Illinois State Cancer Incidence Review and Update, 1986-2017...• For Illinois males, prostate cancer was the most frequently diagnosed invasive cancer, accounting for 24.1 percent

Illinois State Cancer Incidence Review and Update, 1986-2017 Epidemiologic Report Series 20:06 April 2020

State of Illinois Illinois Department of Public Health

Illinois State Cancer Incidence Review and Update, 1986‐2017

A publication of the Illinois Department of Public Health Division of Epidemiologic Studies Illinois State Cancer Registry Springfield, Illinois 62761

April 2020

Prepared by

Kyle Garner, M.P.H. Cancer Epidemiologist

Tiefu Shen, M.D., Ph.D.

Division Chief

Acknowledgements This report would not have been possible without the diligent work of the Illinois State Cancer Registry staff, the personnel at the reporting facilities that diagnose or treat cancer patients throughout Illinois, and the staff members at other state central cancer registries with data exchange agreements. This publication was supported by Cooperative Agreement Number 6‐NU58DP006315‐ 03‐01 from the U.S. Centers for Disease Control and Prevention (CDC) National Cancer Prevention and Control Program. The contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. Suggested citation Garner K, Shen T. Illinois State Cancer Incidence Review and Update, 1986‐2017. Epidemiologic Report Series 20:06. Springfield, Ill.: Illinois Department of Public Health, April 2020. Copyright information All material in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. The Illinois Department of Public Health, Illinois State Cancer Registry (ISCR), makes these data available as a public service. Use of these data does not constitute an endorsement of the user’s opinion or conclusions by the Department and none should be inferred.

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ILLINOIS STATE CANCER INCIDENCE REVIEW AND UPDATE

1986‐2017

TABLE OF CONTENTSOverview 1Technical Notes 2

SECTION I

Cancer Incidence by Race, Illinois, 1986‐2017……………………………………………………… I‐1All Sites Combined………………………………………………………………………………………………… I‐2Oral Cavity and Pharynx……………………………………………………………………………………… I‐8Digestive System………………………………………………………………………………………………… I‐62Respiratory System……………………………………………………………………………………………… I‐128Bones and Joints……………………………………………………………………………………………………I‐146Soft Tissue, Including Heart………………………………………………………………………………… I‐152Skin Excluding Basal and Squamous………………………………………………………………………I‐158Breast Excluding In Situ……………………………………………………………………………………… I‐170Female Genital System………………………………………………………………………………………… I‐176Male Genital System…………………………………………………………………………………………… I‐188Urinary System………………………………………………………………………………………………………I‐196Eye and Orbit…………………………………………………………………………………………………………I‐220Brain and Other Nervous System………………………………………………………………………… I‐226Endocrine System………………………………………………………………………………………………… I‐238Lymphoma…………………………………………………………………………………………………………… I‐250Myeloma……………………………………………………………………………………………………………… I‐268Leukemia………………………………………………………………………………………………………………I‐274Mesothelioma……………………………………………………………………………………………………… I‐310Kaposi Sarcoma…………………………………………………………………………………………………… I‐316Ill‐defined and Unknown Sites……………………………………………………………………………… I‐322Female Breast In Situ……………………………………………………………………………………………I‐328

SECTION IICancer Incidence by Hispanic Ethnicity and Race, Illinois, 1990‐2017………………… II‐1All Sites Combined………………………………………………………………………………………………… II‐2Oral Cavity and Pharynx……………………………………………………………………………………… II‐5Digestive System………………………………………………………………………………………………… II‐32Respiratory System……………………………………………………………………………………………… II‐65Bones and Joints…………………………………………………………………………………………………… II‐74

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Soft Tissue, Including Heart…………………………………………………………………………………………… II‐77Skin Excluding Basal and Squamous……………………………………………………………………………… II‐80Breast Excluding In Situ…………………………………………………………………………………………………… II‐86Female Genital System…………………………………………………………………………………………………… II‐89Male Genital System……………………………………………………………………………………………………… II‐95Urinary System (Including Bladder In Situ)…………………………………………………………………… II‐99Eye and Orbit…………………………………………………………………………………………………………………… II‐111Brain and Other Nervous System…………………………………………………………………………………… II‐114Endocrine System…………………………………………………………………………………………………………… II‐120Lymphoma……………………………………………………………………………………………………………………… II‐126Myeloma………………………………………………………………………………………………………………………… II‐135Leukemia………………………………………………………………………………………………………………………… II‐138Mesothelioma………………………………………………………………………………………………………………… II‐156Kaposi Sarcoma……………………………………………………………………………………………………………… II‐159Ill‐defined and Unknown Sites……………………………………………………………………………………… II‐162Female Breast In Situ……………………………………………………………………………………………………… II‐165

SECTION IIIPediatric Cancer Incidence, Illinois, 1986‐2017……………………………………………………………… III‐1All Sites…………………………………………………………………………………………………………………………… III‐2Leukemia………………………………………………………………………………………………………………………… III‐3Lymphomas and Reticuloendothelial Neoplasms………………………………………………………… III‐6CNS and Miscellaneous Intracranial and Intraspinal Neoplasms…………………………………… III‐9Neuroblastoma and Other Peripheral Nervous Cell Tumors………………………………………… III‐14Retinoblastoma……………………………………………………………………………………………………………… III‐16Renal Tumor…………………………………………………………………………………………………………………… III‐17Hepatic Tumor………………………………………………………………………………………………………………… III‐19Malignant Bone Tumor…………………………………………………………………………………………………… III‐21Soft Tissue and Other Extraosseous Sarcomas……………………………………………………………… III‐24Germ Cell, Trophoblastic Tumors and Neoplasms of Gonads……………………………………… III‐26Other Malignant Epithelial Neoplasms and Melanomas……………………………………………… III‐29Other and Unspecified Malignant Neoplasms……………………………………………………………… III‐32

Appendix A: Illinois Populations Used for Rate Calculations 1986‐2017……………………… A‐1Appendix B: SEER Site Groups for Primary Site Based on ICD‐O‐3 / WHO 2008…………… B‐1Appendix C: SEER Site Groups for Pediatric Incidence Based on ICD‐O‐3 / WHO 2008… C‐1Appendix D: Formulas for Rates…………………………………………………………………………………… D‐1

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ILLINOIS STATE CANCER INCIDENCE REVIEW AND UPDATE 1986-2017

OVERVIEW This is the 27th release of the annual Illinois state cancer statistics report. This report presents Illinois’ cancer incidence for 1986 through 2017 for all races combined, whites, blacks and Asian/other races and for 1990 through 2017 for Hispanics (any race), non-Hispanics (any race), non-Hispanic whites and non-Hispanic blacks. Pediatric cancer incidence statistics on Illinois children for 1986 through 2017 are included in a separate section. Cancer mortality data is presented in a separate report. To be consistent with national guidelines, all rates in this report were created using both the intercensal and Vintage 2018 population estimates and age-adjusted to the 2000 U.S. standard million population. Cancer group definitions for major and minor sites are those established by the Surveillance Epidemiology and End Results (SEER) program of the National Cancer Institute (NCI) and are used by the North American Association of Central Cancer Registries (NAACCR) and the United States Cancer Statistics (USCS) of the U.S Centers for Disease Control and Prevention (CDC). These standardized classification schemes allow direct comparisons of Illinois cancer statistics with international, national and state publications.1-5 In this report, incidence data were tabulated for each major or minor cancer site for four race groups and four ethnicity/race groups. Counts, age-adjusted rates, standard errors, and 95 percent confidence intervals for rates are displayed for the combined 1986-2017 time-period as well as for individual years. For cancers occurring in both genders, separate tables are presented for both males and females. Pediatric cancer incidence rates are presented for all races, both sexes and by two age groups: 0-14 and 0-19 years. INCIDENCE HIGHLIGHTS

• A total of 1,891,426 cases of invasive cancer among Illinois residents were reported to the Illinois State Cancer Registry (ISCR) from 1986 through 2017, including 69,222 new cases reported in 2017. The overall race distribution for cases in 2017 was 82.6 percent white, 13.3 percent black, 3.1 percent Asian/other races, and 1.1 percent unknown race.

• For the ethnicity/race categories, a total of 1,712,498 cases of invasive cancer

among Illinois residents were reported to ISCR from 1990 through 2017. The ethnicity/race distribution for cases diagnosed in 2017 was 7.2 percent Hispanics (any race) and 92.8 percent non-Hispanics (any race); among non-Hispanic cases, non-Hispanic whites accounted for 81.5 percent and non-Hispanic blacks 14.2 percent.

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• In 2017, black males continue to have the highest overall age-adjusted invasive

cancer incidence rates of all major race/gender groups. In general, males and females of Asian/other races in Illinois had substantially lower cancer incidence rates than their white or black counterparts.

• Breast cancer was the most commonly diagnosed cancer among Illinois females,

accounting for 29.8 percent of 34,687 invasive cancer diagnoses in women during 2017. The predominance of breast cancer among females persists for all major race and ethnicity groups.

• The incidence of female breast cancer diagnosed in the in situ stage increased

steadily for every race and ethnicity group across 1986-1999 with an annual percent increase of 8.2 percent, but slowed after 1999. The annual percent change between 1999 and 2012 was an increase of 1. 7 percent for all races. Between 2012 and 2017 the annual percent changed direction and decreased by 1.9 percent annually. These trends suggested that screening mammography usage and the earlier detection of breast cancer among Illinois women has plateaued.

• For Illinois males, prostate cancer was the most frequently diagnosed invasive

cancer, accounting for 24.1 percent of 34,535 new cancer diagnoses in men during 2017. Black males had the highest prostate cancer incidence rates among all race groups, approximately 67.7 percent higher than those observed for white males and over three and a half times those observed for males of Asian/other races in 2017.

• The incidence of male prostate cancer realized an 18.7 annual percent increase

between 1989 and 1992. The rate then dropped slightly before plateauing between 1995 and 2008. From 2008 to 2013 the annual percent change for prostate cancer incidence indicated a 9.2 percent decrease on average. After 2013 the trend again flattened out through 2017. The same trend was seen across 1986-2017 in both white and black men.

• A total of 18,342 new cases of cancer were diagnosed during 1986-2017 among Illinois children aged 0 to 19 years. The three most common diagnostic sites for childhood cancer in Illinois were, in descending order, leukemia, central nervous system, and lymphoma.

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TECHNICAL NOTES Cancer Incidence Cancer incidence data are from the Illinois Department of Public Health, Illinois State Cancer Registry (ISCR), the only source of population-based cancer incidence data for the state. Identification of cancer cases in the ISCR is dependent upon reporting by hospitals, free-standing clinics, radiation treatment facilities, laboratories and physician offices, as mandated by state law. All newly diagnosed cancer cases among Illinois residents are believed to be reported to ISCR by these reporting sources. In addition, ISCR has agreements with other central registries to send back Illinois cancer data that are identified outside of the state. These registries include Arkansas, California, Florida, Indiana, Iowa, Kentucky, Michigan, Mississippi (through August of 2004), Missouri, North Carolina, Washington, Wisconsin, Wyoming (through February 2008) and the Mayo Clinic in Minnesota (through October 2005).

Completeness of out-of-state reporting depends upon the years of operation of these other central registries, the extent of their identification of out-of-state residents and their standards of quality.6 Between 1986 and 2017, 5.8 percent of ISCR cases were reported from out-of-state agencies and organizations.

A death certificate clearance process has been employed since August 1993. The process involves follow back of cancer deaths to identify cases not reported to ISCR. Between 1986 and 2017, 1.6 percent of reported cases were identified from death certificate clearance.

Although case reporting is mandated within six months of diagnosis, it has been the ISCR policy to keep database files open for late reporting of cases and to allow for the two- to four-year lag in case identification of Illinois residents from other state central cancer registries. This practice is consistent with data published nationally. For this report, the database files reflect the status of ISCR as of November 2019. Data Use Agreement

By using these data contained in this report, you signify your agreement to comply with the following statutorily based requirements.

The Illinois Health and Hazardous Substances Registry Act (410 ILCS 525/12) provides data collected by the Illinois State Cancer Registry be made available to the public, however the identification or contact of individuals is prohibited.

These data are provided as a public service for the purpose of statistical reporting and analysis only. There should be no attempt to learn the identity of any person included in these data. If the identity of any person is discovered inadvertently, no disclosure or other use of the identity will be made.

