David H. Gorski, M.D., Ph.D., F.A.C.S., is a racist and a natural born killer
That’s right !
Dr. Gorski hates #cancer
He’s a bigot when it comes to breast cancer
Gorski sleeps, breathes, and blogs about breast cancer
He is an academic surgical oncologist specializing in breast surgery and oncologic surgery (Surgical Oncology Attending) at the Barbara Ann Karmanos Cancer Institute, Detroit, Michigan specializing in breast cancer surgery, where he also serves as team leader for the Breast Cancer Multidisciplinary Team (MDT) at the Barbara Ann Karmanos Cancer Center, Co-Chair, Cancer Committee, Barbara Ann Karmanos Cancer Center, medical director of the Alexander J. Walt Comprehensive Breast Center at the Barbara Ann Karmanos Cancer Center (2010-present), Co-Leader of the Breast Cancer Biology Program, and the American College of Surgeons Committee on Cancer (ACS CoC) Cancer Liaison Physician as well as Associate Professor of Surgery at the Wayne State University School of Medicine; Faculty (2008-present), and member of the faculty of the Graduate Program in Cancer Biology at Wayne State University, MiBOQI project director (clinical champion) for Karmanos Cancer Center, site project director of the Michigan Breast Oncology Quality Initiative, University of Michigan, Ann Arbor, Michigan, a partnership between Karmanos and the University of Michigan, the new program co-director (Co-Medical Director) of the Michigan Breast Oncology Quality Initiative (MiBOQI); a state-wide initiative to improve the quality of breast cancer care using evidence-based guidelines, serves as the co-director of the Comprehensive Breast Center and is co-leader of the Breast Cancer Biology Program at Karmanos and Wayne State University School of Medicine, a Wayne State University Physician Group surgeon and chief of the Section of Breast Surgery (Breast Surgery Section) for the Wayne State University School of Medicine (2009-present), serves as an associate professor of surgery and Oncology at Wayne State University School of Medicine, Detroit, Michigan, and Treasurer and on the Board of Directors, and also serves the Institute for Science in Medicine as head of its childhood immunization committee
Prior to joining Karmanos and Wayne State University School of Medicine, was an associate professor of surgery at The Cancer Institute of New Jersey and the UMDNJ-Robert Wood Johnson Medical School in New Brunswick, NJ, as well as a member of the Joint Graduate Program in Cell & Developmental Biology at Rutgers University in Piscataway, N.J.
1984 – Graduation with Honors and High Distinction in Chemistry
1994 – MetroHealth Medical Center Resident Research
He attended the University of Michigan Medical School, received his B.S. in chemistry from the University of Michigan, Ann Arbor, Michigan, medical degree (M.D.) from the University of Michigan Medical School, Ann Arbor, Michigan, University of Chicago Fellowship, Surgical Oncology, Case Western Reserve University / University Hospitals Case Medical Center Internship, General Surgery, Case Western: Reserve University / University Hospitals Case Medical Center Residency, General Surgery, and received his Ph.D. in cellular physiology at Case Western Reserve University, Cleveland, Ohio
1998 – American Board of Surgery
Assistant Professor of Surgery UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey
1999 – 2006: Assistant Professor of Surgery
1999 – 2008: Active, Surgical Oncology and General Surgery
2005 – 2006: Active, Surgical Oncology and General Surgery
2007 – American Society of Clinical Oncology Advanced Clinical Research
2007 – Conquer Cancer Foundation of ASCO and Breast Cancer Research Foundation Advanced Clinical Research Award in Breast Cancer
2006 – 2008: Associate Professor of Surgery
Faculty, General Surgery, St. Peterβs University Hospital, New Brunswick, New Jersey
Attending Surgeon, Trauma Services, Lutheran General Hospital, Park Ridge, Illinois
2015 – Michigan State Medical License (Active through)
2015 – Ohio State Medical License (Active through)
Managing Editor of the Science-Based Medicine weblog, as well as a once-weekly contributor
SBM exists to take a skeptical, science-based view of medicine in general and in particular the infiltration of pseudoscientific practices into medicine, even in academic medical centers
These entities must have felt lucky to add a University of Michigan alum to their toolbox, a wolverine; a creature also known as a glutton or skunk bear
Who would doubt that Gorski would be a glutton for punishment when it comes to raising a big stink about breast cancer issues ?
Surely he was aware: Detroit, Michigan; the most populous city in the state of Michigan, with a population of 701,475 (2012) (9,883,360 – Michigan), 575,321 (81.4%) being African American (Black); a little less than six times the national average (82.7% – 2010 / about 83% – 2012) (Michigan – 14.2% – 2010), 369,616 Females (52.7% – 2012 / 53% – 2010) (Michigan 50.9%)
No doubt he knew that the most recent American Cancer Society Cancer Facts & Figures, noted:
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β’ Studies have documented unequal receipt of prompt, high-quality treatment for African American women compared to white women
β’ African Americans more likely to be diagnosed at later stage of disease when treatment choices are more limited and less effective
β’ African Americans and other racial minorities are underrepresented in clinical trials, which makes it more difficult to assess efficacy of cancer therapies among different racial/ethnic groups
β’ African Americans have highest death rate and shortest survival of any racial and ethnic group in US for most cancers
β’ Life expectancy lower for African Americans than whites among women (77.2 vs. 80.9 years)
β’ Higher death rate in African American women compared to white women occurs despite lower cancer incidence rate
β’ Racial difference in overall cancer death rates is due largely to cancers of the breast and colorectum in women
β’ African American women have higher death rates overall and for breast and several other cancer sites
β’ African Americans continue to have lower 5-year survival overall:
69% – whites
60% – African Americans
and for each stage of diagnosis for most cancer sites
β’ Evidence aggressive tumor characteristics more common in African American than white women
——————————————————————
Gorski worked tirelessly to address the problem, by appearing on TV, radio, Internet radio, in articles and on his blogs
Soon, the locals were remarking about the “Gorski Patient Group” web-site which was set up to display anecdotal stories of breast cancer patients who were “cured” by Gorski
How has his hard work paid off ?
——————————————————————
Are these Dr. David H. Gorski’s βsuccess storiesβ ?
——————————————————————
African American women breast cancer death rates per 100,000 (MICHIGAN)
—————————————————————–
34.3β2005_-_2009 (State with 11 most) 2013-2014
33.8π2003_-_2007 (State with 11 most) 2011-2012
34.7π2001_-_2005 (State with 17 most) 2009-2010
35.4π2000_-_2003 (State with 19 most) 2007-2008
36.2π1997_-_2001 (State tied with 20 most) 2005-2006
——————————————————————
BREAST CANCER
——————————————————————
WHITE-INCIDENCE-MICHIGAN (per 100,000)
——————————————————————
118.7π2006_-_2010 (2013-2014)
120.1π2004_-_2008 Incidence (2011-2012)
124.3π2002_-_2006 (2009-2010)
129.9π2000_-_2004 (2007-2008)
133.9β1998_-_2002 (2005-2006)
132.1β1996_-_2000 (2003-2004)
——————————————————————
WHITE-MORTALITY-MICHIGAN (per 100,000)
——————————————————————
22.8π2006_-_2010 (2013-2014)
23.4π2003_-_2007 Mortality (2011-2012)
23.8π2002_-_2006 (2009-2010)
24.6π2000_-_2004 (2007-2008)
25.9π1998_-_2002 (2005-2006)
27.3π1996_-_2000 (2003-2004)
——————————————————————
AFRICAN AMERICAN-INCIDENCE-MICHIGAN (per 100,000)
——————————————————————
119.4β2006_-_2010 (2013-2014)
119.2π2004_-_2008 Incidence (2011_-_2012)
121.0β2002_-_2006 (2009-2010)
119.0π2000_-_2004 (2007-2008)
120.6π1998_-_2002 (2005-2006)
121.4β1996_-_2000 (2003-2004)
——————————————————————
AFRICAN AMERICAN-MORTALITY-MICHIGAN (per 100,000)
——————————————————————
34.3β2006_-_2010 (2013-2014)
33.8π2003_-_2007 Mortality (2011-2012)
34.6π2002_-_2006 (2009-2010)
35.0π2000_-_2004 (2007-2008)
36.0π1998_-_2002 (2005-2006)
36.9π1996_-_2000 (2003-2004)
——————————————————————
HISPANIC-INCIDENCE-MICHIGAN (per 100,000)
——————————————————————
80.1π2006_-_2010 (2013-2014)
92.7β2004_-_2008 Incidence (2011-2012)
——————————————————————
HISPANIC-MORTALITY-MICHIGAN (per 100,000)
——————————————————————
15.8β2006_-_2010 (2013-2014)
14.26β2003_-_2007 Mortality (2011-2012)
——————————————————————
INCIDENCE-MICHIGAN (per 100,000) COMBINED
——————————————————————
119.4β2006_-_2010 AFRICAN AMERICAN (2013-2014)
118.7π2006_-_2010 WHITE (2013-2014)
80.1π2006_-_2010 HISPANIC (2013-2014)
——————————————————————
MORTALITY-MICHIGAN (per 100,000) COMBINED
——————————————————————
34.3β2006_-_2010 AFRICAN AMERICAN (2013-2014)
22.8π2006_-_2010 WHITE (2013-2014)
15.8β2006_-_2010 HISPANIC (2013-2014)
——————————————————————
MICHIGAN – Estimated New Breast Cancer Cases:
——————————————————————
8,140β2013 (State with 8th most)
7,710π2012 (State with 8th most)
7,890β2011 (State with 8th most)
7,340β2010 (State with 8th most)
6,480β2009 (State with 8th most)
6,120π2008 (State with 9th most)
7,210π2005 (State with 9th most)
7,270π2004 (State with 9th most)
7,500β2003 (State with 8th most)
7,300β2002 (State with 8th most)
——————————————————————
Are these Dr. David H. Gorski’s βsuccess storiesβ ?
