Example 2 - Colon Cancer Mortality in Iowa Sample Clauses

Example 2 - Colon Cancer Mortality in Iowa. Colon cancer mortality data in Iowa is used to further study the performance of the Bayesian extended AAPC model in estimating cancer mortality rates. Since the most colon cancer death is associated with older population, I limit the study population with the age 50 or above. The age group use five years interval and eight age groups are reported (50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85+). The calendar period is chosen from 1981 to 2007. The 2010 SEER program provides cancer mortality data in three years intervals. Eight period groups are reported (1981-1983, 1984-1986, 1987-1989, 1990-1992, 1993-1995, 1996- 1998, 1999-2002, 2003-2007). Table 5.4 describes age and period specific rates (x100,000) and number of cases. Figure 5.7 displays Iowa colon cancer mortality rate in 1981-2007 at each county level for population at age 50 or more. Moolgavkar’s TSCE carcinogenesis model is used to update the age effect in the AAPC model for colon cancer since Armitage-Doll model only consider the age group from 25 to 74. Figure 5.8 displays the distribution of unstructured spatial effects for colon cancer mortality county-wide in Iowa. At those remote counties especially in south and west, we Table 5.4: Age-period specific mortality rates (×100,000) and number of deaths. Colon cancer, Iowa, 1981-2007 Period Age 1981—1983 1984—1986 1987—1989 1990—1992 1993—1995 1996—1998 1999—2002 2002—2007 50-54 24.38 (101) 27.23 (104) 25.18 (95) 21.62 (85) 13.78 (59) 18.71 (88) 15.27 (113) 11.84 (123) 55-59 38.52 (164) 43.80 (178) 38.01 (143) 37.11 (136) 37.10 (141) 31.20 (124) 25.10 (144) 19.79 (173) 60-64 62.33 (251) 50.34 (200) 56.88 (220) 50.07 (190) 57.36 (208) 47.34 (170) 35.13 (170) 32.77 (219) 65-69 89.65 (322) 82.32 (299) 72.65 (266) 68.20 (247) 73.51 (259) 75.15 (251) 65.72 (279) 52.63 (288) 70-74 120.95 (361) 117.50 (358) 110.17 (341) 97.31 (308) 91.47 (291) 96.67 (301) 80.27 (328) 69.92 (334) 75-79 160.88 (375) 166.54 (402) 148.64 (373) 142.12 (366) 135.30 (357) 124.84 (336) 115.87 (419) 101.96 (442) 80-84 212.24 (343) 212.88 (357) 205.07 (358) 199.40 (362) 194.78 (367) 176.34 (344) 152.81 (417) 136.45 (477) 85+ 287.82 (416) 265.32 (408) 282.39 (455) 276.29 (467) 260.94 (465) 270.67 (507) 235.43 (625) 215.35 (789) observe higher spatial effects in estimating the colon cancer mortality rates. Part of the reasons are due to the lack of colorectal cancer screening. Cancer statistics show that the survival rate is high if the colon cancer is diagnosed early [ACS, 2...
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