Uses of these data do not constitute an endorsement of the user's opinion or conclusions by the Department and none should be inferred.

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Population Estimates

The population estimates of the sex- and race-specific, as well as sex- and

ethnicity/race-specific groups in five-year age categories, were used as denominators in the formulation of rates. These population estimates of Illinois for all races, whites, blacks and Asian/other races from 1986 through 2017, and for Hispanics, non-Hispanics, non-Hispanic white and non-Hispanic black for 1990 through 2017 were obtained from both the intercensal and Vintage 2018 bridged-race post censal population estimates files. Population estimates by age, sex, race and Hispanic origin were produced by the United States Bureau of Census Population Estimates Program (http://www.census.gov/programs-surveys/popest.html), in collaboration with the National Center for Health Statistics, and with support from the National Cancer Institute (NCI) through an interagency agreement. The population estimates incorporate intercensal (for 2000-2009) and Vintage 2018 (for 2010-2017) bridged single-race estimates are derived from the original multiple race categories in the 2000 and 2010 Censuses (as specified in the 1997 Office of Management and Budget standards for the collection of data on race and ethnicity). The bridged single-race estimates and a description of the methodology used to develop them appear on the National Center for Health Statistics website (http://www.cdc.gov/nchs/nvss/bridged_race.htm).

The intercensal estimates provide an adjustment of previous population estimates based on the actual 2010 census results (https://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdf).7,8 Previous estimates utilized prior to the availability of the 2010 census data were prone to increased error as the time from the actual 2000 census increased. At the national level, estimates using both the 2000 census and the 2010 census are not very different from the previous estimates. However, there are more significant differences at the state and county levels that may result in changes to cancer incidence rates when one compares this report to earlier versions. Changes in rates also could be attributable to the addition of cases reported late.

Definitions

Cancer Site Coding for Incidence Data: All cases diagnosed during 1986 through 2017 were reported with The International Classification of Diseases for Oncology version 3 (ICD-O-3) codes.9 Cancer sites in this report were grouped according to site group definitions established by the SEER program of the National Cancer Institute (NCI)5 and also are used by the North American Association of Central Cancer Registries (NAACCR). These standardized classification schemes allow direct comparisons of Illinois data with international, national and other state publications.3-5 The ISCR cancer site groups used in this report are listed in Appendix B.

http://www.census.gov/programs-surveys/popest.htmlhttp://www.census.gov/programs-surveys/popest.htmlhttp://www.cdc.gov/nchs/nvss/bridged_race.htmhttp://www.cdc.gov/nchs/nvss/bridged_race.htmhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdfhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdfhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdfhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdfhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdfhttps://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/intercensal/2000-2010-intercensal-estimates-methodology.pdf

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Beginning with the 1986-2002 report and continuing through this year’s report, both Kaposi sarcoma and mesothelioma were classified as separate site groups. Compared to using the previous site grouping method, this change has a slight impact on cancer incidence rates for a few specific cancers.

When comparing this report to the ones published before the 1986-2002 report, it should be noted that several cancers that previously were not coded as malignant in ICD-O-2 (used in diagnoses prior to 2001) are coded as malignant in ICD-O-3 (beginning with 2001 diagnoses). For example, Myelodysplastic syndrome (MDS) and chronic myeloproliferative disease (CMPD) are considered malignant cancer in ICD-O-3, so are papillary ependymomas and papillary meningiomas which, according to ICD-O-3, are included in the “brain and other nervous system” and “all sites” categories. Some endometrial tumors also are classified as malignant in ICD-O-3. Conversely, some low malignant potential tumors of the ovary and pilocytic astrocytomas are no longer coded as malignant in ICD-O-3. Overall, these changes would have a slight impact on incidence of a specific cancer site; however, it might result in a noticeable increase in cancer incidence rates for “all sites” or for “all other sites.”

The ICD-O-3 recode with adjustment for WHO 2008 hematopoietic histologies was first used in the 1986-2010 report and continues to be used in subsequent reports. SEER-NCI recommends this site recode scheme (Site Recode ICD-O-3/WHO 2008) be used for any data containing cases diagnosed in 2010 or later years. In the interests of comparability to other national, state and registry specific data subsequent versions of this report containing cases diagnosed in 2010 or later will use the SEER Site Recode ICD-O-3/WHO 2008.

Counts and rates were calculated only for invasive cancers with the exception of carcinoma in situ occurring in the urinary bladder. Counts and rates for carcinoma in situ of the breast are displayed separately in tables but were not included in the calculation of counts or incidence rates for all sites combined. Pediatric Cancer Groups: Tumors diagnosed in children are classified using SEER site/histology recode based on the International Classification of Childhood Cancer, Third Edition (ICCC-3)10 and ICD-O-3. The main classification table of SEER recode scheme used in the present report was listed in Appendix C. Rate Calculation: The SEER*Stat® software package,11 developed by the Information Management Services Inc. for NCI, was used to calculate both incidence and mortality rates. Rates are expressed per 100,000 population with the exception of pediatric cancer incidence rates, which are expressed per 1 million population. Age-adjustment of rates was calculated by the direct method adjusting to the 2000 U.S. standard million population. Rates are rounded to the nearest 10th and very small rates (e.g., 0.04) are shown as 0.0. They are presented with the lower and upper confidence intervals computed at the 95 percent level using Tiwari method.12 Algorithms used for the calculation of standard errors and 95 percent confidence intervals are displayed in Appendix D. Race-specific Rates: The race-specific categories in this report are all races combined, whites, blacks and Asian/other races. Cases reported as unknown race were included in the "all races" category, but not in any race-specific group.

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To improve the identification and surveillance of American Indians and Alaska Natives diagnosed with cancer and to be consistent with the national data, cancer incidence data since 1995 was linked to the Indian Health Service (IHS), which provides medical services to an estimated 55 percent of the American Indian/Alaska Native population.13 If a race code in the ISCR database is white, black, other or unknown and the IHS link is positive, then the race code is re-categorized to American Indian/Alaskan Native, otherwise the race code stays unchanged. This practice has minimal impact on the incidence rates for whites, blacks or Asian/other races due to the relatively small number of cases affected. Through the utilization of the NAACCR Asian Pacific Islander Identification Algorithm (NAPIIA) improvements have been, and will continue to be, made in classifying cancer incidence cases as Asian or Pacific Islander. Through the use of the birthplace and first, last and maiden name fields, NAPIIA assigns a more specific race group to cases identified as Asian NOS, Pacific Islander NOS, other and unknown.14 Since 1991 the ISCR has included the race category “Other Unspecified” in an aggregate group that contained “Asian and Other Races.” Beginning with the 2010 data year the “Other Unspecified” race group will not be included in the aggregate “Asian and Other Races” aggregate group used in the report. Cases identified as a race of “Other Unspecified” will continue to be included in the “All Races” grouping. This was done in an effort to maintain comparability to other state and national reporting sources. Ethnicity/Race Rates: Hispanic ethnicity was derived according to the NAACCR Hispanic identification algorithm (NHIA).15 NHIA is a generally reliable method to enhance the ethnic identification of the Latino population in the United States.16 Ethnic categories are reported as Hispanic (any race), non-Hispanic (any race), non-Hispanic whites and non-Hispanic blacks. In order to be consistent with national and other state reports, cases reported as “unknown” ethnicity are included in the non-Hispanic group. QUALITY CONTROL Ongoing quality control procedures are integral components of ISCR operations that assure high quality cancer incidence data. In addition to these activities, in 1997, NAACCR developed a certification process that reviews registry data for completeness, accuracy and timeliness of reporting (starting with cases diagnosed in 1995). Since then, ISCR has submitted data each year to the NAACCR Call for Data and for NAACCR registry certification. Based on the certification criteria shown in the following table,2 ISCR has been awarded gold certification for all diagnosis years from 1996 through 2016.

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Completeness (NAACCR Method)

Pass EDITS DCO Timeliness

Unresolved Duplicate

Missing Data Fields Certification Status Sex Age County Race

≥ 90% ≥ 97% ≤ 5% Within 23 months ≤ 2/1000 ≤ 3% ≤ 3% ≤ 3% ≤ 5% SILVER

≥ 95% 100% ≤ 3% 23

months ≤ 1/1000 ≤ 2% ≤ 2% ≤ 2% ≤ 3% GOLD

Constantly updating registry data is a standard operation in ISCR. As of November 2019, ISCR quality control data for each diagnosis year are as follow:

Year

Completeness (NAACCR Method)a

(% As of 11-19) Pass EDITS

(%) DCOb (%)

Unresolved Duplicatec

(%)

Missing Data Fields Sex (%)

Age (%)

County (%)

Race (%)

1986 88 ~ ~ ~ 0.0 0.0 0.0 0.2 1987 90 ~ ~ ~ 0.0 0.0 0.0 0.2 1988 87 ~ ~ 0.04 0.0 0.0 0.0 0.2 1989 88 ~ ~ 0.04 0.0 0.0 0.0 0.2 1990 89 100 ~ 0.04 0.0 0.0 0.0 0.2 1991 88 100 ~ 0.04 0.0 0.0 0.0 0.5 1992 91 100 ~ 0.04 0.0 0.0 0.0 0.3 1993 92 100 2.2 0.04 0.0 0.0 0.0 0.2 1994 97 100 6.1 0.06 0.0 0.0 0.0 0.3 1995 99 100 2.6 0.03 0.0 0.0 0.0 0.3 1996 100 100 1.8 0.02 0.0 0.0 0.0 0.4 1997 100 100 1.8 0.09 0.0 0.0 0.0 0.6 1998 100 100 1.5 0.03 0.0 0.0 0.0 0.8 1999 100 100 1.8 0.02 0.0 0.0 0.0 0.8 2000 100 100 2.3 0.03 0.0 0.0 0.0 0.9 2001 100 100 2.4 0.00 0.0 0.0 0.0 0.8 2002 100 100 2.6 0.00 0.0 0.0 0.0 0.9 2003 100 100 1.5 0.02 0.0 0.0 0.0 1.0 2004 100 100 1.7 0.01 0.0 0.0 0.0 0.9 2005 100 100 1.9 0.00 0.0 0.0 0.0 1.1 2006 100 100 2.0 0.00 0.0 0.0 0.0 0.8 2007 100 100 1.2 0.00 0.0 0.0 0.0 0.8 2008 100 100 1.7 0.07 0.0 0.0 0.0 1.0 2009 100 100 1.6 0.03 0.0 0.0 0.0 1.1 2010 100 100 1.8 0.03 0.0 0.0 0.0 1.1 2011 100 100 1.8 0.00 0.0 0.0 0.0 1.3 2012 100 100 0.9 0.02 0.0 0.0 0.0 1.2 2013 100 100 1.0 0.02 0.0 0.0 0.0 1.0 2014 100 100 2.1 0.02 0.0 0.0 0.0 1.1 2015 100 100 2.1 0.09 0.0 0.0 0.0 1.2 2016 100 100 2.0 0.09 0.0 0.0 0.0 1.0 2017 100 100 2.1 0.06 0.0 0.0 0.0 1.1

~ not applicable a. For data prior to 1995, the NAACCR’s completeness estimating algorithm (version 1) was used. For data on or after 1995, the NAACCR’s completeness estimating algorithm (version 2) was used. b. DCO follow back not started until end of 1993 reporting year c. NAACCR’s duplicate protocol was run for each year at the time of data submission for registry certification.

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DATA INTERPRETATION Observed variations and differences over years and across sex and race groups in cancer incidence and/or mortality may be real, reflecting modifications in the risk factor status of the population or the consequence of participation in screening and early detection programs. Such changes or differences, however, may not be real but instead may be the result of random fluctuations and other factors related to the estimation process. Any conclusions should be made only after carefully considering the following factors that influence annual incidence rates.

• Random fluctuations in annual rates are usual and may be substantial, especially for rates based on small numbers of incidence counts (i.e., fewer than 16).

• Differences in registry database completeness and data quality will influence the

magnitude of cancer incidence rates. It should be noted that, because years prior to 1994 are less than 95 percent complete (see above table), some rates for those years, especially for all sites combined, would be underestimates of the “true” rates for the Illinois population. The rates presented here have not been adjusted for completeness differences across the database.