——————————————————————
MICHIGAN – Estimated Breast Cancer Deaths:
——————————————————————
1,360β2013 (State with 8th most)
1,350β2012 (State with 8th most)
1,320 – 2011 (State with 9th most)
1,320π2010 (State with 10th most)
1,350β2009 (State with 9th most)
1,310 π2008 (State with 9th most)
1,320 π2007 (State with 9th most)
1,360 π2006 (State with 9th most)
1,380β2005 (State with 9th most)
1,350π2004 (State with 9th most)
1,400 – 2003 (State tied with 8th most)
1,400β2002 (State tied with 8th most)
——————————————————————
MICHIGAN – Cancer Incidence Rates
——————————————————————
120.3 – 2013 (State with 32nd most)
120.3π2012 (State with 30th most)
122.2π2011 (State with 24th most)
124.2π2010 (State with 17th most)
127.0π2009 (State with 11th most)
128.8π2008 (State with 13th most)
129.4π2007 (State tied with 18th most)
132.4π2006 (State with 14th most)
133.5β2005 (State with 13th most)
132.0β1996_-_2000 (State with 14th most) 2004
129.8β1995_-_1999 (State with 23rd most)(31st State’s) 2003
109.9π1994_-_1998 Michigan – Cancer Incidence Rates (2002)
132.0β1996_-_2000 (State with 14th most) (2004)
129.8β1995_-_1999 (State with 23rd most) (2003)
109.9β1994_-_1998 (State with 20th most) (2002)
——————————————————————
MICHIGAN – Cancer Death Rates:
——————————————————————
24.0π2013 (State tied with 11th most)
24.4π2012 (State tied with 13th most)
24.5π2011 (State tied with 16th most)
25.1π2010 (State tied with 12th most)
25.3π2009 (State tied with 17th most)
25.8π2008 (State tied with 18th most)
26.6π2007 (State tied with 14th most)
27. 5 – 2006 (State tied with 12th most)
27.5π2005 (State tied with 13th most)
28.4π1996_-_2000 (State tied with 14th most) (2004)
29.5β1995_-_1999 (State tied with 14th most) 2003
24.8β1994_-_1998 (State with 14th most) 2002
——————————————————————
The problem, is that, when the Hippocratic Oath
was mentioned, Gorski may have opted for the Hypocrite Oath
Rather than address the BILLIONS of dollars in fines which Big Pharma racked up, and Pharma’s seeming dedication to getting members of the unwitting public, to take medications for symptoms which they were not approved for; and thus possibly experience adverse effects those drugs cause, Gorski chose to NOT comment about his goose that might lay the golden (parachute) nest egg
Instead, he tried the Tricky-Dicky trickle-down theory of Hackademic Mudicine (βQuackademic Medicine”); which did NOT work when Richard Milhous (“War on Cancer”) Nixon was told:
“There’s a cancer on the Presidency”
What Gorski seems hilariously oblivious to, is that his opprobrium; to turn a phrase, applies to him:
——————————————————————
(.3:16)
——————————————————————
When he mentions:
“ineffective and potentially harmful medical practices that were not, that are not supported by evidence”
he may as well be saying, in regards to surgery, chemotherapy, and radiation:
“ineffective and potentially harmful medical practices that were, that are supported by evidence“
(the evidence that they do NOT work for everyone)
——————————————————————
(.3:42)
——————————————————————
To use his own words, he seems:
“confused, at best”
——————————————————————
(.4:45)
——————————————————————
He also displays:
“an animosity toward reason”
——————————————————————
(.4:49)
——————————————————————
“Nothing’s changed within 30 years
If anything, it’s worse”
——————————————————————
(.6:45)
——————————————————————
He states:
“Alternative = unproved”
There goes “Alternative Rock,” or the “alternative” to an attempted Gorski joke: “happiness is a warm gun”
I’m somewhat surprised that Gorski has yet to classify antineoplastons as “Homeopathy: Ultra-diluted chemotherapy”
——————————————————————
(28:15)
——————————————————————
But he does rant that rival Cleveland Clinic where he had his residency, has been infiltrated by the Q.M.
——————————————————————
(39:10)
——————————————————————
And that his alma-mater, the University of Michigan has also queued in the “Quackademic” line
——————————————————————
(44:00)
——————————————————————
He bemoans the mighty wolverine:
“Again my alma-mater”
“I hang my head in shame”
——————————————————————
(44:10)
——————————————————————
And to add injury to insult, his “former employer,” UMDNJ (University of Medicine and Dentistry of New Jersey)-Robert Wood Johnson Medical School, New Brunswick, New Jersey, has also been bitten by the Quackademic Duck
I’m sure Gorski will be able to formulate a usual factoid #fail for his #failure to “cure” cancer, vis-a-vis “Orac”, the literary Hack, braying in the wilderness and awaiting his Red Badge of Courage
Maybe “too many people copulating” in Detroit, or too many Louisiana hurricane Katrina survivors added to the sandbox
Is Gorski a racist ?
That’s up to all the African American women in Detroit, Michigan, to decide
Maybe he’s just a really bad hypocrite
NOr, maybe he needs to spend less time on the “hypocuresy,” and more time on the “CURE”
Maybe the African American women of Detroit, Michigan, and the United States of America should ask Gorski:
What have you done for me lately ?
——————————————————————
——————————————————————
“And, make no mistake about it, antineoplastons (ANPs) are chemotherapy, no matter how much Burzynski tries to claim otherwise”
——————————————————————
NO, Gorski, the United States’ 5th Circuit Court of Appeals claimed that antineoplastons (ANPs) are:
“…an unapproved drug, not ordinary “chemotherapy”
no matter how much YOU try to claim otherwise
What are you ?
A Saul Green closet communist who does NOT believe what the United States’ Federal Courts rule ?
