana Westmoreland Jefferson Wyoming York NOTES: Age-adjusted rates are per 1, and are computed by the direct method using the 197 U.S. standard million population. Rates based on less than 2 events are considered statistically unreliable. The value of CI+/- added to and subtracted from the age-adjusted rate = 95% confidence interval. The value of CI+/- was calculated using a formula for estimating the standard error or SE (see Technical Notes). Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 163
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FIGURE 23 Average Annual Age-Adjusted Incidence and Mortality Rates* by Sex and Race, Pennsylvania Residents,
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FIGURE 5 Average Annual Age-Adjusted Incidence and Mortality Rates* by Sex and Race, Pennsylvania Residents,
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FIGURE 10 Average Annual Age-Adjusted Incidence and Mortality Rates* by Sex and Race, Pennsylvania Residents,
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P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 2 BRADFORD 20% 57,700 8,080 9,240 10,400 11,540 12,480 13,400 14,320 15,240 16,16
P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 ADAMS 20% 68,500 9,600 10,960 12,340 13,700 14,800 15,900 17,000 18,100 19,180 20% 513 240 257 308 356 397 438 479 30% 6/06/2016 14,400
BEAVER 20% 65,600 9,200 10,500 11,820 13,120 14,180 15,220 16,280 17,320 18,360 20%
P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 ADAMS 20% 64,100 9,100 10,400 11,700 13,000 14,040 15,080 16,120 17,160 18,200 20% 477 227 243 292 338 377 416 455 30% 5/01/2014 13,650
P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 2 BRADFORD 20% 57,500 8,280 9,460 10,640 11,820 12,780 13,720 14,660 15,620 16,54
P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 ADAMS 20% 75,100 9,640 11,020 12,400 13,760 14,880 15,980 17,080 18,180 19,260 20% 457 241 258 310 358 399 440 481 30% 6/01/2015 14,500
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P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 ADAMS 20% 73,900 10,260 11,720 13,180 14,640 15,820 17,000 18,160 19,340 20,500 20%/FMR 470 256 274 329 380 425 468 512 30% 6/15/2017
TABLE B-17 RESIDENT LIVE BIRTHS BY RACE AND HISPANIC ORIGIN OF MOTHER BY COUNTY TOTAL BIRTHS, BIRTH AND GENERAL FERTILITY RATES*: PENNSYLVANIA, 1996
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P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 MTXR044 9:53:16 COUNTY-WIDE
P E N N S Y L V A N I A H O U S I N G F I N A N C E A G E N C Y PAGE 1 ADAMS 20% 68,300 9,580 10,940 12,300 13,660 14,760 15,860 16,940 18,040 19,120 20%/FMR 413 239 256 307 355 396 437 478 40% 2/09/2012
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