• Population estimates used for denominators may be inaccurate or lack precision.

Population data for 1990, 2000 and 2010, the years of the U.S. decennial census, are the most accurate for all age-, race-, ethnicity- and sex-specific categories and would, therefore, produce the most accurate incidence and mortality rates. Those for other years are not based on actual population counts but rather on interpolation or extrapolation of estimates based on demographic characteristics of the population. Incidence rates based on these population estimates would be expected to be less accurate than those for 1990, 2000 or 2010 (see notes under “Population Estimates”).

• The 95 percent confidence intervals are included with reported rates to help put

the rate in perspective and to facilitate rate comparisons over years and across sex, race and ethnicity/race groups. Observed differences may not be statistically significant. The range between the lower confidence interval and the upper confidence interval defines, with 95 percent probability, where the “true” rate may fall. The comparison of two sets of confidence intervals is only approximately equivalent to statistical significance tests for differences between two rates and may be more conservative than the standard significance test when the null hypothesis is true.17

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REFERENCES 1. Thornton M (ed). Standards for Cancer Registries Volume II: Data Standards and

Data Dictionary, Record Layout Version 18. Twenty First Edition. Springfield, Ill.: North American Association of Central Cancer Registries, February 2018, revised October 2018.

2. Hofferkamp, J (Ed). Standards for Cancer Registries Volume III: Standards for

Completeness, Quality, Analysis, Management, Security and Confidentiality of Data. Springfield Ill.: North American Association of Central Cancer Registries, August 2008.

3. Sherman R, Firth R, De P, et al (eds). Cancer in North America: 2012-2016. Volume

One: Combined Cancer Incidence for the United States,Canada, and North America. Springfield, Ill.: North American Association of Central Cancer Registries, Inc. May 2019.

4. Sherman R, Firth R, De P, et al (eds). Cancer in North America: 2012-2016. Volume

Two: Registry-specific Cancer Incidence in the United States and Canada. Springfield, Ill.: North American Association of Central Cancer Registries, Inc. May 2019.

5. Howlander N, Noone AM, Krapcho M, et al (eds). SEER Cancer Statistics Review,

1975-2016, National Cancer Institute. Bethesda, Md., https://seer.cancer.gov/csr/1975_2016/, based on November 2018 SEER data submission, posted to the SEER website, April 2019.

6. Lehnherr M and Havener LA. Assessment of Interstate Exchange of Cancer Data,

1986-1998. ISCR Quality Control Series 02:1. Springfield, Ill.: Illinois Department of Public Health, January 2002.

7. The Population Estimates Program, U.S. Census Bureau. Release notes Vintage 2018.

U.S. Census Bureau . https://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/2010-2018/2018-est-relnotes.pdf Accessed March 30, 2019.

8. Surveillance Epidemiology and End Results, National Cancer Institute, U.S. National

Institutes of Health. SEER – website. http://seer.cancer.gov/popdata/. Accessed January 27, 2020.

9. Fritz A, Percy C, Jack A, et al (eds). International Classification of Diseases for

Oncology. Third edition. Geneva: World Health Organization, 2000. 10. Steliarova-Foucher E, Stiller C, Lacour B, and Kaatsch P. The International

Classification of Childhood Cancer, Third Edition. Cancer. 2005;103:1457-67.

http://seer.cancer.gov/popdata/http://seer.cancer.gov/popdata/

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11. Surveillance Research Program, National Cancer Institute SEER*Stat software

(seer.cancer.gov/seerstat) Version 8.3.6, August 6, 2019. 12. Tiwari RC, Clegg LX, and Zou Z. Efficient interval estimation for age-adjusted cancer

rates. Stat Methods Med Res 2006 Dec;15(6):547-69.

13. Espey DK, Wiggins CL, Jim MA, Miller BA, Johnson CJ, and Becker TM. Methods for improving cancer surveillance data in American Indian and Alaska Native populations. Cancer 2008; 113(5 Suppl):1120-1130.

14. NAACCR Race and Ethnicity Workgroup. NAACCR Asian/Pacific Islander identification

Algorithm [ANPIIA v1.2.1]: Enhancing the Specificity of Identification. Springfield, Ill.: North American Association of Central Cancer Registries, August 2011.

15. NAACCR Race and Ethnicity Workgroup. NAACCR Guideline for Enhancing Hispanic-

Latino Identification: Revised NAACCR Hispanic/Latino identification Algorithm [NHIA v2.2.1]. Springfield, Ill.: North American Association of Central Cancer Registries, September 2011.

16. Howe HL. Evaluation of NHIA Submission for 1997-2001. Springfield, Ill.: North

American Association of Central Cancer Registries, October 2004. 17. Schenke N and Gentleman JF. On judging the significance of differences by

examining the overlap between confidence intervals. The American Statistician 2001;55:182-186.

SECTION I

Cancer Incidence by Race

Illinois, 1986-2017

I - 1

Invasive Cancer Incidence by Race, Illinois 1986-2017All Sites

Both Sexes

All Races

Year Count Rate SE LCI UCI

Whites

Count Rate SE LCI UCI

1986-2017 1,891,426 474.4 0.35 473.7 475.0 1,600,220 473.0 0.38 472.3 473.7

1986 43,023 406.2 1.99 402.4 410.2 37,702 402.9 2.11 398.8 407.1

1987 45,263 424.2 2.02 420.3 428.2 39,754 423.0 2.15 418.8 427.2

1988 45,202 420.6 2.00 416.7 424.5 39,355 416.2 2.13 412.1 420.4

1989 45,440 420.7 2.00 416.8 424.6 39,593 417.4 2.12 413.3 421.6

1990 47,501 435.3 2.02 431.3 439.2 41,479 433.4 2.15 429.2 437.7

1991 49,081 443.6 2.02 439.6 447.6 43,140 445.3 2.16 441.1 449.6

1992 52,038 464.0 2.05 460.0 468.0 45,601 465.7 2.20 461.4 470.0

1993 52,843 465.9 2.04 461.9 469.9 45,736 462.8 2.18 458.5 467.1

1994 55,553 486.6 2.07 482.5 490.6 47,892 482.5 2.21 478.1 486.8

1995 55,196 479.7 2.05 475.7 483.7 47,209 474.0 2.19 469.7 478.3

1996 56,363 487.0 2.06 483.0 491.0 48,088 481.2 2.20 476.9 485.5

1997 56,666 485.5 2.04 481.5 489.5 48,405 481.4 2.19 477.1 485.7

1998 57,770 490.0 2.04 486.0 494.0 49,073 484.2 2.19 480.0 488.6

1999 58,862 494.8 2.04 490.8 498.8 50,296 493.6 2.20 489.3 497.9

2000 59,180 493.4 2.03 489.4 497.4 50,221 490.4 2.19 486.2 494.8

2001 60,927 503.8 2.04 499.8 507.8 51,721 502.2 2.21 497.9 506.5

2002 62,362 510.6 2.05 506.6 514.7 52,875 509.5 2.22 505.2 513.9

2003 61,016 493.6 2.00 489.6 497.5 51,514 491.7 2.17 487.5 496.0

2004 61,614 493.6 2.00 489.7 497.5 51,979 493.0 2.17 488.8 497.3

2005 62,024 491.0 1.98 487.2 494.9 52,021 489.0 2.16 484.8 493.3

2006 63,920 501.2 2.00 497.3 505.2 53,494 499.5 2.17 495.2 503.7

2007 65,126 502.9 1.99 499.0 506.8 54,504 502.5 2.17 498.2 506.7

2008 66,548 505.4 1.98 501.5 509.3 55,655 505.8 2.17 501.6 510.1

2009 66,884 500.3 1.96 496.5 504.1 55,709 500.2 2.15 496.0 504.4

2010 65,621 482.9 1.91 479.2 486.7 54,441 482.1 2.10 478.0 486.2

2011 66,986 484.9 1.90 481.1 488.6 55,557 485.3 2.09 481.2 489.5

2012 65,907 468.3 1.86 464.7 472.0 54,525 469.0 2.05 465.0 473.0

2013 66,490 464.7 1.83 461.1 468.3 54,975 466.3 2.03 462.4 470.3

2014 68,017 467.6 1.83 464.0 471.2 56,081 469.1 2.02 465.2 473.1

2015 69,309 470.6 1.83 467.0 474.2 57,046 473.1 2.03 469.2 477.1

2016 69,472 466.7 1.81 463.1 470.2 57,435 472.3 2.02 468.3 476.2

2017 69,222 458.5 1.78 455.0 462.0 57,144 464.4 1.99 460.5 468.3

Rates are per 100,000 and are age-adjusted to the 2000 U.S. standard million population. Standard error (SE). Lower

confidence interval (LCI) and upper confidence interval (UCI) are 95 percent for rates.

Source: Illinois Department of Public Health, Illinois State Cancer Registry, data as of November 2019