——————————————————————
——————————————————————
“Indeed, it was a blatant ploy, as Burzynski’s lawyer, Richard Jaffe, acknowledged, referring to one of his clinical trials as a “joke” and the others as a way to make sure there was a constant supply of new cancer patients to the Burzynski Clinic“
——————————————————————
——————————————————————
β β¦ in 1997, his medical practice was expanded to include traditional cancer treatment options such as chemotherapy, gene targeted therapy, immunotherapy and hormonal therapy in response to FDA requirements that cancer patients utilize more traditional cancer treatment options in order to be eligible to participate in the Companyβs Antineoplaston clinical trials“
“As a result of the expansion of Dr. Burzynski’s medical practice, the financial condition of the medical practice has improved Dr. Burzynski’s ability to fund the Company’s operations”
——————————————————————
GorskGeek, my citations, references, and / or links, beat your NON-citations, NON-references, and / or NON-links
======================================
AMERICAN CANCER SOCIETY:
CANCER FACTS & FIGURES (2002-2014)
======================================
2002_-_2003 – 1 of every 4 deaths
======================================
Deaths – United States of America
——————————————————————
2013 β almost 1,600 a day
2002-2012β1,500+ a day
——————————————————————
Expected to Die – United States
——————————————————————
2013β580,350_-_(3,160 more than 2012)
2012β577,190_-_(5,240 more than 2011)
2011β571,950_-_(2,460 more than 2010)
2010β569,490_-_(7,150 more than 2009)
2009π562,340_-_(3,310 less than 2008)
2008β565,650_-_(6,000 more than 2007)
2007π559,650_-_(5,180 less than 2006)
2006π564,830_-_(5,450 less than 2005)
2005β570,280_-_(6,580 more than 2004
2004β563,700_-_(7,200 more than 2003)
2003β556,500_-_(6,000 more than 2002)
2002β555,500
——————————————————————
Estimated All Cancer Deaths (Women)
——————————————————————
2013π273,430 (1,940 less than 2012)
2012β275,370 (3,850 more than 2011)
2011β271,520 (1,230 more than 2010)
2010β270,290 (490 more than 2009)
2009π269,800 (1,730 less than 2008)
2008β271,530 (1,430 more than 2007)
2007π270,100 (3,460 less than 2006)
2006π273,560 (1,440 less than 2005)
2005β275,000 (2,190 more than 2004)
2004β272,810 (2,210 more than 2003)
2003β270,600 (3,300 more than 2002)
2002_-_267,300
——————————————————————
Estimated cancer deaths – African Americans expected to die from cancer:
——————————————————————
2013π64,645 – 22.6% (2013-2014)
2011β65,540 (About) (2011-2012)
2009β63,360 (About) (2009-2010)
2007β62,780 (About) (2007-2008)
——————————————————————
Estimated Breast Cancer Deaths (Women)
——————————————————————
2013β39,620 (14%) (110 more than 2012)
2012π39,510 (14%) (10 less than 2011)
2011π39,520 (15%) (320 less than 2010)
2010π39,840 (15%) (330 less than 2009)
2009π40,170 (15%) (310 less than 2008)
2008β40,480 (15%) (20 more than 2007)
2007π40,460 (15%) (2007-2008) (510 less than 2006)
2006β40,970 (15%) (560 more than 2005)
2005β40,410 (15%) (300 more than 2004)
2004β40,110 (15%) (310 more than 2003)
2003β39,800 (15%) (200 more than 2002)
2002 – 39,600 (15%)
——————————————————————
Estimated Deaths from Breast cancer expected to occur among African American women:
——————————————————————
6,080β2013 – 19% (2013-2014)
6,040β2011 – 19% (2011-2012)
6,020β2009 – 19% (2009-2010)
5,830β2007 – 19% (2007-2008)
5,640β(2005-2006)
5,640 – 1969-2002 – 18.4% – 2005 (2005-2006)
======================================
New Cancer Cases Expected to be diagnosed – USA
——————————————————————
2013β1,660,290 – (21,380 more than 2012)
2012β1,638,910 – (42,240 more than 2011)
2011β1,596,670 – (67,160 more than 2010)
2010β1,529,560 – (49,810 more than 2009)
2009β1,479,350 – (42,170 more than 2008)
2008π1,437,180 – ( 7,740 less than 2007)
2007β1,444,920 – (45,130 more than 2006)
2006β1,399,790 – (26,880 more than 2005)
2005β1,372,910 – ( 4,870 more than 2004)
2004β1,368,030 – (33,930 more than 2003)
2003β1,334,100 – (49,200 more than 2002)
2002β1,284,900
——————————————————————
Estimated New Cancer All (Women)
——————————————————————
2013β805,500 – (14,760 more than 2012)
2012β790,740 – (16,370 more than 2011)
2011β774,370 – (34,430 more than 2010)
2010β739,940 – (26,720 more than 2009)
2009β713,220 – (21,220 more than 2008)
2008β692,000 – (13,940 more than 2007)
2007π678,060 – (1,450 less than 2006)
2006β679,510 – (16,640 more than 2005)
2005π662,870 – (5,600 less than 2004)
2004β668,470 – (9,670 more than 2003)
2003β658,800 – (11,400 more than 2002)
2002_-_647,400
——————————————————————
Estimated New invasive Breast Cancer Cases: (Women)
——————————————————————
2013β232,340 (29%) (5,470 more than 2012)
2012π226,870 (29%) (11,610 less than 2011)
2011β238,480 (30%) (31,390 more than 2010)
2010β207,090 (28%) (14,720 more than 2009)
2009β192,370 (27%) (9,910 more than 2008)
2008β182,460 (26%) (3,980 more than 2007)
2007π178,480 (26%) (2007-2008) (34,440 less than 2006)
2006β212,920 (31%) (1,680 more than 2005)
2005π211,240 (32%) (4,660 less than 2004)
2004β215,900 (32%) (4,600 more than 2003)
2003β211,300 (32%) (7,800 more than 2002)
2002_-_203,500 (31%)
——————————————————————
Estimated new cases – new cancer cases expected to be diagnosed among African Americans:
——————————————————————
2013β176,620 (2013-2014)
2011β168,900 (About) (2011-2012)
2009π150,090 (About) (2009-2010)
2008β182,460 (26%)
2007_-_152,900 (About) (2007-2008)
——————————————————————
Estimated new cases of in situ breast cancer expected to occur:
——————————————————————
64,640β(2013) (1,340 more than 2012)
63,300β(2012) (5,650 more than 2011)
57,650β(2011) (3,640 more than 2010)
54,010π(2010) (8,270 less than 2009)
62,280π(2009) (5,490 less than 2008)
67,770β(2008) (5,740 more than 2007-2008)
62,030β(2007-2008) (50 more than 2006)
61,980β(2006) (3,490 more than 2005-2006)
58,490π(2005-2006) (900 less than 2004)
59,390β(2004) (3,690 more than 2003)
55,700β(2003) (1,400 more than 2002)
54,300β(2002)
——————————————————————
Estimated New Cancer Cases – African Americans – Breast
——————————————————————
2013β27,060 – 33% (2013-2014)
2011β26,840 – 34% (2011-2012)
2009β19,540 – 25% (2009-2010)
2007β19,010 – 27% (2007-2008)
19,240 – 1979-2001 – 29.9% – 2005 (2005-2006)
——————————————————————
Estimated new cases of in situ breast cancer expected to occur = detection of below # of ductal carcinoma in situ (DCIS):
——————————————————————
54,944 (2013)
85% (2003-2012)
88% (2002)
1998-2002 accounted for about 85% of in situ breast cancers diagnosed (2005-2006)
1980-2001 – Incidence rates of DCIS increased more than sevenfold in all age groups, although greatest in women 50 and older (2005-2006)
——————————————————————
LEADING CAUSE OF DEATH
——————————————————————
2013 – breast cancer expected to be most commonly diagnosed cancer in women
——————————————————————
BREAST CANCER – 2nd
——————————————————————
2013 – Breast cancer 2nd most common cause of cancer death among African American women, surpassed only by lung cancer (2009-2012)
(2007)
——————————————————————
2003 – Breast cancer is 2nd among cancer deaths in women
2002-2003: 2nd leading cause of death
2002 – Breast cancer 2nd leading cause of death
————————————-
Breast cancer most common cancer among African American women
34% – (2011-2012)
25% – (2009-2010)
2007
——————————————————————
2011 – New Cases
(2011-2012)
New Cases: Breast cancer most commonly diagnosed cancer among African American women
——————————————————————
BREAST CANCER – AFRICAN AMERICAN WOMEN
——————————————————————
34% – African American women most common cancer (2011-2012)
African American Women Most common cancer (2005-2006)
——————————————————————
2005 – African American women – more likely to die from at any age
——————————————————————
ESTIMATED WOMEN BREAST CANCER DEATHS
——————————————————————
19% – number of cancer deaths breast cancer in women (2007-2012)
——————————————————————
since 1990 – Death rates from breast cancer steadily decreased in women (2009-2010)
since 1990 – death rate from breast cancer in women decreased (2007-2008)
——————————————————————
1.9% – 2000-2009 cancer mortality rate for women of all races combined declined annually (2012-2013)
——————————————————————
1990-2006 – death rate from breast cancer in women decreased (2005-2006)
——————————————————————
2.2% – 1990-2004 cancer mortality rate for women of all races combined decreased annually (2007-2008)
decline larger among younger age groups (2007-2008)
——————————————————————
2.3% – 1990-2002 rate decreased annually – percentage of decline larger among younger age groups (2005-2006)
——————————————————————
2.3% – 1990-2000 breast cancer death rates decreased annually (2005-2006)
——————————————————————
1992-1998 – mortality rates declined significantly
