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Complete Health Indicator Report of Deaths due to Colorectal Cancer

Definition

Deaths with malignant neoplasm (cancer) of the colon, rectum, and anus as the underlying cause of death ICD-10 codes: C18-C21

Numerator

Number of deaths due to cancer of the colon, rectum, and anus

Denominator

Total number of persons in the population

Why Is This Important?

Colorectal cancer is the second leading cause of cancer death in New Jersey and the US.

Healthy People Objective: Reduce the colorectal cancer death rate

U.S. Target: 14.5 deaths per 100,000 population (age-adjusted)
State Target: 12.9 deaths per 100,000 population (age-adjusted)

Other Objectives

'''Revised Healthy New Jersey 2020 Objective CA-5''': Reduce the age-adjusted mortality rate due to colorectal cancer per 100,000 standard population to 12.9 for the total population, 13.4 among Whites, 17.1 among Blacks, 9.5 among Hispanics, and 5.4 among Asians. '''Original Healthy New Jersey 2020 Objective CA-5''': Reduce the age-adjusted mortality rate due to colorectal cancer per 100,000 standard population to 15.8 for the total population, 16.2 among Whites, 20.1 among Blacks, 9.5 among Hispanics, and 5.4 among Asians.

How Are We Doing?

The age-adjusted death rate due to colorectal cancer decreased 46% between 2000 and 2020 and, by 2013, the original Healthy New Jersey targets for Whites, Blacks, and the total population had been met. By 2020, the revised targets for Whites, Blacks, Asians, and the total population had been achieved. The rate is highest among Blacks, followed in order by Whites, Hispanics, and Asians. The rate is higher among men than among women but the gap is narrowing. County rates ranged from a low of 10 in Morris to a high of 17 in Salem.

How Do We Compare With the U.S.?

The age-adjusted death rate due to colorectal cancer is about the same for New Jersey and the U.S., however New Jersey's rate has been decreasing more quickly.

Evidence-based Practices

Screening can find precancerous polyps (abnormal growths in the colon or rectum) so they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment often leads to a cure. [https://www.cdc.gov/cancer/colorectal/basic_info/screening/ ^1^]

Available Services

The New Jersey Cancer Education and Early Detection (NJCEED) Program provides comprehensive outreach, education and screening services for colorectal cancer. [http://www.nj.gov/health/ces/public/resources/njceed.shtml]


Related Indicators

Health Care System Factors

According to the [https://www.cancer.gov/types/colorectal/hp/colorectal-screening-pdq National Cancer Institute], use of the '''guaiac-based fecal occult blood test''' as a screening intervention decreases colorectal cancer mortality by about 15% to 30%, use of '''sigmoidoscopy''' decreases colorectal cancer mortality by about 20% to 30% and colorectal cancer incidence by about 20% to 25%, and use of '''colonoscopy''' decreases both colorectal cancer mortality and colorectal cancer incidence (at least for cancers of the left colon) by about 60% to 70%. [Last reviewed: 1/27/20] Other health care system factors associated with colorectal cancer survival in New Jersey include health insurance status ([https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699851/ Niu et al., 2013]).

Related Health Care System Factors Indicators:


Risk Factors

According to the [https://www.cancer.gov/types/colorectal/hp/colorectal-prevention-pdq National Cancer Institute], both cigarette smoking and obesity are associated with an increased risk of mortality from as well as incidence of colorectal cancer. Conversely, there is solid evidence that daily use of aspirin reduces the risk of mortality from as well as incidence of colorectal cancer. [Last reviewed: 1/26/20]

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:



Data Tables


Age-Adjusted Death Rate due to Colorectal Cancer, by Year, New Jersey and the United States, 2000-2020 (HNJ2020)

US/NJYearDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 42
US200020.820.620.957,477
US200120.220.020.456,887
US200219.819.720.056,741
US200319.219.119.455,958
US200418.218.018.353,772
US200517.717.517.853,252
US200617.417.317.553,549
US200717.016.917.253,586
US200816.616.516.853,321
US200916.015.916.152,394
US201015.815.715.952,622
US201115.315.215.452,287
US201214.914.715.052,028
US201314.614.514.752,252
US201414.314.214.452,234
US201514.214.114.353,176
US201613.913.814.053,145
US201713.713.613.853,447
US201813.413.213.553,094
US201913.113.013.252,986
US202012.912.813.053,095
NJ200022.921.923.92,020
NJ200122.521.523.52,005
NJ200221.720.722.71,962
NJ200322.221.323.22,031
NJ200419.418.420.31,786
NJ200519.118.220.01,778
NJ200618.918.019.81,778
NJ200718.817.819.71,782
NJ200817.817.018.71,721
NJ200917.016.117.81,663
NJ201016.215.417.01,632
NJ201115.614.816.41,588
NJ201215.915.016.71,648
NJ201314.914.115.71,562
NJ201414.213.415.01,530
NJ201514.313.515.01,548
NJ201614.413.615.21,582
NJ201713.412.714.21,509
NJ201813.212.414.01,502
NJ201912.411.613.11,416
NJ202012.311.613.01,429

Data Notes

This is Healthy New Jersey 2020 (HNJ2020) Objective CA-5.