I - 2


Both Sexes

Blacks


Asian or Other Races


1986-2017 242,114 507.7 1.05 505.7 509.8 34,475 264.0 1.52 261.0 267.0

1986 4,901 442.0 6.56 429.2 455.0 345 230.0 14.40 202.7 259.8

1987 5,075 449.5 6.53 436.7 462.4 358 220.8 13.30 195.5 248.2

1988 5,352 465.5 6.59 452.7 478.6 389 243.7 14.18 216.7 272.8

1989 5,351 461.3 6.51 448.6 474.2 410 238.3 13.53 212.6 266.1

1990 5,512 468.7 6.52 456.0 481.6 411 230.5 13.01 205.7 257.2

1991 5,309 439.9 6.22 427.8 452.3 374 201.5 11.90 178.8 225.9

1992 5,809 472.1 6.37 459.6 484.7 467 244.6 13.04 219.8 271.3

1993 6,400 510.7 6.57 497.9 523.7 585 266.7 12.59 242.6 292.3

1994 6,911 545.3 6.74 532.2 558.7 608 270.9 12.40 247.1 296.1

1995 7,106 546.9 6.65 534.0 560.1 703 279.4 11.81 256.7 303.4

1996 7,330 554.6 6.63 541.7 567.8 746 288.1 11.95 265.2 312.4

1997 7,179 533.1 6.43 520.6 545.9 785 270.9 10.74 250.2 292.6

1998 7,461 545.2 6.45 532.6 557.9 815 279.6 10.93 258.6 301.8

1999 7,281 520.3 6.22 508.2 532.6 861 281.0 10.73 260.4 302.7

2000 7,587 531.5 6.22 519.4 543.9 903 270.2 9.91 251.1 290.2

2001 7,800 541.4 6.25 529.2 553.8 960 267.5 9.52 249.2 286.8

2002 7,926 539.1 6.18 527.1 551.4 1,012 276.6 9.51 258.3 295.8

2003 7,922 528.2 6.05 516.5 540.2 1,000 255.8 8.79 238.8 273.5

2004 8,001 524.4 5.98 512.7 536.2 1,074 260.9 8.66 244.2 278.3

2005 8,090 522.2 5.93 510.7 534.0 1,222 276.4 8.59 259.8 293.7

2006 8,574 542.2 5.98 530.6 554.0 1,312 281.6 8.40 265.4 298.5

2007 8,690 539.5 5.91 528.0 551.2 1,384 279.3 8.10 263.6 295.6

2008 8,796 533.8 5.82 522.4 545.3 1,435 270.6 7.71 255.7 286.1

2009 8,989 532.1 5.74 520.9 543.5 1,430 265.0 7.56 250.4 280.2

2010 8,843 514.1 5.60 503.2 525.2 1,591 276.1 7.42 261.8 291.0

2011 8,869 502.4 5.46 491.7 513.2 1,654 272.7 7.15 258.9 287.1

2012 8,841 490.9 5.35 480.5 501.5 1,758 270.0 6.81 256.8 283.6

2013 9,041 490.9 5.29 480.6 501.4 1,800 264.7 6.56 252.1 277.9

2014 9,234 493.1 5.26 482.8 503.5 1,928 266.8 6.33 254.6 279.5

2015 9,424 491.3 5.19 481.2 501.6 1,997 265.7 6.17 253.7 278.0

2016 9,293 480.1 5.11 470.1 490.2 2,031 255.8 5.84 244.5 267.5

2017 9,217 467.4 4.99 457.7 477.3 2,127 259.3 5.76 248.2 270.9




I - 3


Males

All Races


Whites


1986-2017 953,171 552.6 0.58 551.5 553.7 805,188 545.5 0.62 544.3 546.7

1986 21,078 482.7 3.48 475.9 489.6 18,368 474.7 3.65 467.6 481.9

1987 22,155 502.1 3.51 495.2 509.0 19,352 495.6 3.70 488.4 502.9

1988 21,853 492.6 3.47 485.8 499.4 18,981 484.6 3.65 477.5 491.8

1989 22,287 497.2 3.45 490.4 504.0 19,404 490.4 3.64 483.3 497.6

1990 23,464 519.4 3.51 512.5 526.3 20,414 512.0 3.70 504.7 519.3

1991 24,992 543.6 3.55 536.7 550.6 21,996 543.1 3.77 535.8 550.6

1992 27,219 583.2 3.64 576.1 590.4 23,763 578.6 3.85 571.1 586.2

1993 27,310 576.8 3.58 569.8 583.9 23,589 568.1 3.78 560.8 575.6

1994 28,164 591.8 3.62 584.8 598.9 24,111 578.9 3.81 571.5 586.4

1995 28,007 579.2 3.54 572.3 586.2 23,742 563.4 3.72 556.1 570.7

1996 28,336 580.3 3.51 573.4 587.2 23,939 564.1 3.70 556.8 571.4

1997 28,664 581.3 3.49 574.5 588.2 24,405 570.8 3.70 563.5 578.0

1998 28,961 581.2 3.47 574.5 588.1 24,508 568.0 3.67 560.8 575.2

1999 29,772 589.8 3.46 583.0 596.6 25,379 582.1 3.69 574.9 589.3

2000 30,050 588.7 3.44 582.0 595.5 25,362 577.1 3.65 570.0 584.3

2001 31,049 603.1 3.47 596.3 609.9 26,317 595.0 3.70 587.7 602.3

2002 32,112 616.9 3.49 610.0 623.7 27,281 611.2 3.73 603.9 618.5

2003 31,445 593.7 3.39 587.1 600.4 26,531 586.1 3.63 579.0 593.2

2004 31,656 588.3 3.35 581.7 594.9 26,639 580.7 3.59 573.6 587.7

2005 31,470 575.1 3.29 568.6 581.6 26,315 565.3 3.52 558.5 572.3

2006 32,502 585.1 3.30 578.6 591.6 27,174 576.5 3.54 569.6 583.5

2007 33,511 591.3 3.29 584.8 597.7 27,902 581.3 3.53 574.4 588.3

2008 34,167 589.3 3.25 582.9 595.7 28,505 581.9 3.50 575.0 588.8

2009 33,942 572.3 3.17 566.1 578.5 28,176 564.1 3.42 557.4 570.8

2010 33,108 547.6 3.08 541.6 553.7 27,469 540.5 3.33 534.0 547.1

2011 33,806 546.7 3.05 540.8 552.7 28,082 541.5 3.30 535.0 548.0

2012 32,869 519.2 2.94 513.5 525.0 27,232 514.2 3.19 507.9 520.4

2013 32,930 509.5 2.88 503.9 515.2 27,355 506.9 3.13 500.7 513.0

2014 33,361 504.7 2.83 499.1 510.3 27,600 501.1 3.09 495.1 507.2

2015 34,385 511.3 2.83 505.7 516.8 28,289 506.8 3.09 500.8 512.9

2016 34,011 498.8 2.78 493.3 504.2 28,301 501.2 3.06 495.2 507.2

2017 34,535 497.4 2.75 492.0 502.8 28,707 499.7 3.03 493.8 505.7




I - 4


Males

Blacks




1986-2017 123,729 638.4 1.91 634.6 642.1 15,822 285.9 2.51 281.0 290.8

1986 2,530 567.1 12.13 543.6 591.3 158 245.6 22.76 203.0 293.7

1987 2,606 580.3 12.17 556.7 604.6 166 263.1 24.22 217.8 314.1

1988 2,644 573.1 11.95 550.0 597.0 180 279.8 24.27 234.3 330.7

1989 2,676 580.2 12.01 556.9 604.1 163 237.1 21.69 196.5 282.7

1990 2,792 600.4 12.21 576.7 624.8 207 303.7 24.59 257.4 355.0

1991 2,713 565.5 11.60 543.0 588.6 163 225.9 20.54 187.4 269.0

1992 3,155 655.4 12.49 631.1 680.2 236 314.9 24.13 269.4 365.0

1993 3,400 683.4 12.53 659.0 708.3 268 309.9 22.25 267.8 356.0

1994 3,692 740.5 13.04 715.1 766.4 283 307.6 21.31 267.3 351.7

1995 3,862 748.8 12.84 723.8 774.3 314 314.9 20.40 276.1 357.0

1996 3,938 742.0 12.54 717.6 766.9 360 346.3 21.65 305.2 390.8

1997 3,724 685.4 11.88 662.3 709.0 369 316.0 18.91 280.0 354.9

1998 3,846 703.1 11.99 679.8 726.9 370 311.7 18.70 276.1 350.2

1999 3,738 670.4 11.56 647.9 693.4 412 337.8 19.94 299.8 378.7

2000 4,037 707.5 11.72 684.7 730.8 409 292.0 16.64 260.3 326.1

2001 4,000 692.0 11.53 669.6 714.9 449 302.5 16.70 270.6 336.7

2002 4,023 683.4 11.38 661.3 706.0 472 315.8 16.46 284.4 349.5

2003 4,145 682.0 11.15 660.3 704.1 432 267.5 14.60 239.6 297.4

2004 4,166 676.6 11.08 655.0 698.6 511 300.3 15.04 271.5 331.0

2005 4,172 668.8 10.97 647.5 690.7 572 314.8 14.89 286.3 345.1

2006 4,411 687.5 10.92 666.2 709.2 621 321.8 14.45 294.1 351.2

2007 4,618 707.2 10.98 685.9 729.0 648 301.8 13.29 276.3 328.9

2008 4,614 685.4 10.63 664.7 706.5 661 292.3 12.85 267.7 318.4

2009 4,600 658.5 10.22 638.6 678.8 697 296.4 12.62 272.2 322.0

2010 4,472 629.5 9.93 610.2 649.2 723 295.2 12.23 271.8 320.1

2011 4,423 601.5 9.51 583.0 620.4 741 289.9 11.75 267.3 313.7

2012 4,371 584.9 9.30 566.9 603.4 798 281.6 10.88 260.7 303.7

2013 4,397 574.5 9.08 556.9 592.6 798 267.6 10.18 248.0 288.2

2014 4,453 569.1 8.94 551.8 586.9 879 277.1 9.98 257.9 297.4

2015 4,663 579.3 8.88 562.1 597.0 927 279.0 9.70 260.3 298.6

2016 4,400 537.7 8.47 521.2 554.6 906 252.4 8.74 235.6 270.1

2017 4,448 535.4 8.38 519.1 552.1 929 256.7 8.75 239.8 274.4




I - 5


Females

All Races


Whites


1986-2017 938,255 425.5 0.44 424.6 426.4 795,032 429.0 0.49 428.0 430.0

1986 21,945 367.9 2.54 362.9 372.9 19,334 369.4 2.73 364.1 374.8

1987 23,108 385.4 2.59 380.3 390.5 20,402 389.0 2.80 383.6 394.6

1988 23,349 385.8 2.57 380.8 390.9 20,374 385.4 2.76 380.0 390.8

1989 23,153 381.8 2.55 376.8 386.8 20,189 382.1 2.75 376.7 387.5

1990 24,037 392.2 2.57 387.1 397.2 21,065 395.5 2.79 390.1 401.0

1991 24,089 388.1 2.54 383.2 393.1 21,144 392.7 2.76 387.3 398.1