largest decreases in younger women, both white and black (2002)
——————————————————————
1.6% – 1975-1991 – Breast Cancer Death Rates Increased annually (2005-2006)
——————————————————————
0.4% – 1975-1990 – breast cancer death rates increased annually (2005-2006)
——————————————————————
0.4% – 1975-1990 death rate for all races combined increased annually (2005-2008)
——————————————————————
rate for women of all races combined decreased annually (2007-2008)
decline larger among younger age groups (2007-2008)
——————————————————————
BREAST CANCER – OLDER WOMEN
——————————————————————
Older women much more likely to get breast cancer than younger women
——————————————————————
% FEMALE BREAST CANCER DEATH RATES (age)
——————————————————————
97% – 1998-2002 – age 40 and older (2005-2008)
96% – 1996-2000 – age 40 and older (2005-2006)
——————————————————————
WOMEN YOUNGER than 50
——————————————————————
3.0% – under age of 50 – Mortality from breast cancer declined faster for women (annually from 2005-2009) regardless of race/ethnicity (2013)
——————————————————————
2.3% – 1990-2001 Breast Cancer Death Rates decrease
largest decrease in < 50 (2005-2006)
——————————————————————
3.7% – 1991-2000 under 50 breast cancer Death rates decreased (2005-2006)
——————————————————————
3.3% – 1990-2004 – death rates decreased per year among women younger than 50 (2005c-2008)
——————————————————————
2.3% – 1990-2002 Death rates from breast cancer declined average per year in all women combined, with larger decreases in younger (<50 years) women (2006)
——————————————————————
WOMEN 50 and older
——————————————————————
1.2% – 50 and older – decrease in breast cancer death rates smaller in African American than white women (2009-2010)
——————————————————————
2.0% – 50 and older – 1990-2004 – death rates decreased per year among women (2005-2008)
——————————————————————
WHITE WOMEN
——————————————————————
2.1% – 2000-2009 – breast cancer death rates declined per year in white women
——————————————————————
2.6% – 1992-2000 – breast cancer Death rates Whites (2005-2006)
——————————————————————
2.4% – 1990-2004 female breast cancer death rates declined per year in whites (2005-2008)
——————————————————————
early 1980’s – Breast Cancer Death Rates equal – African American / White (2005-2006)
——————————————————————
AFRICAN AMERICAN WOMEN – ALL CANCERS
——————————————————————
1.5% – since 1999 – Death rates among women (African Americans for all cancers combined) per year have been decreasing (2011-2012)
——————————————————————
AFRICAN AMERICAN WOMEN BREAST CANCER DEATHS
——————————————————————
black women more likely to die of breast cancer than white women (2012-2013)
——————————————————————
2005-2006 African American women more likely to die from breast cancer at every age
——————————————————————
41% – 2005-2009 African American women had higher death rate than white women despite lower incidence rate
39% – 2003-2007 – African American women had higher death rate than white women, despite lower incidence rate (2011-2012)
difference accounts for more than one-third (37%) of overall cancer mortality disparity between African American and white women (2011-2012)
37% – 2001-2005 – African American women had higher death rate than white women (2009-2010)
higher breast cancer mortality rate among African American women compared to white women occurs despite lower incidence rate (2009-2010)
difference accounts for more than one-third (37%) of overall cancer mortality disparity between African American and white women (2009-2010)
higher breast cancer mortality rate among African American women compared to white women occurs despite lower incidence rate (2007)
notable, striking divergence in long-term breast cancer mortality rates trends between African American and white women (2005-2008)
36% – by 2004 – death rates higher in African Americans than white women (2007-2008)
37% – by 2002 – death rates higher in African American women than white women (2005-2006)
36% – 2000-2003 – death rates higher in African American women than white women (2007)
difference accounts for one-third of excess cancer mortality experienced by African American women compared to white women (2007)
32% – 2000 – Breast Cancer Death rate higher in African American women even though had lower incidence rates (2005-2006)
——————————————————————
AFRICAN AMERICAN WOMEN – 50 and older
——————————————————————
1.2% – 50 and older – 1992-2012 – per year – women (2011-2012)
2.0% – 50 and older – Breast Cancer Death Rates – per year (2009-2010)
——————————————————————
1.2% – 50 and older – decrease in breast cancer death rates smaller in African American than white women (2009-2010)
1.1% – 50 and older – 1991-2007 – African American women Breast cancer death rates declined annually (2007)
2.0% – 50 and older – 1990-2000 – breast cancer Death rates decreased (2005-2006)
——————————————————————
1990 – 50 and older – Breast Cancer Death Rates Increase predominantly due to
——————————————————————
AFRICAN AMERICAN WOMEN – under 50
——————————————————————
2.0% – 1992-2012 – decrease larger in women under 50 – declined thereafter per year (2011-2012)
1.9% – 1992-2009 – decrease larger in women under 50 – declined thereafter per year (2009-2010)
resulted in growing disparity
3.3% per year – larger decreases in women younger than 50 – Breast Cancer Death Rates (2009-2010)
——————————————————————
1.9% – 1991_-_2007 – decrease larger in women under 50 – African American women Breast cancer death rates declined annually per year
——————————————————————
AFRICAN AMERICAN WOMEN
——————————————————————
2000-2009 – death among females, rate of decline similar
As result, overall racial disparity narrowed
——————————————————————
2000-2009 death rate declined faster among African Americans females rate of decline than whites
1.5% – 2000-2009 African Americans females rate of decline per year (2013-2014)
1.4% – 2000-2009 whites rate of decline per year (2013-2014 )
——————————————————————
1.4% – 2000-2009 – breast cancer death rates declined more slowly per year in African American women
——————————————————————
1990-2002
African American women benefited less than white women from advances (2005-2008)
——————————————————————
1.1% – breast cancer death rates African Americans (2005-2006)
——————————————————————
1.6% – 1995-2004 – female breast cancer death rates declined per year in African Americans (2007-2008)
1.0% – 1990-2002 female breast cancer death rates declined per year – African Americans (2005-2006)
——————————————————————
early 1990s – Death rates among African Americans for all cancers combined have been decreasing (2011-2012)
——————————————————————
breast cancer death rates have declined more slowly in African American women compared to white women, which has resulted in growing disparity (2011-2012)
——————————————————————
gap much smaller among women
racial difference in overall cancer death rates due largely to cancers of breast and colorectum in women
racial disparity has widened for breast cancer in women (2011-2012)
——————————————————————
early 1980s – disparity in breast cancer death rates between African American and white women began in (2007-2008)
——————————————————————
early 1980s – breast cancer death rates for white and African American women approximately equal (2007)
——————————————————————
30% – early 1980’s-2000 – disparity between African American and white Deaths (2005-2006)
——————————————————————
early 1980s – disparity in breast cancer death rates between African American and white women appeared (2005-2006)
——————————————————————
early 1980s – breast cancer death rates for white and African American women
similar (2011-2014)
equal (2009-2010)
early 1980’s – Breast Cancer Death Rates equal – African American / White (2005-2006)
——————————————————————
1.5% – 1975-1992 – Breast cancer death rates among African American women increased annually (2009-2012)
1.6% – 1975-1991 – African American women Breast cancer death rates increased annually (2007)
——————————————————————
1975-2007 – death rates for all cancers combined continued to be substantially higher among African Americans than whites (2011-2012)
——————————————————————
AFRICAN AMERICAN WOMEN BREAST CANCER DEATH RATE RATIOS per 100,000 women
——————————————————————
35.4 – African American – 1997-2001 – Breast Cancer Death Rate Ratios per 100,000 (2005-2006)
26.4 – White – 1997-2001 – Breast Cancer Death Rate Ratios per 100,000 (2005-2006)
1.3 – African American / White Ratio – 1997-2001 – Breast Cancer Death Rate Ratios per 100,000 (2005-2006)
——————————————————————
HISPANIC / LATINA WOMEN
——————————————————————
2.4% – 1995-2004 female breast cancer death rates declined per year in Hispanics / Latinas (2007-2008)