Data Sources

  • Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death File. CDC WONDER On-line Database accessed at [https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html]
  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [https://www.nj.gov/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Colorectal Cancer, by Year and Race/Ethnicity, New Jersey, 2000-2020 (HNJ2020)

Race/EthnicityYearDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 84
White200023.322.024.61,697
White200123.021.724.21,674
White200222.220.923.41,630
White200322.521.323.81,661
White200419.918.721.11,470
White200519.518.320.71,438
White200619.218.120.41,424
White200719.318.120.51,432
White200818.016.919.11,349
White200917.116.018.21,282
White201016.215.117.21,249
White201115.914.817.01,222
White201216.315.217.41,267
White201315.214.216.31,192
White201415.013.916.11,184
White201514.813.715.91,154
White201615.214.116.31,173
White201713.612.514.61,080
White201813.612.614.71,082
White201912.911.913.91,019
White202012.511.513.5996
Black200028.825.732.0231
Black200127.724.730.8225
Black200226.623.629.6222
Black200329.926.733.0247
Black200423.820.926.6204
Black200526.823.829.8226
Black200626.023.129.0224
Black200724.021.126.8218
Black200825.622.628.5229
Black200923.220.426.0221
Black201021.719.024.4208
Black201122.719.925.5226
Black201221.719.024.4223
Black201319.016.521.5203
Black201416.414.118.8182
Black201519.016.521.6213
Black201617.515.120.0205
Black201717.815.420.2212
Black201818.215.820.7221
Black201915.713.418.0190
Black202016.714.419.1209
Hispanic200014.512.216.771
Hispanic200115.813.518.086
Hispanic200213.011.015.180
Hispanic200313.911.916.089
Hispanic200411.49.613.373
Hispanic200513.711.715.787
Hispanic200612.710.814.695
Hispanic200711.29.513.097
Hispanic200810.08.311.684
Hispanic200911.910.113.7106
Hispanic201011.49.813.1100
Hispanic20119.47.910.990
Hispanic201210.69.112.2103
Hispanic201310.69.012.1111
Hispanic20149.68.211.1104
Hispanic20159.98.411.4114
Hispanic201610.08.511.4125
Hispanic201710.69.112.1131
Hispanic20189.58.111.0122
Hispanic20198.77.410.1126
Hispanic202010.08.611.5148
Asian2000**19
Asian2001**17
Asian20027.85.510.224
Asian20039.36.811.827
Asian200410.17.512.731
Asian20055.94.07.923
Asian20066.04.07.924
Asian20076.34.48.229
Asian200810.07.612.443
Asian20096.74.88.735
Asian201010.58.212.850
Asian20115.33.66.930
Asian20127.15.29.042
Asian20136.85.08.641
Asian20146.24.47.941
Asian20156.04.47.742
Asian20165.94.37.648
Asian20177.35.59.159
Asian20186.75.08.453
Asian20196.24.67.853
Asian20205.43.96.949

Data Notes

This is Healthy New Jersey 2020 (HNJ2020) Objective CA-5. Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race. **The number of deaths was too small to calculate a reliable rate.

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [https://www.nj.gov/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Colorectal Cancer by Race/Ethnicity, New Jersey, 2020

Race/EthnicityDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 6
White12.511.513.5996
Black16.714.419.1209
Hispanic10.08.611.5148
Asian5.43.96.949
New Jersey12.311.613.01,429
United States12.912.813.053,095

Data Sources

  • Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death File. CDC WONDER On-line Database accessed at [https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html]
  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [https://www.nj.gov/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Colorectal Cancer, by Year and Sex, New Jersey, 2000-2020

GenderYearDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 42
Male200028.226.629.8989
Male200126.424.827.9941
Male200226.825.228.4973
Male200326.324.827.9960
Male200423.221.824.7862
Male200522.721.324.2850
Male200622.621.224.0855
Male200722.821.424.3880
Male200821.420.122.8846
Male200920.519.121.8818
Male201019.117.820.4792
Male201118.717.420.0795
Male201219.017.820.4828
Male201317.616.418.9773
Male201417.015.818.2770
Male201517.416.218.6811
Male201616.815.618.1793
Male201715.514.316.7752
Male201815.914.717.1776
Male201915.013.816.1740
Male202014.213.115.4721
Female200019.217.920.51,031
Female200119.718.421.11,064
Female200218.216.919.5989
Female200319.518.220.81,071
Female200416.615.417.8924
Female200516.615.417.9928
Female200616.315.217.5923
Female200716.014.817.1902
Female200815.214.016.4875
Female200914.613.415.7845
Female201014.113.015.2840
Female201113.212.114.2793
Female201213.412.414.5820
Female201313.011.914.0789
Female201412.011.013.0760
Female201511.810.812.8737
Female201612.611.513.6789
Female201711.810.812.8757
Female201811.010.011.9726
Female201910.49.411.3676
Female202010.89.811.7708

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [https://www.nj.gov/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Colorectal Cancer by County, New Jersey, 2018-2020

CountyDeaths per 100,000 PopulationLower LimitUpper Limit
Record Count: 23
Atlantic13.410.816.0
Bergen11.810.513.0
Burlington13.711.715.6
Camden14.612.616.5
Cape May15.010.419.5
Cumberland14.911.318.5
Essex14.212.715.8
Gloucester15.512.918.1
Hudson11.19.712.6
Hunterdon13.09.316.6
Mercer12.610.514.7
Middlesex11.410.112.7
Monmouth12.010.413.5
Morris10.18.511.7
Ocean12.510.914.2
Passaic13.611.815.5
Salem16.811.022.7
Somerset10.98.913.0
Sussex14.310.717.9
Union12.010.313.6
Warren11.07.314.6
New Jersey12.612.213.0
United States13.113.013.2

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [https://www.nj.gov/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development

References and Community Resources

1. What Is Colorectal Cancer Screening? [https://www.cdc.gov/cancer/colorectal/basic_info/screening/] CDC Colorectal (Colon) Cancer Info: [https://www.cdc.gov/cancer/colorectal/] National Cancer Institute: [https://www.cancer.gov/types/colorectal] NJ Cancer Incidence Data: [http://www.nj.gov/health/ces/cancer-researchers/cancer-data/]

Page Content Updated On 05/05/2022, Published on 05/05/2022
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 10 August 2022 16:32:51 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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