1992 24,819 395.1 2.54 390.1 400.1 21,838 401.7 2.77 396.3 407.2

1993 25,533 400.0 2.53 395.0 405.0 22,147 401.4 2.74 396.1 406.9

1994 27,389 424.3 2.59 419.2 429.4 23,781 427.0 2.81 421.5 432.5

1995 27,189 419.9 2.57 414.9 425.0 23,467 422.1 2.80 416.6 427.6

1996 28,027 429.7 2.59 424.7 434.8 24,149 432.5 2.82 427.0 438.0

1997 28,002 426.0 2.57 421.0 431.1 24,000 427.5 2.80 422.0 433.0

1998 28,809 434.0 2.57 428.9 439.0 24,565 434.3 2.80 428.8 439.8

1999 29,090 435.2 2.57 430.2 440.3 24,917 439.2 2.81 433.7 444.7

2000 29,130 432.5 2.55 427.5 437.5 24,859 436.4 2.80 431.0 442.0

2001 29,878 439.8 2.56 434.8 444.9 25,404 443.5 2.81 438.0 449.1

2002 30,250 441.9 2.56 436.9 446.9 25,594 444.1 2.81 438.6 449.6

2003 29,571 428.2 2.51 423.3 433.2 24,983 431.2 2.76 425.8 436.6

2004 29,958 430.7 2.51 425.8 435.7 25,340 435.6 2.77 430.2 441.1

2005 30,554 435.6 2.51 430.7 440.5 25,706 439.4 2.78 434.0 444.9

2006 31,418 445.1 2.54 440.2 450.1 26,320 448.5 2.81 443.0 454.0

2007 31,615 443.4 2.52 438.5 448.4 26,602 450.4 2.81 444.9 456.0

2008 32,381 448.4 2.52 443.5 453.4 27,150 454.8 2.81 449.4 460.4

2009 32,942 451.3 2.52 446.4 456.3 27,533 457.8 2.81 452.3 463.4

2010 32,513 439.0 2.48 434.1 443.8 26,972 443.1 2.76 437.7 448.6

2011 33,180 443.1 2.48 438.3 448.0 27,475 448.3 2.77 442.8 453.7

2012 33,038 435.4 2.44 430.7 440.3 27,293 440.7 2.74 435.4 446.1

2013 33,560 436.3 2.43 431.5 441.1 27,620 441.8 2.73 436.4 447.2

2014 34,656 446.0 2.45 441.2 450.8 28,481 452.0 2.76 446.6 457.4

2015 34,924 445.3 2.45 440.5 450.2 28,757 453.9 2.76 448.5 459.4

2016 35,461 448.6 2.45 443.8 453.4 29,134 457.5 2.78 452.0 462.9

2017 34,687 434.0 2.40 429.3 438.7 28,437 442.9 2.72 437.6 448.3




I - 6


Females

Blacks




1986-2017 118,385 424.5 1.25 422.1 427.0 18,653 251.8 1.93 248.1 255.7

1986 2,371 363.2 7.64 348.4 378.5 187 221.0 18.64 186.0 260.2

1987 2,469 369.1 7.59 354.4 384.3 192 194.7 15.26 165.9 226.9

1988 2,708 399.5 7.84 384.3 415.2 209 221.3 17.27 188.7 257.5

1989 2,675 389.7 7.68 374.8 405.1 247 246.8 17.64 213.4 283.6

1990 2,720 390.0 7.61 375.2 405.1 204 181.1 14.04 154.6 210.6

1991 2,596 362.7 7.25 348.7 377.2 211 188.4 14.49 161.0 218.7

1992 2,654 361.3 7.12 347.5 375.6 231 198.9 14.66 171.2 229.5

1993 3,000 403.3 7.47 388.7 418.1 317 241.3 15.02 212.8 272.4

1994 3,219 426.2 7.61 411.4 441.3 325 248.8 15.20 219.9 280.2

1995 3,244 420.1 7.47 405.6 435.0 389 260.8 14.47 233.2 290.6

1996 3,392 433.8 7.54 419.1 448.8 386 252.8 14.12 225.9 281.9

1997 3,455 434.5 7.47 420.0 449.3 416 244.5 12.95 219.8 271.2

1998 3,615 445.1 7.48 430.6 460.0 445 261.4 13.48 235.6 289.1

1999 3,543 426.6 7.23 412.6 441.0 449 248.9 12.65 224.7 274.9

2000 3,550 419.1 7.09 405.3 433.2 494 258.3 12.47 234.5 283.8

2001 3,800 444.9 7.28 430.7 459.3 511 248.0 11.70 225.6 271.9

2002 3,903 448.5 7.24 434.4 462.9 540 252.9 11.60 230.7 276.6

2003 3,777 427.9 7.02 414.3 441.9 568 253.1 11.25 231.5 276.0

2004 3,835 427.1 6.95 413.6 440.9 563 236.8 10.57 216.5 258.4

2005 3,918 430.2 6.93 416.7 444.0 650 253.5 10.52 233.3 274.9

2006 4,163 449.4 7.03 435.7 463.4 691 256.5 10.30 236.7 277.5

2007 4,072 432.3 6.84 419.0 445.9 736 265.1 10.30 245.3 286.1

2008 4,182 435.7 6.81 422.4 449.2 774 259.8 9.82 240.9 279.8

2009 4,389 449.4 6.87 436.1 463.1 733 243.8 9.49 225.5 263.1

2010 4,371 439.2 6.73 426.1 452.6 868 266.5 9.49 248.2 285.7

2011 4,446 436.7 6.65 423.8 449.9 913 265.0 9.15 247.3 283.5

2012 4,470 430.7 6.54 417.9 443.7 960 265.5 8.92 248.3 283.6

2013 4,644 437.6 6.53 424.9 450.6 1,002 264.9 8.67 248.2 282.5

2014 4,781 445.8 6.56 433.0 458.8 1,049 262.8 8.35 246.7 279.7

2015 4,761 435.4 6.43 422.9 448.2 1,070 258.7 8.12 243.0 275.1

2016 4,893 444.4 6.48 431.8 457.3 1,125 261.1 7.94 245.7 277.1

2017 4,769 425.2 6.29 413.0 437.7 1,198 265.9 7.81 250.8 281.7




I - 7

Invasive Cancer Incidence by Race, Illinois 1986-2017Oral Cavity and Pharynx

Both Sexes

All Races


Whites


1986-2017 45,280 11.3 0.05 11.2 11.4 37,346 11.0 0.06 10.9 11.2

1986 1,208 11.5 0.34 10.8 12.2 973 10.4 0.34 9.7 11.1

1987 1,199 11.3 0.33 10.7 12.0 976 10.4 0.34 9.8 11.1

1988 1,184 11.2 0.33 10.5 11.8 954 10.2 0.33 9.5 10.9

1989 1,126 10.5 0.32 9.9 11.1 918 9.7 0.33 9.1 10.4

1990 1,155 10.8 0.32 10.2 11.4 927 9.9 0.33 9.2 10.5

1991 1,132 10.4 0.31 9.8 11.0 910 9.6 0.32 9.0 10.3

1992 1,120 10.2 0.31 9.6 10.8 940 9.8 0.32 9.2 10.4

1993 1,135 10.2 0.30 9.6 10.8 938 9.8 0.32 9.1 10.4

1994 1,186 10.5 0.31 9.9 11.2 953 9.8 0.32 9.2 10.4

1995 1,302 11.5 0.32 10.9 12.1 1,075 11.0 0.34 10.4 11.7

1996 1,296 11.3 0.32 10.7 12.0 1,057 10.7 0.33 10.1 11.4

1997 1,314 11.4 0.31 10.8 12.0 1,072 10.9 0.33 10.2 11.5

1998 1,253 10.7 0.30 10.1 11.3 1,007 10.1 0.32 9.5 10.7

1999 1,312 11.1 0.31 10.5 11.7 1,081 10.7 0.33 10.1 11.4

2000 1,293 10.8 0.30 10.2 11.4 1,063 10.5 0.32 9.9 11.1

2001 1,266 10.4 0.29 9.9 11.0 1,048 10.2 0.32 9.6 10.9

2002 1,353 11.0 0.30 10.4 11.6 1,117 10.8 0.32 10.2 11.4

2003 1,333 10.7 0.29 10.1 11.3 1,111 10.6 0.32 10.0 11.2

2004 1,434 11.3 0.30 10.8 11.9 1,145 10.8 0.32 10.2 11.5

2005 1,343 10.5 0.29 9.9 11.0 1,115 10.4 0.31 9.8 11.1

2006 1,400 10.7 0.29 10.2 11.3 1,158 10.7 0.32 10.1 11.3

2007 1,519 11.5 0.30 10.9 12.1 1,255 11.4 0.33 10.8 12.1

2008 1,583 11.7 0.30 11.2 12.3 1,318 11.8 0.33 11.2 12.4

2009 1,596 11.7 0.30 11.2 12.3 1,333 11.8 0.33 11.2 12.5

2010 1,597 11.5 0.29 10.9 12.0 1,296 11.2 0.32 10.6 11.9

2011 1,740 12.3 0.30 11.7 12.9 1,452 12.4 0.33 11.8 13.1

2012 1,730 12.0 0.29 11.4 12.6 1,444 12.1 0.33 11.5 12.8

2013 1,760 12.0 0.29 11.5 12.6 1,465 12.1 0.32 11.5 12.7

2014 1,782 11.9 0.29 11.4 12.5 1,487 12.1 0.32 11.5 12.7

2015 1,855 12.4 0.29 11.8 13.0 1,549 12.7 0.33 12.0 13.3

2016 1,863 12.2 0.29 11.7 12.8 1,561 12.5 0.32 11.9 13.2

2017 1,911 12.4 0.29 11.8 13.0 1,648 13.1 0.33 12.5 13.8




I - 8


Both Sexes

Blacks




1986-2017 6,496 12.8 0.16 12.5 13.1 1,125 7.9 0.25 7.5 8.5

1986 218 18.9 1.31 16.4 21.6 14 8.6 2.59 4.3 15.3

1987 206 17.4 1.24 15.0 20.0 16 10.7 2.94 5.7 18.0

1988 208 17.1 1.21 14.8 19.6 18 10.1 2.67 5.6 16.7

1989 195 16.1 1.18 13.9 18.6 12 5.6 1.69 2.8 10.2

1990 215 17.3 1.20 15.0 19.8 9 5.7 2.08 2.4 11.2

1991 203 15.6 1.12 13.5 18.0 10 3.7 1.20 1.7 7.2

1992 163 12.4 0.98 10.5 14.4 14 5.3 1.53 2.7 9.3

1993 172 12.9 0.99 11.0 15.0 22 9.7 2.42 5.6 15.5

1994 208 15.5 1.09 13.4 17.7 21 6.6 1.50 4.0 10.4

1995 199 14.3 1.03 12.3 16.4 22 7.5 1.85 4.4 12.0

1996 215 15.2 1.05 13.2 17.4 19 7.1 1.76 4.1 11.4

1997 209 14.6 1.02 12.6 16.7 29 9.6 1.95 6.1 14.2

1998 210 14.3 1.00 12.4 16.4 27 7.4 1.49 4.8 11.0

1999 198 13.1 0.94 11.3 15.0 27 7.1 1.46 4.6 10.6

2000 194 12.6 0.91 10.9 14.5 26 6.7 1.43 4.2 10.1

2001 180 11.4 0.86 9.8 13.2 26 6.7 1.45 4.1 10.1

2002 203 12.9 0.92 11.2 14.9 27 6.5 1.35 4.2 9.7

2003 187 11.5 0.85 9.9 13.3 25 6.3 1.38 3.9 9.6

2004 232 14.0 0.93 12.2 16.0 42 9.5 1.59 6.6 13.1

2005 174 10.3 0.79 8.8 11.9 44 8.9 1.44 6.3 12.2

2006 180 10.3 0.78 8.8 11.9 53 11.5 1.72 8.3 15.3

2007 212 12.3 0.86 10.7 14.1 44 7.8 1.25 5.5 10.6