1.8% – 1990-2002 female breast cancer death rates declined per year in Hispanics / Latinas (2005-2006)
1.4% – breast cancer Death rates Hispanics (2005-2006)
1990-2002
women of other racial and ethnic groups benefited less than white women from advances (2005-2008)
——————————————————————
ASIAN AMERICAN / PACIFIC ISLANDER WOMEN
——————————————————————
1995-2004 female breast cancer death rates remained unchanged among Asian Americans/Pacific Islanders (2007-2008)
1.1% – breast cancer Death rates Asian and Pacific Islanders (2005-2006)
1.0% – 1990-2002 female breast cancer death rates declined per year – Asian Americans / Pacific Islanders (2005-2006)
——————————————————————
1990-2002
women of other racial and ethnic groups benefited less than white women from advances (2005-2008)
——————————————————————
AMERICAN INDIAN / ALASKA NATIVE WOMEN
——————————————————————
1995-2004 female breast cancer death rates remained unchanged among American Indians / Alaska Natives (2007-2008)
1990-2002 female breast cancer death rates did not decline in American Indian / Alaska Natives (2005-2006)
——————————————————————
1990-2002
women of other racial and ethnic groups benefited less than white women from advances (2005-2008)
——————————————————————
breast cancer Death rates American Indian and Alaska Native – constant (2005-2006)
——————————————————————
DEATHS – 2007-2008
——————————————————————
40,460 – Deaths – All ages (2007-2008)
23,510 – Deaths – 65 and older (2007-2008)
16,950 – Deaths – Younger than 65 (2007-2008)
31,320 – Deaths – 55 and older (2007-2008)
9,140 – Deaths – Younger than 55 (2007-2008)
37,630 – Deaths – 45 and older (2007-2008)
2,830 – Deaths – Younger than 45 (2007-2008)
——————————————————————
MORTALITY (DEATH) RATES
——————————————————————
31.0 – Black – Mortality – 1992-1998 – Mortality Rates* by Site, Race, and Ethnicity (2002)
24.3 – White – Mortality – 1992-1998 – Mortality Rates* by Site, Race, and Ethnicity (2002)
14.8 – Hispanic – Mortality – 1992-1998 – Mortality Rates* by Site, Race, and Ethnicity (2002)
12.4 – American Indian / Alaskan Native – Mortality – 1992-1998 – Mortality Rates* by Site, Race, and Ethnicity (2002)
11.0 – Asian / Pacific Islander – Mortality – 1992-1998 – Mortality Rates* by Site, Race, and Ethnicity (2002)
——————————————————————
WHITE WOMEN – MORE LIKELY TO DEVELOP BREAST CANCER
——————————————————————
Combining all age groups, white (non-Hispanic) women more likely to develop breast cancer than black women
——————————————————————
PROBABILITY of DEVELOPING BREAST CANCER in NEXT 10 YEARS (Age)
——————————————————————
20
——————————————————————
20 – 0.05% – 1 in 2,152 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
20 – 0.05% – 1 in 1,985 – 2000-2002 probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
20 – 0.05% – 1 in: 1,837 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
30
——————————————————————
30 – 0.44% – 1 in: 229 (2000-2002) probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
30 – 0.43% – 1 in: 234 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
30 – 0.40% – 1 in 251 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
40
——————————————————————
40 – 1.46% – 1 in: 68 (2000-2002) probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
40 – 1.45% – 1 in 69 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
40 – 1.43% – 1 in: 70 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
50
——————————————————————
50 – 2.78% – 1 in 36 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
50 – 2.73% – 1 in: 37 (2000-2002) probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
50 – 2.51% – 1 in: 40 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
60
——————————————————————
60 – 3.82% – 1 in: 26 (2000-2002) probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
60 – 3.81% – 1 in 26 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
60 – 3.51% – 1 in: 28 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
70
——————————————————————
70 – 4.31% – 1 in 23 – Probability of developing Breast Cancer in next 10 years (2005-2006)
——————————————————————
70 – 4.14% – 1 in: 24 (2000-2002) probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
70 – 3.88% – 1 in: 26 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
LIFETIME RISK
——————————————————————
13.2% – 1 in 8 – 2005-2006 Currently, woman living in US has, or, lifetime risk of developing breast cancer
——————————————————————
13.22% – Lifetime risk – 1 in: 8 – 2000-2002 probability of developing breast cancer in next 10 years: β (2005-2006)
——————————————————————
12.28% – Lifetime risk – 1 in: 8 – probability of developing breast cancer in next 10 years (2007-2008)
——————————————————————
AFRICAN AMERICAN LIFE EXPECTANCY
——————————————————————
2007 – life expectancy lower for African Americans than whites among women
(76.5 vs. 80.6 years) (2011-2012)
——————————————————————
DEVELOPING INVASIVE BREAST CANCER
——————————————————————
1 in 8 – 2013 – chance of developing invasive breast cancer during lifetime
——————————————————————
1 in 8 – 12.3% – Currently, woman living in US has lifetime risk of developing breast cancer (2007-2008)
——————————————————————
about 1 in 11 – 1975
——————————————————————
1 in 11 – 1970s – lifetime risk of being diagnosed with breast cancer (2007-2008)
——————————————————————
result of rounding to nearest whole number, small decrease in lifetime risk (from 1 in 7.47 to 1 in 7.56) led to change in lifetime risk from 1 in 7 previously reported in Breast Cancer Facts & Figures 2003-2004 and Cancer Facts & Figures 2005 to current estimate of 1 in 8
Overall, lifetime risk of being diagnosed with breast cancer gradually increased over past 3 decades (2005-2006)
——————————————————————
INVASIVE BREAST CANCER – by age (2007-2008)
——————————————————————
178,480 – All ages
72,520 – 65 and older
105,960 – Younger than 65
124,300 – 55 and older
54,180 – Younger than 55
162,330 – 45 and older
16,150 – Younger than 45
——————————————————————
INVASIVE BREAST CANCER – by # (2007-2008)
——————————————————————
178,480 – All ages
162,330 – 45 and older
124,300 – 55 and older
105,960 – Younger than 65
72,520 – 65 and older
54,180 – Younger than 55
16,150 – Younger than 45
——————————————————————
INVASIVE BREAST CANCER
——————————————————————
0.3% – 1987-2002 – Incidence Trends: increased per year (2005-2006)
————————————-
—————————–
4% (almost) – 1980-1987 – increased (almost +4% a year) Incidence Trends (2005-2006)
——————————————————————
age 40-49
——————————————————————
Since 1987 – age 40-49 – incidence rates of invasive breast cancer have slightly declined (2005-2006)
3.5% – 40-49 (age) – 1980-1987 – incidence rates of invasive breast cancer increased among women per year – Incidence Trends: Invasive Breast Cancer (2005-2006)
——————————————————————
age 50 and older
——————————————————————
Since 1987 – 50 and older – incidence rates of invasive breast cancer have continued to increase among women, though at much slower rate (2005-2006)
4.2% – 50 and older – incidence rates of invasive breast cancer increased among women per year – Incidence Trends: Invasive Breast Cancer (2005-2006)
——————————————————————
Under 40
——————————————————————
Under 40 – remained essentially constant (2005-2006)
Since 1987 – younger than 40 – relatively little change in incidence rates of invasive breast cancer in women (2005-2006)
——————————————————————
Invasive Breast Cancer
——————————————————————
1975-2000 – Invasive Breast Cancer (2005-2006):
4% – 40 and older – increased 1980-1987 then stabilized (2005-2006)
——————————————————————
1992-2002 – overall incidence rates did not change significantly among whites, African Americans, and Hispanics / Latinas (2005-2006)
——————————————————————
1.3% – Hispanics – increased overall (2005-2006)
——————————————————————
0.9% – Whites – increased overall (2005-2006)
——————————————————————
African Americans – stabilized (2005-2006)
——————————————————————
Asian Americans / Pacific Islanders
——————————————————————
2.1% – 1992-2002 – Asian and Pacific Islanders – overall incidence rates increased overall (2005-2006)
1.5% – 1992-2002 – Asian Americans / Pacific Islanders – overall incidence rates increased per year (2005-2006)
trends in invasive female breast cancer incidence rates (2005-2006)
——————————————————————
American Indian / Alaska Natives
——————————————————————
3.7% – American Indian / Alaska Native – decreased overall (2005-2006)
3.5% – 1992-2002 – American Indian / Alaska Natives – overall incidence rates decreased per year (2005-2006)
trends in invasive female breast cancer incidence rates (2005-2006)
——————————————————————
essentially constant – Incidence Trends
——————————————————————
1973-1980 – essentially constant – Incidence Trends (2005-2006)
——————————————————————
African Americans more likely to be diagnosed at later stage of disease when treatment choices are more limited and less effective (2013-2014)
——————————————————————
MEDIAN AGE of DIAGNOSIS
——————————————————————
62 – median age of diagnosis for -white women
——————————————————————
57 – median age of diagnosis for African American women
——————————————————————
DIAGNOSIS at LOCAL STAGE
——————————————————————
61% – breast cancers diagnosed among white women at local stage (2011-2012)
——————————————————————
51% (Only about half) – of breast cancers diagnosed among African American women are local stage (2011-2014)
——————————————————————
MEDIAN AGE AT TIME OF BREAST CANCER DIAGNOSIS
——————————————————————
61 – 2000_-_2004 median age at time of breast cancer diagnosis (2007-2008)
61 – 1998_-_2002 median age at time of breast cancer diagnosis
——————————————————————
61 – means 50% of women who developed breast cancer were 61 or younger (2007-2008)
50% of women who developed breast cancer were age 61 or younger 1998_-_2002
——————————————————————
61 – 50% were older than 61 when diagnosed (2007-2008)
50% were older than age 61 when diagnosed 1998_-_2002
——————————————————————
2005_-_2009 % / age DIAGNOSED with BREAST CANCER
——————————————————————
61 – median age for breast cancer diagnosis
0.0% – under age 20
1.8% – between 20-34
9.9% – between 35-44
22.5% – between 45-54
24.8% – between 55-64
20.2% – between 65-74
15.1% – between 75-84
5.7% – 85+
——————————————————————
2005_-_2009 % / age DIAGNOSED with BREAST CANCER by % (SEER, 2012)
——————————————————————
24.8% – between 55-64
22.5% – between 45-54
20.2% – between 65-74
15.1% – between 75-84
9.9% – between 35-44
5.7% – 85+
1.8% – between 20-34
0.0% – under age 20
——————————————————————
IN SITU BREAST CANCER – by age (2007-2008)
——————————————————————
62,030 – All ages
21,510 – 65 and older
40,520 – Younger than 65
37,110 – 55 and older
24,920 – Younger than 55
54,390 – 45 and older
7,640 – Younger than 45
——————————————————————
IN SITU BREAST CANCER – by # (2007-2008)
——————————————————————
62,030 – All ages
54,390 – 45 and older
40,520 – Younger than 65
37,110 – 55 and older
24,920 – Younger than 55
21,510 – 65 and older
7,640 – Younger than 45
——————————————————————
NEW CASES – IN SITU BREAST CANCER
——————————————————————
increase observed in all age groups, although greatest in women 50 and older (2007-2008)
——————————————————————
Since 2000 – incidence rates of in situ breast cancer leveled off among women 50 and older (2007-2008)
——————————————————————
Since 2000 – incidence rates of in situ breast cancer have continued to increase in younger women (2007-2008)
——————————————————————
80% – 2000-2004 – Most in situ breast cancers are ductal carcinoma (DCIS), which accounted for about 80% of in situ breast cancers diagnosed (2007-2008)
——————————————————————
2000-2004 – Lobular carcinoma in situ (LCIS) less common than DCIS, accounting for about 10% of female in situ breast cancers diagnosed (2007-2008)
Similar to DCIS, overall incidence rate of LCIS increased more rapidly than incidence of invasive breast cancer (2007-2008)
increase limited to women older than age 40 and largely to postmenopausal women (2007-2008)
——————————————————————
1998-2002 accounting for female in situ breast cancers diagnosed (2005-2006):
12% – Lobular carcinoma in situ (LCIS) less common than DCIS
Similar to DCIS, overall incidence rate of LCIS increased more rapidly than incidence of invasive breast cancer
increase limited to women older than 40 and largely to postmenopausal women
——————————————————————
1980s and 1990s – Incidence rates of in situ breast cancer increased rapidly (2007-2008)
——————————————————————
New cancer cases in women expected to be newly diagnosed among African Americans:
——————————————————————
2013 – 82,080 (About)
——————————————————————
19% – breast cancer in women (2007-2008)
——————————————————————
2002 – Breast cancer ranks 2nd among cancer deaths in women
——————————————————————
2002-2003: 2nd leading cause of death
——————————————————————
African American women expected to die from cancer:
——————————————————————
African Americans have the highest death rate and shortest survival of any racial and ethnic group in the US for most cancers
(2007-2014)
African Americans have the highest mortality rate of any racial and ethnic group in the US for most cancers
(2005-2006)
——————————————————————
higher death rate in African
American women compared to white women occurs despite lower cancer incidence rate (2013-2014)
——————————————————————
African American women have higher death rates overall and for breast and several other cancer sites (2013-2014)
——————————————————————
15% β 2009 – death rate for all cancers combined continued to be higher in African American women than in white women (2013-2014)
——————————————————————
racial difference in overall cancer death rates is due largely to cancers of the breast and colorectum in women (2013-2014)
——————————————————————
overall racial disparity in cancer death rates decreasing (2013-2014)
——————————————————————
16% – 2007 – death rate for all cancers combined higher in African American women than white women (2011-2012)
——————————————————————
37% β by 2002 – death rates higher in African Americans than white women (2005-2006)
——————————————————————
since early 1990s β death rates among African Americans for all cancers combined have been decreasing (2013-2014)
——————————————————————
30% β early 1980’sβ2000 β Deaths disparity between African American and white (2005β2006)
——————————————————————
1975-2009 – Despite declines, death rates for all cancers combined continued to be higher among African Americans than whites (2013-2014)
——————————————————————
1992-2014 – Breast cancer death rates among African American women declined
——————————————————————
1.4% per year – 2000-2009 – breast cancer death rates declined more slowly in African American women
——————————————————————
2.1% per year – 2000-2009 – breast cancer death rates declined white women
——————————————————————
early 1980s – breast cancer death rates for white and African American women similar
——————————————————————
1975-1992 – Breast cancer death rates among African American women increased
resulted in growing disparity
——————————————————————
through 1998 – breast cancer incidence rates among young white women continued to increase more slowly (2002)
——————————————————————
1980s – 4.5% per year increase (2002)
——————————————————————
As result, overall racial disparity narrowed (2013-2014)
——————————————————————
1992-1998 – mortality rates declined significantly – largest decreases in younger women, both white and black (2002)
——————————————————————
1992-1998 – Incidence and Mortality Rates* by Site, Race, and Ethnicity (2002)
——————————————————————
Incidence
——————————————————————
115.5 – White
101.5 – Black
78.1 – Asian / Pacific Islander
50.5 – American Indian / Alaskan Native
68.5 – Hispanic
——————————————————————
Mortality
——————————————————————
31.0 – Black
24.3 – White
14.8 – Hispanic
12.4 – American Indian / Alaskan Native
11.0 – Asian / Pacific Islander
——————————————————————
Cancer Facts & Figures for African Americans 2005-2006
——————————————————————
1995-2000 (2001) – Diagnosed
Female breast (2005-2006):
——————————————————————
Localized
——————————————————————
64% – White (2005-2006)
53% – African American (2005-2006)
——————————————————————
Regional
——————————————————————
35% – African American (2005-2006)
28% – White (2005-2006)
——————————————————————
Distant
——————————————————————
9% – African American (2005-2006)
5% – White (2005-2006)
——————————————————————
Unstaged
——————————————————————
3% – African American (2005-2006)
2% – White (2005-2006)
——————————————————————
2005-2006 – Cancer Incidence Rates Ratios per 100,000 (1975-2001)
——————————————————————
1997-2001 – Breast (2005-2006)
143.2 – White (2005-2006)
118.6 – African American (2005-2006)
0.8 – African American / White Ratio (2005-2006)
——————————————————————
2005-2006 – Cancer Death Rate Ratios per 100,000
——————————————————————
1997-2001 – Breast (2005-2006)
35.4 – African American (2005-2006)
26.4 – White (2005-2006)
1.3 – African American / White Ratio (2005-2006)
——————————————————————
Most common cancer among African American Women (2005-2006)
——————————————————————
17% lower incidence rate in African American than White (2005-2006)
——————————————————————
under 40 – higher incidence rate in African American than White (2005-2006)
——————————————————————
25 years incidence:
——————————————————————
1999-2001 – leveling off (2005-2006)
1986-1999 – less rapid increase (2005-2006)
1978-1986 – rapid increase (2005-2006)
1975-1978 – stable (2005-2006)
——————————————————————
Breast Cancer Death Rates Increased (2005-2006):