2008 217 12.2 0.85 10.6 14.0 39 7.4 1.25 5.1 10.2

2009 198 11.0 0.80 9.5 12.7 48 7.5 1.12 5.5 10.1

2010 220 12.1 0.83 10.5 13.8 68 11.2 1.43 8.5 14.3

2011 216 11.5 0.80 10.0 13.2 55 8.8 1.26 6.5 11.6

2012 221 11.6 0.80 10.1 13.3 55 7.5 1.05 5.6 9.9

2013 219 11.6 0.80 10.1 13.3 54 7.3 1.03 5.4 9.6

2014 217 11.5 0.80 10.0 13.2 61 7.8 1.02 5.9 10.1

2015 217 10.7 0.75 9.3 12.3 69 8.9 1.11 6.9 11.4

2016 210 10.6 0.75 9.1 12.1 66 8.1 1.02 6.3 10.4

2017 180 8.6 0.65 7.3 9.9 63 7.5 0.97 5.8 9.7




I - 9


Males

All Races


Whites


1986-2017 31,240 17.3 0.10 17.1 17.5 25,649 16.7 0.11 16.5 16.9

1986 826 18.0 0.65 16.8 19.3 655 16.1 0.65 14.9 17.5

1987 811 17.6 0.64 16.4 18.9 658 16.2 0.65 15.0 17.6

1988 813 17.7 0.64 16.4 19.0 643 15.9 0.65 14.7 17.2

1989 753 16.1 0.60 15.0 17.4 604 14.8 0.62 13.6 16.0

1990 787 17.0 0.62 15.8 18.2 633 15.7 0.64 14.4 17.0

1991 757 15.9 0.59 14.8 17.1 602 14.5 0.60 13.3 15.7

1992 749 15.6 0.58 14.5 16.8 619 14.9 0.61 13.7 16.1

1993 777 15.7 0.57 14.6 16.9 636 14.9 0.60 13.8 16.1

1994 791 16.0 0.58 14.9 17.2 632 14.8 0.60 13.7 16.1

1995 890 17.7 0.60 16.6 18.9 722 16.7 0.63 15.5 18.0

1996 881 17.5 0.60 16.3 18.7 711 16.4 0.62 15.2 17.7

1997 879 17.2 0.59 16.1 18.4 706 16.2 0.62 15.0 17.4

1998 851 16.2 0.56 15.2 17.4 671 15.0 0.58 13.9 16.2

1999 875 16.5 0.56 15.4 17.6 721 15.9 0.60 14.8 17.2

2000 890 16.6 0.56 15.5 17.7 720 15.8 0.59 14.7 17.0

2001 876 16.1 0.55 15.0 17.2 727 15.8 0.59 14.6 17.0

2002 913 16.5 0.55 15.4 17.6 736 15.7 0.58 14.6 16.9

2003 904 16.2 0.55 15.2 17.3 743 15.8 0.58 14.7 17.0

2004 1,012 17.6 0.56 16.5 18.7 796 16.4 0.59 15.3 17.6

2005 930 15.9 0.53 14.9 17.0 770 15.7 0.57 14.6 16.8

2006 952 16.0 0.53 14.9 17.0 787 15.7 0.57 14.6 16.9

2007 1,061 17.4 0.54 16.4 18.5 872 17.1 0.59 15.9 18.3

2008 1,084 17.4 0.54 16.3 18.5 899 17.2 0.58 16.1 18.4

2009 1,098 17.4 0.53 16.3 18.5 929 17.6 0.59 16.5 18.8

2010 1,132 17.5 0.53 16.5 18.6 926 17.1 0.57 16.0 18.3

2011 1,243 18.8 0.55 17.7 19.9 1,029 18.6 0.59 17.5 19.8

2012 1,214 18.1 0.53 17.0 19.1 1,008 18.0 0.58 16.9 19.2

2013 1,266 18.7 0.54 17.7 19.8 1,060 18.7 0.59 17.6 19.9

2014 1,237 17.8 0.52 16.8 18.9 1,043 17.9 0.57 16.8 19.1

2015 1,312 18.7 0.53 17.7 19.8 1,101 18.9 0.59 17.8 20.1

2016 1,323 18.5 0.52 17.5 19.6 1,114 18.7 0.58 17.6 19.9

2017 1,353 18.8 0.52 17.7 19.8 1,176 19.7 0.59 18.6 20.9




I - 10


Males

Blacks




1986-2017 4,632 21.4 0.33 20.8 22.1 752 11.7 0.46 10.8 12.6

1986 160 32.1 2.65 27.1 37.7 9 14.7 5.52 6.0 29.4

1987 142 27.8 2.43 23.3 33.0 10 16.5 5.79 7.2 31.5

1988 159 30.2 2.46 25.6 35.4 9 12.7 4.99 4.8 26.0

1989 145 28.4 2.46 23.8 33.6 4 3.1 1.64 0.7 9.7

1990 145 27.5 2.36 23.1 32.5 5 7.4 3.74 2.0 18.1

1991 143 26.2 2.27 22.0 31.1 6 5.1 2.08 1.8 12.0

1992 116 21.0 2.01 17.2 25.3 12 10.4 3.38 4.8 19.5

1993 125 21.7 1.99 18.0 26.0 13 16.2 5.37 7.4 29.5

1994 144 25.2 2.18 21.1 29.8 12 7.6 2.34 3.7 14.2

1995 146 24.8 2.13 20.8 29.4 17 14.9 4.25 7.7 25.4

1996 155 25.3 2.09 21.4 29.8 12 10.3 3.34 4.8 18.9

1997 153 25.2 2.12 21.2 29.7 20 13.6 3.22 8.0 21.6

1998 155 24.8 2.07 21.0 29.2 16 9.3 2.51 5.0 15.8

1999 138 21.1 1.84 17.6 25.0 12 7.0 2.14 3.5 12.8

2000 152 23.2 1.94 19.6 27.3 13 7.9 2.46 3.8 14.2

2001 125 18.4 1.70 15.2 22.1 18 11.0 3.18 5.7 18.8

2002 154 23.0 1.91 19.4 27.1 19 10.7 2.72 6.1 17.4

2003 141 19.7 1.70 16.5 23.4 13 7.0 2.13 3.5 12.5

2004 176 25.1 1.98 21.4 29.3 31 16.4 3.31 10.5 24.0

2005 131 18.1 1.62 15.0 21.5 24 10.3 2.26 6.3 15.7

2006 121 15.9 1.49 13.2 19.1 40 19.2 3.38 13.1 26.9

2007 155 21.1 1.77 17.8 24.9 29 10.6 2.13 6.9 15.7

2008 151 20.4 1.75 17.1 24.1 29 13.0 2.69 8.2 19.2

2009 128 16.4 1.51 13.6 19.6 29 9.6 1.85 6.3 14.0

2010 148 19.4 1.68 16.2 22.9 48 17.1 2.70 12.2 23.2

2011 160 20.0 1.64 16.9 23.4 40 13.7 2.36 9.5 19.1

2012 157 19.1 1.59 16.2 22.5 41 11.4 1.89 8.0 15.8

2013 152 19.1 1.62 16.1 22.5 39 11.1 1.88 7.7 15.4

2014 138 17.5 1.55 14.6 20.8 44 11.9 1.83 8.6 16.1

2015 155 18.2 1.52 15.4 21.5 46 12.6 1.92 9.2 17.0

2016 143 17.0 1.48 14.2 20.1 49 12.8 1.88 9.4 17.0

2017 119 13.3 1.27 10.9 16.0 43 11.5 1.80 8.2 15.5




I - 11


Females

All Races


Whites


1986-2017 14,040 6.4 0.05 6.3 6.5 11,697 6.3 0.06 6.2 6.4

1986 382 6.5 0.34 5.8 7.2 318 6.0 0.35 5.4 6.8

1987 388 6.5 0.34 5.9 7.2 318 6.1 0.35 5.4 6.8

1988 371 6.1 0.32 5.5 6.8 311 5.9 0.34 5.2 6.6

1989 373 6.2 0.33 5.6 6.9 314 6.0 0.35 5.3 6.7

1990 368 6.0 0.32 5.4 6.7 294 5.4 0.32 4.8 6.1

1991 375 6.2 0.32 5.6 6.9 308 5.9 0.34 5.2 6.6

1992 371 6.0 0.32 5.4 6.7 321 5.9 0.34 5.3 6.6

1993 358 5.7 0.30 5.1 6.3 302 5.5 0.32 4.9 6.2

1994 395 6.2 0.31 5.6 6.8 321 5.7 0.32 5.1 6.4

1995 412 6.3 0.32 5.7 7.0 353 6.3 0.34 5.7 7.0

1996 415 6.4 0.32 5.8 7.0 346 6.2 0.34 5.5 6.9

1997 435 6.7 0.33 6.1 7.4 366 6.6 0.35 6.0 7.4

1998 402 6.1 0.31 5.5 6.7 336 6.0 0.33 5.4 6.7

1999 437 6.6 0.32 6.0 7.3 360 6.5 0.34 5.8 7.2

2000 403 6.1 0.30 5.5 6.7 343 6.1 0.33 5.5 6.8

2001 390 5.8 0.29 5.2 6.4 321 5.6 0.32 5.0 6.3

2002 440 6.5 0.31 5.9 7.1 381 6.7 0.34 6.0 7.4

2003 429 6.2 0.30 5.6 6.8 368 6.3 0.33 5.7 7.0

2004 422 6.1 0.30 5.5 6.7 349 6.1 0.33 5.4 6.7

2005 413 5.9 0.29 5.4 6.5 345 6.0 0.32 5.3 6.6

2006 448 6.3 0.30 5.7 6.9 371 6.2 0.33 5.6 6.9

2007 458 6.4 0.30 5.9 7.1 383 6.5 0.34 5.9 7.2

2008 499 6.9 0.31 6.3 7.5 419 7.0 0.34 6.3 7.7

2009 498 6.9 0.31 6.3 7.5 404 6.7 0.34 6.1 7.4

2010 465 6.3 0.30 5.7 6.9 370 6.1 0.32 5.5 6.8

2011 497 6.6 0.30 6.0 7.2 423 6.8 0.34 6.2 7.5

2012 516 6.7 0.30 6.1 7.3 436 6.9 0.34 6.2 7.6

2013 494 6.3 0.29 5.8 6.9 405 6.3 0.32 5.7 7.0

2014 545 6.8 0.30 6.3 7.5 444 6.8 0.33 6.2 7.5

2015 543 6.9 0.30 6.3 7.5 448 7.1 0.35 6.4 7.8

2016 540 6.8 0.30 6.2 7.4 447 7.0 0.34 6.3 7.7

2017 558 6.8 0.30 6.3 7.4 472 7.2 0.34 6.5 7.9




I - 12


Females

Blacks




1986-2017 1,864 6.5 0.15 6.2 6.8 373 4.8 0.26 4.3 5.4

1986 58 9.0 1.19 6.8 11.6 5 4.2 1.98 1.3 11.1

1987 64 9.4 1.21 7.2 12.1 6 6.4 2.83 2.1 14.7

1988 49 7.0 1.02 5.2 9.3 9 8.4 2.96 3.6 16.7

1989 50 7.3 1.04 5.4 9.6 8 7.6 2.74 3.2 15.3

1990 70 9.8 1.19 7.6 12.4 4 4.3 2.24 1.1 11.2

1991 60 7.8 1.03 5.9 10.1 4 2.4 1.24 0.6 7.1

1992 47 6.2 0.91 4.5 8.2 2 1.2 0.83 0.1 5.1

1993 47 6.2 0.91 4.5 8.2 9 5.4 1.87 2.3 10.8

1994 64 8.4 1.06 6.4 10.7 9 5.8 1.96 2.6 11.2

1995 53 6.5 0.91 4.9 8.6 5 1.9 0.88 0.6 5.3

1996 60 7.5 0.98 5.7 9.7 7 4.6 1.82 1.8 9.7

1997 56 6.8 0.93 5.2 8.9 9 5.9 2.20 2.4 11.7

1998 55 6.5 0.89 4.9 8.5 11 5.8 1.79 2.8 10.6

1999 60 7.0 0.91 5.3 9.0 15 7.3 1.98 3.9 12.3

2000 42 4.8 0.74 3.4 6.4 13 5.9 1.73 3.0 10.4

2001 55 6.1 0.83 4.6 8.0 8 3.6 1.30 1.5 7.2

2002 49 5.5 0.79 4.1 7.3 8 3.3 1.21 1.3 6.7

2003 46 5.1 0.76 3.7 6.8 12 5.7 1.76 2.8 10.2

2004 56 6.0 0.80 4.5 7.8 11 4.2 1.35 2.0 7.8

2005 43 4.4 0.68 3.2 6.0 20 7.5 1.77 4.5 11.8

2006 59 6.0 0.79 4.6 7.8 13 5.1 1.53 2.6 9.0

2007 57 5.9 0.78 4.4 7.6 15 5.3 1.43 2.9 8.9

2008 66 6.6 0.82 5.1 8.4 10 3.0 0.98 1.4 5.7

2009 70 7.0 0.85 5.5 8.9 19 5.7 1.33 3.4 9.0

2010 72 7.0 0.83 5.4 8.8 20 6.3 1.47 3.8 9.9

2011 56 5.3 0.72 4.0 6.9 15 4.7 1.27 2.5 7.8

2012 64 6.0 0.76 4.6 7.7 14 4.1 1.12 2.2 6.9

2013 67 6.2 0.77 4.8 7.9 15 4.0 1.07 2.2 6.7

2014 79 7.3 0.84 5.8 9.2 17 4.1 1.03 2.4 6.7

2015 62 5.3 0.69 4.1 6.9 23 5.5 1.17 3.5 8.3

2016 67 5.9 0.74 4.6 7.5 17 4.1 1.02 2.4 6.7

2017 61 5.2 0.67 3.9 6.7 20 4.2 0.96 2.5 6.6




I - 13

Invasive Cancer Incidence by Race, Illinois 1986-2017Lip

Both Sexes

All Races


Whites


1986-2017 2,773 0.7 0.01 0.7 0.7 2,668 0.8 0.02 0.8 0.8

1986 119 1.1 0.11 0.9 1.4 116 1.3 0.12 1.0 1.5

1987 114 1.1 0.10 0.9 1.3 114 1.2 0.12 1.0 1.5

1988 137 1.3 0.11 1.1 1.5 135 1.4 0.12 1.2 1.7

1989 111 1.0 0.10 0.9 1.3 108 1.2 0.11 0.9 1.4

1990 120 1.1 0.10 0.9 1.3 120 1.3 0.12 1.0 1.5

1991 103 0.9 0.09 0.8 1.1 101 1.0 0.10 0.8 1.3

1992 96 0.9 0.09 0.7 1.1 96 1.0 0.10 0.8 1.2

1993 81 0.7 0.08 0.6 0.9 80 0.8 0.09 0.7 1.0

1994 94 0.8 0.09 0.7 1.0 90 0.9 0.10 0.7 1.1

1995 102 0.9 0.09 0.7 1.1 99 1.0 0.10 0.8 1.2

1996 108 0.9 0.09 0.8 1.1 106 1.1 0.10 0.9 1.3

1997 97 0.8 0.08 0.7 1.0 94 0.9 0.10 0.8 1.1

1998 81 0.7 0.08 0.5 0.9 80 0.8 0.09 0.6 1.0

1999 86 0.7 0.08 0.6 0.9 83 0.8 0.09 0.6 1.0

2000 80 0.7 0.07 0.5 0.8 76 0.7 0.09 0.6 0.9

2001 60 0.5 0.06 0.4 0.6 57 0.6 0.07 0.4 0.7

2002 99 0.8 0.08 0.7 1.0 96 0.9 0.09 0.7 1.1

2003 69 0.6 0.07 0.4 0.7 66 0.6 0.08 0.5 0.8

2004 83 0.7 0.07 0.5 0.8 79 0.8 0.09 0.6 1.0

2005 72 0.6 0.07 0.4 0.7 68 0.6 0.08 0.5 0.8

2006 72 0.6 0.07 0.5 0.7 72 0.7 0.08 0.5 0.9

2007 77 0.6 0.07 0.5 0.7 73 0.7 0.08 0.5 0.8

2008 79 0.6 0.07 0.5 0.8 73 0.7 0.08 0.5 0.9

2009 74 0.6 0.07 0.4 0.7 67 0.6 0.07 0.5 0.8

2010 84 0.6 0.07 0.5 0.8 79 0.7 0.08 0.6 0.9

2011 61 0.4 0.06 0.3 0.6 60 0.5 0.07 0.4 0.7

2012 58 0.4 0.05 0.3 0.5 56 0.5 0.06 0.4 0.6

2013 71 0.5 0.06 0.4 0.6 64 0.5 0.07 0.4 0.7

2014 66 0.5 0.06 0.4 0.6 59 0.5 0.06 0.4 0.6

2015 75 0.5 0.06 0.4 0.7 70 0.6 0.07 0.5 0.8

2016 71 0.5 0.06 0.4 0.6 61 0.5 0.06 0.4 0.6

2017 73 0.5 0.06 0.4 0.6 70 0.6 0.07 0.5 0.7




I - 14


Both Sexes

Blacks




1986-2017 39 0.1 0.01 0.1 0.1 7 0.1 0.02 0.0 0.1

1986 2 0.2 0.15 0.0 0.7 1 0.4 0.42 0.0 3.4

1987 0 0

1988 1 0.1 0.12 0.0 0.5 0

1989 3 0.3 0.16 0.1 0.8 0

1990 0 0

1991 1 0.1 0.09 0.0 0.5 0

1992 0 0

1993 1 0.1 0.05 0.0 0.3 0

1994 3 0.3 0.18 0.1 0.8 0

1995 1 0.1 0.05 0.0 0.3 0

1996 1 0.1 0.08 0.0 0.4 1 0.5 0.45 0.0 2.4

1997 2 0.2 0.15 0.0 0.7 0

1998 1 0.1 0.05 0.0 0.3 0

1999 0 0

2000 2 0.1 0.10 0.0 0.5 0

2001 1 0.1 0.06 0.0 0.4 0

2002 2 0.1 0.08 0.0 0.4 0

2003 1 0.1 0.05 0.0 0.3 0

2004 3 0.2 0.11 0.0 0.6 0

2005 2 0.1 0.08 0.0 0.4 0

2006 0 0

2007 3 0.2 0.12 0.0 0.6 0

2008 3 0.2 0.12 0.0 0.6 0

2009 2 0.2 0.10 0.0 0.5 0

2010 3 0.2 0.10 0.0 0.5 0

2011 0 1 0.1 0.14 0.0 0.9

2012 0 1 0.1 0.14 0.0 0.8

2013 1 0.1 0.07 0.0 0.4 2 0.3 0.25 0.0 1.2

2014 0 0

2015 0 0

2016 0 1 0.1 0.12 0.0 0.7

2017 0 0




I - 15


Males

All Races


Whites


1986-2017 2,186 1.3 0.03 1.3 1.4 2,120 1.5 0.03 1.4 1.5

1986 106 2.5 0.25 2.0 3.0 105 2.8 0.28 2.3 3.4

1987 99 2.4 0.25 1.9 2.9 99 2.6 0.28 2.1 3.2

1988 115 2.7 0.26 2.2 3.3 114 3.0 0.29 2.5 3.6

1989 94 2.3 0.24 1.8 2.8 92 2.5 0.27 2.0 3.1

1990 97 2.2 0.23 1.7 2.6 97 2.4 0.25 2.0 3.0

1991 88 1.9 0.21 1.5 2.4 86 2.1 0.23 1.7 2.6

1992 82 1.8 0.21 1.5 2.3 82 2.1 0.23 1.6 2.6

1993 70 1.5 0.18 1.1 1.9 70 1.7 0.20 1.3 2.1

1994 69 1.5 0.18 1.1 1.9 68 1.7 0.20 1.3 2.1

1995 79 1.7 0.20 1.4 2.2 77 1.9 0.22 1.5 2.4

1996 87 1.8 0.20 1.5 2.3 85 2.0 0.22 1.6 2.5

1997 79 1.7 0.20 1.4 2.2 77 1.9 0.22 1.5 2.4

1998 64 1.3 0.17 1.0 1.7 63 1.5 0.19 1.1 1.9

1999 73 1.5 0.18 1.2 1.9 71 1.7 0.20 1.3 2.1

2000 66 1.3 0.16 1.0 1.6 63 1.4 0.18 1.1 1.8

2001 45 0.9 0.14 0.7 1.2 44 1.0 0.16 0.7 1.4

2002 69 1.4 0.17 1.1 1.8 68 1.6 0.19 1.2 2.0

2003 50 1.0 0.14 0.7 1.3 49 1.1 0.16 0.8 1.5

2004 65 1.3 0.16 1.0 1.6 63 1.4 0.18 1.1 1.8

2005 59 1.1 0.15 0.8 1.4 55 1.2 0.17 0.9 1.6

2006 52 1.0 0.14 0.7 1.3 52 1.1 0.16 0.8 1.5

2007 58 1.0 0.14 0.8 1.3 56 1.1 0.16 0.9 1.5

2008 52 0.9 0.13 0.7 1.2 48 1.0 0.15 0.7 1.3

2009 55 1.0 0.13 0.7 1.3 49 1.0 0.15 0.7 1.3

2010 63 1.1 0.14 0.8 1.4 60 1.2 0.16 0.9 1.6

2011 44 0.8 0.12 0.6 1.0 43 0.9 0.14 0.6 1.2

2012 46 0.8 0.11 0.5 1.0 44 0.9 0.13 0.6 1.2

2013 50 0.8 0.12 0.6 1.1 48 0.9 0.14 0.7 1.3

2014 46 0.7 0.11 0.5 1.0 41 0.8 0.12 0.5 1.0

2015 55 0.9 0.12 0.7 1.1 52 1.0 0.14 0.7 1.3

2016 56 0.9 0.12 0.7 1.1 48 0.9 0.13 0.7 1.2

2017 53 0.8 0.12 0.6 1.1 51 1.0 0.14 0.7 1.3




I - 16


Males

Blacks




1986-2017 21 0.1 0.03 0.1 0.2 4 0.1 0.03 0.0 0.2

1986 1 0.2 0.16 0.0 1.0 0

1987 0 0

1988 0 0

1989 2 0.5 0.40 0.1 1.8 0

1990 0 0

1991 1 0.2 0.20 0.0 1.1 0

1992 0 0

1993 0 0

1994 0 0

1995 0 0

1996 1 0.2 0.20 0.0 1.0 1 1.1 1.08 0.0 5.7

1997 2 0.7 0.47 0.1 2.0 0

1998 1 0.1 0.12 0.0 0.8 0

1999 0 0

2000 1 0.2 0.18 0.0 1.0 0

2001 0 0

2002 1 0.1 0.12 0.0 0.8 0

2003 1 0.1 0.12 0.0 0.8 0

2004 1 0.1 0.13 0.0 0.8 0

2005 2 0.3 0.18 0.0 1.0 0

2006 0 0

2007 1 0.2 0.21 0.0 1.0 0

2008 2 0.4 0.25 0.0 1.2 0

2009 2 0.4 0.25 0.0 1.2 0

2010 2 0.3 0.20 0.0 1.0 0

2011 0 1 0.3 0.30 0.0 1.9

2012 0 1 0.3 0.30 0.0 1.8

2013 0 0

2014 0 0

2015 0 0

2016 0 1 0.3 0.26 0.0 1.5

2017 0 0




I - 17


Females

All Races


Whites


1986-2017 587 0.3 0.01 0.2 0.3 548 0.3 0.01 0.3 0.3

1986 13 0.2 0.06 0.1 0.4 11 0.2 0.06 0.1 0.4

1987 15 0.2 0.06 0.1 0.4 15 0.3 0.07 0.2 0.5

1988 22 0.4 0.08 0.2 0.5 21 0.4 0.08 0.2 0.6

1989 17 0.3 0.06 0.2 0.4 16 0.3 0.07 0.2 0.5

1990 23 0.3 0.07 0.2 0.5 23 0.4 0.08 0.2 0.6

1991 15 0.2 0.06 0.1 0.4 15 0.3 0.07 0.1 0.4

1992 14 0.2 0.05 0.1 0.3 14 0.2 0.06 0.1 0.4

1993 11 0.2 0.05 0.1 0.3 10 0.2 0.06 0.1 0.3

1994 25 0.4 0.07 0.2 0.5 22 0.4 0.08 0.2 0.6

1995 23 0.3 0.07 0.2 0.5 22 0.4 0.08 0.2 0.6

1996 21 0.3 0.07 0.2 0.5 21 0.4 0.08 0.2 0.6

1997 18 0.3 0.06 0.2 0.4 17 0.3 0.07 0.2 0.5

1998 17 0.3 0.06 0.2 0.4 17 0.3 0.07 0.2 0.5

1999 13 0.2 0.05 0.1 0.3 12 0.2 0.06 0.1 0.4

2000 14 0.2 0.05 0.1 0.3 13 0.2 0.06 0.1 0.4

2001 15 0.2 0.06 0.1 0.4 13 0.2 0.06 0.1 0.4

2002 30 0.4 0.08 0.3 0.6 28 0.5 0.09 0.3 0.7

2003 19 0.3 0.06 0.2 0.4 17 0.3 0.07 0.2 0.5

2004 18 0.3 0.06 0.2 0.4 16 0.3 0.07 0.2 0.4

2005 13 0.2 0.05 0.1 0.3 13 0.2 0.06 0.1 0.4

2006 20 0.3 0.06 0.2 0.4 20 0.3 0.08 0.2 0.5

2007 19 0.3 0.06 0.2 0.4 17 0.3 0.07 0.2 0.5

2008 27 0.4 0.08 0.3 0.6 25 0.4 0.09 0.3 0.7

2009 19 0.2 0.06 0.1 0.4 18 0.3 0.06 0.2 0.4

2010 21 0.3 0.06 0.2 0.4 19 0.3 0.07 0.2 0.5

2011 17 0.2 0.05 0.1 0.4 17 0.3 0.06 0.2 0.4

2012 12 0.2 0.04 0.1 0.3 12 0.2 0.05 0.1 0.3

2013 21 0.3 0.06 0.2 0.4 16 0.2 0.06 0.1 0.4

2014 20 0.2 0.05 0.1 0.4 18 0.3 0.06 0.2 0.4

2015 20 0.3 0.06 0.2 0.4 18 0.3 0.07 0.2 0.5

2016 15 0.2 0.05 0.1 0.3 13 0.2 0.05 0.1 0.3

2017 20 0.2 0.06 0.1 0.4 19 0.3 0.07 0.2 0.5




I - 18


Females

Blacks




1986-2017 18 0.1 0.02 0.0 0.1 3 0.1 0.03 0.0 0.1

1986 1 0.2 0.21 0.0 1.0 1 0.8 0.83 0.0 6.2

1987 0 0

1988 1 0.2 0.18 0.0 0.9 0

1989 1 0.1 0.12 0.0 0.7 0

1990 0 0

1991 0 0

1992 0 0

1993 1 0.1 0.09 0.0 0.6 0

1994 3 0.5 0.28 0.1 1.3 0

1995 1 0.1 0.10 0.0 0.6 0

1996 0 0

1997 0 0

1998 0 0

1999 0 0

2000 1 0.1 0.12 0.0 0.6 0

2001 1 0.1 0.11 0.0 0.6 0

2002 1 0.1 0.10 0.0 0.6 0