——————————————————————
1975-1991 – + 1.6% – annually (2005-2006)
——————————————————————
1991 – decided annually: particularly in women younger than 50 (2005-2006)
——————————————————————
Breast Cancer Death Rates (2005-2006):
——————————————————————
early 1980’s – equal – African American / White (2005-2006)
——————————————————————
2000 – 32% – higher African American (2005-2006)
——————————————————————
Death rate higher in African American even though had lower incidence rates (2005-2006)
——————————————————————
Rate per 100,000
——————————————————————
White
African American
Asian or Pacific Islander
Hispanic
American Indian or Alaska Native
——————————————————————
1996-2000 – Incidences:
140.8 – White
121.7 – African American
97.2 – Asian or Pacific Islander
89.8 – Hispanic
58 – American Indian or Alaska Native
——————————————————————
1996-2000 – Deaths
35.9 – African American
27.2 – White
17.9 – Hispanic
14.9 – American Indian or Alaska Native
12.5 – Asian or Pacific Islander
——————————————————————
Estimated New In Situ Cases:
——————————————————————
2003_-_100 – < 30
2005 – 1,600 – Under 40
2003 – 2,100 – 30-39
2005 – 56,890 – 40 and older
2005 – 13,760 – Under 50
2003 -12,600 – 40-49
2005 – 44,730 – 50 and older
2005 – 37,040 – Under 65
2003 – 15,700 – 50-59
2005 – 21,450 – 65 and older
2003 – 11,500 – 60-69
2003 – 10,100 – 70-79
2003 – 3,500 – 80 +
2005 – 58,490 – All ages
TOTAL
2003 – 55,700
——————————————————————
2003_-_100 – 0.2%
2003 – 2,100 – 3.8%
2003 – 12,600 – 22.6%
2003 – 15,700 – 28.2%
2003 – 11,500 – 20.6%
2003 – 10,100 – 18.1%
2003 – 3,500 – 16.3
TOTAL
2003 – 100.0%
——————————————————————
Estimated New Invasive Cases:
——————————————————————
2003 – 1,000 – < 30
2005 – 9,510 – Under 40
2003 – 10,500 – 30-39
2005_-_201,730 – 40 and older
2005 – 45,780 – Under 50
2003 – 35,500 – 40-49
2005_-_165,460 – 50 and older
2005_-_123,070 – Under 65
2003 – 48,700 – 50-59
2005 – 88,170 – 65 and older
2003 – 43,100 – 60-69
2003 – 45,600 – 70-79
2003 – 27,000 – 80 +
2005_-_211,240 – All ages
TOTAL
2003 – 55,700 –
——————————————————————
2003 – 1,000 – 0.5%
2003 – 10,500 – 5.0%
2003 – 35,500 – 16.8%
2003 – 48,700 – 23.0%
2003 – 43,100 – 20.4%
2003 – 45,600 – 21.6%
2003 – 27,000 – 12.8%
TOTAL
2003 – 100.00%
——————————————————————
Deaths:
——————————————————————
2003_-_100 – < 30
2005 – 1,110 – Under 40
2003 – 1,300 – 30-39
2005 – 39,300 – 40 and older
2005 – 5,590 – Under 50
2003 – 4,300 – 40-49
2005 – 34,820 – 50 and older
2005 – 17,470 – Under 65
2003 – 7,000 – 50-59
2005 – 22,940 – 65 and older
2003 – 7,400 – 60-69
2003 – 9,500 – 70-79
2003 – 10,100 – 80 +
2005 – 40,410 – All ages
TOTAL
2003 – 39,800
——————————————————————
2003_-_100 – 0.3%
2003 – 1,300 – 3.3%
2003 – 4,300 – 10.8%
2003 – 7,000 – 17.6 %
2003 – 7,400 – 18.6%
2003 – 9,500 – 23.9%
2003 – 10,100 – 25.4%
TOTAL
2003 – 100.0
——————————————————————
1990 – Increase since predominantly due to women 50 and older
——————————————————————
1998-2002 accounting for female in situ breast cancers diagnosed (2005-2006):
——————————————————————
12% – Lobular carcinoma in situ (LCIS) less common than DCIS
Similar to DCIS, overall incidence rate of LCIS increased more rapidly than incidence of invasive breast cancer
increase limited to women older than 40 and largely to postmenopausal women
——————————————————————
1990-2001 (2005-2006):
——————————————————————
2.3% – decrease
largest decrease in < 50
——————————————————————
1998-2002 women aged 40 and older (2005-2006):
——————————————————————
95% – new cases
97% – breast cancer deaths
——————————————————————
1996-2000 Women 40 and older (2005-2006):
——————————————————————
94% – New Cases
96% – Deaths
——————————————————————
0.3% per year – Incidence rates declined slightly among white females (2013-2014)
——————————————————————
1996-2002 (2005-2006):
——————————————————————
20-24 – 1.3 per 100,000 lowest incidence rate – 1998-2002 (2005-2006)
20-24 – 1.4 per 100,000 lowest incidence rate – 1996-2000 (2005-2006)
——————————————————————
75-79 – 496.6 per 100,000 highest incidence rate – 1998-2002 (2005-2006)
75-79 – 499.0 per 100,000 highest incidence rate – 1996-2000 (2005-2006)
——————————————————————
2005-2006
β’
White women higher incidence of breast cancer than African American women after 35
African American women slightly higher incidence rate before 35
African American women more likely to die from breast cancer at every age
——————————————————————
2005
White – higher incidence rate than African American women after 40
African American – slightly higher incidence rate before 40
African American women – more likely to die from at any age
——————————————————————
2005-2006 incidence and death rates from breast cancer lower among women of other racial and ethnic groups than white and African American women
——————————————————————
2000-2009 – stable among African American females (2013-2014)
——————————————————————
1975-1980 essentially constant (2005-2006)
1980-1987 + almost 4% per year (2005-2006)
1987-2002 + 0.3% per year (2005-2006)
β’
Incidence Trends
Invasive Breast Cancer (2005-2006):
1973-1980 – essentially constant (2005-2006)
1980-1987 – + almost 4% year (2005-2006)
1987-2000 – 0.4% year (2005-2006)
——————————————————————
1980-1987 incidence rates of invasive breast cancer increased among women (2005-2006):
——————————————————————
40-49 (3.5% per year) (2005-2006)
50 and older (4.2% per year) (2005-2006)
Since 1987
50 and older – rates have continued to increase among women , though at much slower rate (2005-2006)
40-49 -rates have slightly declined (2005-2006)
younger than 40 – relatively little change in incidence rates of invasive breast cancer in women (2005-2006)
1975-2000 – Invasive Breast Cancer (2005-2006):
4% – 40 and older increased 1980 – 1987 then stabilized (2005-2006)
Under 40 – remained essentially constant (2005-2006)
——————————————————————
2005-2006 trends in invasive female breast cancer incidence rates:
——————————————————————
1992-2002
(1.5% per year) – overall incidence rates increased in Asian Americans / Pacific Islanders (2005-2006)
(3.5% per year) – decreased in American Indian/Alaska Natives (2005-2006)
did not change significantly among whites, African Americans, and Hispanics/Latinas (2005-2006)
1992-2000 – Invasive (2005-2006):
2.1% – Asian and Pacific Islanders – increased overall (2005-2006)
1.3% – Hispanics – increased overall (2005-2006)
0.9% – Whites – increased overall (2005-2006)
3.7% – American Indian and Alaska Native – decreased overall (2005-2006)
——————————————————————
African Americans – stabilized (2005-2006)
——————————————————————
since 1990 – death rate from breast cancer in women decreased (2005-2006)
——————————————————————
1975-1990
0.4% – death rate for all races combined increased annually (2005-2006)
β’
1990-2002
2.3% – rate decreased annually
percentage of decline larger among younger age groups (2005-2006)
1990-2002
3.3% – death rates decreased per year among women younger than 50 (2005-2006)
2.0% – per year among women 50 and older (2005-2006)
African American women and women of other racial and ethnic groups have benefited less than white women from advances (2005-2006)
1990-2002 female breast cancer death rates declined (2005-2006):
2.4% – per year – whites (2005-2006)
1.8% – per year – Hispanics/Latinas (2005-2006)
1.0% – per year – African Americans and Asian Americans/Pacific Islanders (2005-2006)
did not decline in American Indian/ Alaska Natives (2005-2006)
——————————————————————
life expectancy lower for African Americans than whites among women (77.2 vs. 80.9 years) (2013-2014)
——————————————————————
As result, overall racial disparity narrowed (2013-2014)
——————————————————————
striking divergence in long-term mortality trends between African American and white females (2005-2006)
——————————————————————
early 1980s – disparity in breast cancer death rates between African American and white women appeared (2005-2006)
——————————————————————
1975-1990 – Death (2005-2006):
0.4% – increased annually (2005-2006)
——————————————————————
1990-2000
2.3% – decreased annually (2005-2006)
——————————————————————
1991-2000
3.7% – under 50 decreased (2005-2006)
——————————————————————
1990-2000
2.0% – 50 and older decreased (2005-2006)
——————————————————————
1992-2000 – Death (2005-2006):
——————————————————————
2.6% – Whites (2005-2006)
1.4% – Hispanics (2005-2006)
1.1% – African Americans (2005-2006)
1.1% – Asian and Pacific Islanders (2005-2006)
American Indian and Alaska Native – constant (2005-2006)
——————————————————————
Probability of developing Breast Cancer in next 10 years:
——————————————————————
Age
——————————————————————
20 – 0.05% – 1 in 2,152 (2005-2006)
20 – 0.05% – 1 in 1,985 – 2000-2002 (2005-2006)β
——————————————————————
30 – 0.40% – 1 in 251 (2005-2006)