2003 0 0

2004 2 0.2 0.16 0.0 0.8 0

2005 0 0

2006 0 0

2007 2 0.2 0.15 0.0 0.8 0

2008 1 0.1 0.11 0.0 0.6 0

2009 0 0

2010 1 0.1 0.10 0.0 0.6 0

2011 0 0

2012 0 0

2013 1 0.1 0.11 0.0 0.6 2 0.6 0.46 0.1 2.2

2014 0 0

2015 0 0

2016 0 0

2017 0 0




I - 19

Invasive Cancer Incidence by Race, Illinois 1986-2017Tongue

Both Sexes

All Races


Whites


1986-2017 11,906 3.0 0.03 2.9 3.0 10,133 3.0 0.03 2.9 3.1

1986 261 2.5 0.15 2.2 2.8 215 2.3 0.16 2.0 2.6

1987 253 2.4 0.16 2.1 2.8 193 2.1 0.15 1.8 2.4

1988 232 2.2 0.15 1.9 2.5 189 2.0 0.15 1.8 2.4

1989 244 2.3 0.15 2.0 2.6 200 2.1 0.15 1.9 2.5

1990 254 2.4 0.15 2.1 2.7 202 2.1 0.15 1.8 2.5

1991 277 2.6 0.16 2.3 3.0 216 2.4 0.16 2.1 2.7

1992 265 2.4 0.15 2.1 2.7 221 2.3 0.16 2.0 2.6

1993 271 2.4 0.15 2.1 2.7 232 2.4 0.16 2.1 2.7

1994 269 2.4 0.15 2.1 2.7 224 2.3 0.15 2.0 2.6

1995 284 2.5 0.15 2.2 2.8 233 2.4 0.16 2.1 2.7

1996 297 2.6 0.15 2.3 2.9 248 2.5 0.16 2.2 2.9

1997 342 3.0 0.16 2.7 3.3 289 3.0 0.17 2.6 3.3

1998 273 2.3 0.14 2.1 2.6 228 2.3 0.15 2.0 2.6

1999 332 2.8 0.15 2.5 3.1 286 2.9 0.17 2.5 3.2

2000 306 2.6 0.15 2.3 2.9 253 2.5 0.16 2.2 2.8

2001 291 2.4 0.14 2.1 2.7 238 2.3 0.15 2.0 2.6

2002 355 2.9 0.15 2.6 3.2 295 2.9 0.17 2.5 3.2

2003 343 2.7 0.15 2.5 3.1 294 2.8 0.16 2.5 3.2

2004 384 3.0 0.15 2.7 3.3 316 3.0 0.17 2.7 3.3

2005 397 3.1 0.16 2.8 3.4 340 3.2 0.17 2.8 3.5

2006 374 2.8 0.15 2.6 3.2 314 2.9 0.16 2.6 3.2

2007 456 3.5 0.16 3.2 3.8 404 3.7 0.19 3.3 4.1

2008 429 3.2 0.15 2.9 3.5 385 3.4 0.18 3.1 3.8

2009 432 3.2 0.16 2.9 3.5 375 3.3 0.17 3.0 3.7

2010 419 3.0 0.15 2.7 3.3 365 3.2 0.17 2.8 3.5

2011 477 3.4 0.16 3.1 3.7 405 3.5 0.18 3.1 3.8

2012 535 3.7 0.16 3.4 4.0 471 4.0 0.19 3.6 4.4

2013 540 3.6 0.16 3.3 3.9 463 3.8 0.18 3.4 4.1

2014 559 3.7 0.16 3.4 4.1 488 4.0 0.18 3.6 4.3

2015 563 3.7 0.16 3.4 4.0 496 4.0 0.18 3.7 4.4

2016 558 3.6 0.16 3.3 4.0 493 3.9 0.18 3.6 4.3

2017 634 4.1 0.17 3.8 4.4 562 4.5 0.19 4.1 4.9




I - 20


Both Sexes

Blacks




1986-2017 1,413 2.8 0.08 2.6 2.9 277 1.9 0.12 1.7 2.2

1986 42 3.7 0.58 2.6 5.0 2 1.7 1.29 0.1 6.1

1987 54 4.8 0.67 3.6 6.3 6 3.8 1.66 1.3 8.6

1988 42 3.5 0.54 2.5 4.7 1 0.6 0.57 0.0 3.5

1989 40 3.3 0.52 2.3 4.4 4 2.3 1.19 0.6 6.1

1990 52 4.1 0.58 3.1 5.4 0

1991 54 4.2 0.58 3.2 5.5 3 1.2 0.71 0.3 3.9

1992 42 3.3 0.50 2.3 4.4 2 0.7 0.49 0.1 2.9

1993 34 2.6 0.45 1.8 3.6 3 1.1 0.65 0.2 3.5

1994 42 3.1 0.49 2.3 4.2 3 1.0 0.63 0.2 3.3

1995 42 3.0 0.47 2.2 4.1 6 1.6 0.65 0.6 3.8

1996 46 3.2 0.48 2.4 4.3 3 0.8 0.45 0.2 2.6

1997 47 3.4 0.51 2.5 4.6 6 2.0 0.86 0.7 4.5

1998 38 2.6 0.43 1.9 3.6 5 1.6 0.78 0.5 3.9

1999 40 2.5 0.40 1.8 3.4 6 1.6 0.69 0.6 3.7

2000 45 3.0 0.45 2.2 4.0 5 1.5 0.70 0.4 3.5

2001 45 2.8 0.42 2.0 3.8 6 1.4 0.58 0.5 3.1

2002 51 3.1 0.44 2.3 4.1 7 1.7 0.66 0.6 3.6

2003 39 2.5 0.40 1.8 3.4 8 2.0 0.74 0.8 4.0

2004 47 2.9 0.42 2.1 3.8 15 3.0 0.83 1.6 5.1

2005 37 2.2 0.37 1.6 3.1 17 3.4 0.88 1.9 5.6

2006 43 2.4 0.37 1.7 3.3 13 2.5 0.78 1.2 4.5

2007 39 2.2 0.36 1.6 3.1 11 2.4 0.77 1.1 4.4

2008 34 1.9 0.33 1.3 2.7 9 1.7 0.62 0.8 3.4

2009 36 2.0 0.34 1.4 2.8 17 2.7 0.69 1.6 4.5

2010 35 1.9 0.34 1.3 2.7 16 2.8 0.74 1.5 4.6

2011 52 2.8 0.40 2.1 3.7 14 1.9 0.51 1.0 3.2

2012 50 2.7 0.38 2.0 3.5 10 1.4 0.48 0.7 2.7

2013 58 2.9 0.40 2.2 3.8 11 1.5 0.49 0.7 2.8

2014 51 2.7 0.39 2.0 3.6 18 2.4 0.56 1.4 3.8

2015 46 2.3 0.35 1.7 3.1 15 1.8 0.46 1.0 3.0

2016 45 2.2 0.33 1.6 3.0 16 1.9 0.49 1.1 3.2

2017 45 2.2 0.34 1.6 3.0 19 2.3 0.54 1.3 3.6




I - 21


Males

All Races


Whites


1986-2017 8,150 4.4 0.05 4.3 4.5 6,875 4.4 0.05 4.3 4.5

1986 175 3.7 0.28 3.1 4.3 137 3.2 0.28 2.7 3.8

1987 162 3.5 0.28 2.9 4.1 123 3.0 0.27 2.4 3.5

1988 155 3.3 0.27 2.8 3.9 120 2.9 0.27 2.4 3.5

1989 159 3.4 0.28 2.9 4.0 127 3.1 0.29 2.6 3.7

1990 172 3.6 0.28 3.1 4.2 133 3.2 0.28 2.7 3.8

1991 198 4.2 0.31 3.6 4.9 149 3.7 0.31 3.1 4.3

1992 172 3.5 0.27 3.0 4.0 140 3.3 0.28 2.7 3.9

1993 178 3.5 0.27 3.0 4.1 149 3.4 0.28 2.9 4.0

1994 180 3.6 0.27 3.1 4.2 150 3.5 0.29 2.9 4.1

1995 201 4.0 0.28 3.4 4.6 163 3.7 0.29 3.2 4.3

1996 199 3.9 0.28 3.4 4.5 165 3.8 0.30 3.2 4.4

1997 219 4.2 0.29 3.7 4.8 180 4.0 0.30 3.5 4.7

1998 174 3.3 0.25 2.8 3.8 138 3.1 0.26 2.6 3.6

1999 211 3.9 0.27 3.4 4.4 180 3.9 0.29 3.3 4.5

2000 200 3.7 0.26 3.2 4.2 162 3.5 0.28 3.0 4.1

2001 203 3.6 0.26 3.2 4.2 164 3.5 0.27 3.0 4.1

2002 245 4.3 0.28 3.8 4.9 199 4.2 0.30 3.6 4.8

2003 239 4.2 0.28 3.7 4.8 202 4.2 0.30 3.7 4.9

2004 264 4.5 0.28 4.0 5.1 211 4.3 0.30 3.7 4.9

2005 273 4.6 0.28 4.1 5.2 232 4.6 0.31 4.0 5.3

2006 259 4.2 0.27 3.7 4.8 219 4.3 0.29 3.7 4.9

2007 316 5.1 0.29 4.6 5.7 276 5.3 0.32 4.7 6.0

2008 295 4.7 0.28 4.1 5.2 266 5.0 0.31 4.4 5.7

2009 286 4.5 0.27 4.0 5.0 249 4.7 0.30 4.1 5.3

2010 297 4.5 0.27 4.0 5.1 260 4.7 0.30 4.1 5.3

2011 329 4.9 0.28 4.4 5.5 279 5.0 0.30 4.4 5.6

2012 376 5.6 0.30 5.0 6.2 327 5.8 0.33 5.2 6.5

2013 384 5.5 0.29 4.9 6.1 333 5.7 0.32 5.1 6.4

2014 381 5.4 0.28 4.9 6.0 338 5.7 0.32 5.1 6.4

2015 400 5.7 0.29 5.1 6.2 353 6.0 0.33 5.4 6.7

2016 397 5.5 0.28 4.9 6.0 350 5.8 0.32 5.2 6.5

2017 451 6.2 0.30 5.6 6.8 401 6.7 0.34 6.0 7.4




I - 22


Males

Blacks




1986-2017 1,044 4.8 0.15 4.5 5.1 178 2.8 0.23 2.4 3.3

1986 35 7.2 1.28 4.9 10.1 2 3.8 3.02 0.3 14.2

1987 36 7.2 1.25 5.0 10.1 3 5.2 3.27 0.9 15.6

1988 35 7.0 1.22 4.8 9.7 0

1989 31 5.9 1.08 4.0 8.4 1 1.3 1.25 0.0 7.7

1990 39 7.1 1.16 5.0 9.7 0

1991 43 7.9 1.26 5.6 10.8 3 2.6 1.52 0.5 8.7

1992 30 5.3 0.98 3.6 7.6 2 1.4 1.05 0.2 6.6

1993 25 4.2 0.84 2.7 6.2 2 2.0 1.44 0.3 7.6

1994 29 5.2 1.01 3.4 7.5 1 0.4 0.39 0.0 4.5

1995 30 5.3 1.02 3.5 7.6 5 2.8 1.25 0.9 7.5

1996 34 5.5 0.96 3.8 7.7 0

1997 34 6.0 1.08 4.0 8.5 5 3.6 1.69 1.1 8.9

1998 29 4.8 0.90 3.2 6.9 5 3.7 1.83 1.0 9.2

1999 29 4.1 0.76 2.7 5.9 2 1.4 1.06 0.1 5.5

2000 36 5.4 0.91 3.8 7.5 1 1.2 1.15 0.0 5.4

2001 36 5.2 0.88 3.6 7.3 2 0.9 0.60 0.1 3.8

2002 39 5.5 0.89 3.9 7.6 5 2.9 1.37 0.8 7.0

2003 30 4.5 0.87 3.0 6.6 5 2.5 1.16 0.7 6.1

2004 38 5.2 0.86 3.7 7.2 11 5.4 1.86 2.4 10.3

2005 30 4.3 0.81 2.9 6.2 9 4.1 1.48 1.8 8.2

2006 28 3.6 0.69 2.4 5.2 11 5.1 1.78 2.3 9.8

2007 32 4.3 0.77 2.9 6.1 7 3.4 1.43 1.2 7.3

2008 23 3.3 0.72 2.0 5.0 6 3.0 1.33 1.0 6.7

2009 22 2.7 0.59 1.7 4.2 12 4.2 1.30 2.1 7.7

2010 24 3.3 0.71 2.1 5.0 11 4.2 1.37 2.0 7.8

2011 37 4.7 0.81 3.3 6.6 8 2.4 0.85 1.0 4.9

2012 39 5.0 0.83 3.5 6.9 7 2.3 1.01 0.8 5.1

2013 40 4.8 0.79 3.4 6.6 6 1.7 0.71 0.6 3.8

2014 31 4.0 0.74 2.7 5.7 11 3.0 0.90 1.5 5.4

2015 33 4.0 0.72 2.7 5.7 11 2.8 0.85 1.4 5.1

2016 34 3.9 0.70 2.7 5.5 13 3.3 0.93 1.8 5.8

2017 33 3.9 0.71 2.7 5.6 11 3.2 1.00 1.5 5.8




I - 23


Females

All Races


Whites


1986-2017 3,756 1.7 0.03 1.7 1.8 3,258 1.8 0.03 1.7 1.8

1986 86 1.5 0.16 1.2 1.8 78 1.5 0.18 1.2 1.9

1987 91 1.6 0.17 1.3 1.9 70 1.4 0.17 1.1 1.7

1988

Illinois State Cancer Incidence Review and Update, 1986-2017...• For Illinois males, prostate cancer was the most frequently diagnosed invasive cancer, accounting for 24.1 percent

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