30 – 0.44% – 1 in: 229 – 2000-2002 (2005-2006)β
——————————————————————
40 – 1.45% – 1 in 69 (2005-2006)
40 – 1.46% – 1 in: 68 – 2000-2002 (2005-2006)β
——————————————————————
50 – 2.78% – 1 in 36 (2005-2006)
50 – 2.73% – 1 in: 37 – 2000-2002 (2005-2006)β
——————————————————————
60 – 3.81% – 1 in 26 (2005-2006)
60 – 3.82% – 1 in: 26 – 2000-2002 (2005-2006)β
——————————————————————
70 – 4.31% – 1 in 23 (2005-2006)
70 – 4.14% – 1 in: 24 – 2000-2002 (2005-2006)β
——————————————————————
Lifetime Probability (%) of Developing or Dying from Invasive Cancers by Race and Sex
——————————————————————
Developing
12.73 (1 in 8) – White (%) 2007-2009 (2013-2014)
10.87 (1 in 9) – African American (%) 2007-2009 (2013-2014)
Dying
3.25 (1 in 31) – African American (%) 2007-2009 (2013-2014)
2.73 (1 in 37) – White (%) 2007-2009 (2013-2014)
2005-2006 Currently, woman living in US has 13.2%, or 1 in 8, lifetime risk of developing breast cancer (2013-2014)
result of rounding to nearest whole number, small decrease in lifetime risk (from 1 in 7.47 to 1 in 7.56) led to change in lifetime risk from 1 in 7 previously reported in Breast Cancer Facts & Figures 2003-2004 and Cancer Facts & Figures 2005 to current estimate of 1 in 8
2005-2006: Overall, lifetime risk of being diagnosed with breast cancer gradually increased over past 3 decades (2013-2014)
——————————————————————
13.22% – Lifetime risk – 1 in: 8
Comparison of Cancer Incidence Rates between African Americans and Whites
——————————————————————
123.2 – White Rate* 2005-2009 (2013-2014)
121.7 – White Rate* 2003-2007 (2011-2012)
130.6 – White Rate* 2001-2005 +
——————————————————————
118.1 – African American Rate* 2005-2009 (2013-2014)
114.7 – African American Rate* 2003-2007 (2011-2012)
117.6 – African American Rate* 2001-2005 +
——————————————————————
-5.1 – Differenceβ 2005-2009 (2013-2014)
-7.0 – Absolute Differenceβ 2003-2007 (2011-2012)
-13.1 – Absolute Differenceβ 2001-2005 +
——————————————————————
0.96 – Rate Ratioβ‘ 2005-2009 (2013-2014)
0.94 – Rate Ratioβ‘ 2003-2007 (2011-2012)
0.90 – Rate Ratioβ‘ 2001-2005 +
*Rates per 100,000 age adjusted to 2000 US standard population
β Difference is rate in African Americans minus rate in whites
β Absolute difference is rate in African Americans minus rate in whites
β‘Rate ratio is unrounded rate in African Americans divided by unrounded rate in whites
β‘Rate ratio is rate in African Americans divided by rate in whites based on 2 decimal places
+ Source: Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries 2000-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008
——————————————————————
Comparison of Cancer Death Rates between African Americans and Whites
——————————————————————
31.6 – African American Rate* 2005-2009
32.4 – African American Rate* 2003-2007 (2011-2012)
33.5 – African American Rate* 2001-2005 +
——————————————————————
22.4 – White Rate* 2005-2009
23.4 – White Rate* 2003-2007 (2011-2012)
24.4 – White Rate* 2001-2005 +
——————————————————————
9.2 – Differenceβ 2005-2009
9.0 – Absolute Differenceβ 2003-2007 (2011-2012)
9.1 – Absolute Differenceβ 2001-2005 +
——————————————————————
1.41 – Rate Ratioβ‘ 2005-2009
1.39 – Rate Ratioβ‘ 2003-2007 (2011-2012)
1.37 – Rate Ratioβ‘ 2001-2005 +
*Rates per 100,000 and age adjusted to 2000 US standard population
β Difference is rate in African Americans minus rate in whites
β Absolute difference is rate in African Americans minus rate in whites
β‘Rate ratio is unrounded rate in African Americans divided by unrounded rate in whites
β‘Rate ratio is rate in African Americans divided by rate in whites based on 2 decimal places
+ Source: Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries 2000-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008
——————————————————————
Stage Distribution for Selected Cancers in African Americans and Whites
Stage Distribution African Americans and Whites
——————————————————————
Localized
——————————————————————
61% – White 2002-2008
61% – White 1999-2006
62% – White 1996-2004 +
——————————————————————
51% – African American 2002-2008
51% – African American 1999-2006
51% – African American 1996-2004 +
——————————————————————
Regional
38% – African American 2002-2008
39% – African American 1999-2006
37% – African American 1996-2004 +
——————————————————————
32% – White 2002-2008
32% – White 1999-2006
31% – White 1996-2004 +
——————————————————————
Distant
——————————————————————
8% – African American 2002-2008
8% – African American 1999-2006
10% – African American 1996-2004 +
——————————————————————
5% – White 2002-2008
5% – White 1999-2006
6% – White 1996-2004 +
——————————————————————
Unstaged
——————————————————————
3% – African American 2002-2008
3% – African American 1999-2006
3% – African American 1996-2004 +
——————————————————————
2% – White 2002-2008
2% – White 1999-2006
2% – White 1996-2004 +
——————————————————————
+ Source:
Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries, 1973-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008
——————————————————————
Probability of Developing Invasive Cancers Over Selected Age Intervals among African Americans by Sex +
Probability of Developing Invasive Cancers:
——————————————————————
Birth to 39 (%):
——————————————————————
0.53 (1 in 189) 2003-2005 * +
0.44 (1 in 229) 1998β2000 (2004)
0.44 (1 in 228) 1997β1999 (2003)
0.44 (1 in 229) 1996β1997 (2002)
——————————————————————
40 to 59(%):
——————————————————————
3.56 (1 in 28) – 40 to 59(%) 2003-2005 * +
4.14 (1 in 24) 1998β2000 (2004)
4.17 (1 in 24) 1997β1999 (2003)
4.17 (1 in 24) 1996β1997 (2002)
2.96 (1 in 34) – 60 to 69 (%) 2003-2005 * +
——————————————————————
60 to 79 (%):
——————————————————————
7.53 (1 in 13) 1998β2000 (2004)
7.14 (1 in 14) 1997β1999 (2003)
7.14 (1 in 14) 1996β1997 (2002)
5.44 (1 in 18) – 70 and Older (%) 2003-2005 * +
——————————————————————
Birth to Death (%)
——————————————————————
9.91 (1 in 10) – Birth to Death (%) 2003-2005 * +
13.36 (1 in 7) 1998β2000 (2004)
13.3 (1 in 8) 1997β1999 (2003)
12.5 (1 in 8) 1996β1997 (2002)
*For people free of cancer at beginning of age interval
+ Source:
DevCan:
Probability of Developing or Dying of Cancer Software, Version 6.3.0. Statistical Research and Applications Branch, National Cancer Institute, 2008
——————————————————————
2005-2006 Currently, woman living in US has 13.2%, or 1 in 8, lifetime risk of developing breast cancer (2013-2014)
result of rounding to nearest whole number, small decrease in lifetime risk (from 1 in 7.47 to 1 in 7.56) led to change in lifetime risk from 1 in 7 previously reported in Breast Cancer Facts & Figures 2003-2004 and Cancer Facts & Figures 2005 to current estimate of 1 in 8
——————————————————————
2005-2006: Overall, lifetime risk of being diagnosed with breast cancer gradually increased over past 3 decades (2013-2014)
——————————————————————
5-YEAR SURVIVAL RATE – ALL
——————————————————————
Survival after diagnosis of breast cancer continues to decline after 5 years (2009-2010)
Survival after diagnosis of breast cancer continues to decline beyond 5 years (2006)
——————————————————————
5-YEAR RELATIVE SURVIVAL LOWER
——————————————————————
5-year relative survival lower among women with more advanced stage at diagnosis (2007-2008)
5-year relative survival lower among women with more advanced stage of disease at diagnosis (2005-2006)
——————————————————————
2005-2006 African American women with breast cancer less likely than white women to survive 5 years:
——————————————————————
90% – white
76% – African American
——————————————————————
Likely to survive 5 years (2005-2006):
——————————————————————
88% – White
74% – African American
——————————————————————
5-YEAR SURVIVAL RATE – ALL STAGES – COMBINED
——————————————————————
89% – survival rate at 5 years for all stages combined (2009-2010)
——————————————————————
88% – all stages combined – 5 year
——————————————————————
77% – all stages combined – 10 year
——————————————————————
5-YEAR RELATIVE SURVIVAL RATE for ALL CANCERS COMBINED
——————————————————————
63% – 2004
62% – 2002-2003
——————————————————————
5-year Relative Survival Rates* for Cancers by Race and Stage
Five-year Relative Survival Rates* for Cancers by Race and Stage at Diagnosis
Five-Year Relative Survival Rates
5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975β2001 (2004)
——————————————————————
Localized
——————————————————————
99% β White 2002-2008 (2013-2014)
61% β White 1999-2006 (2011-2012)
99% β White 1996-2004 +
98% β White 1995β2000 (2005β2006)
——————————————————————
93% β African American 2002-2008 (2013-2014)
51% β African American 1999-2006 (2011-2012)
93% β African American 1996-2004 +
91% β African American 1995β2000 (2005β2006)
——————————————————————
Regional
——————————————————————
85% β White 2002-2008 (2013-2014)
32% β White 1999-2006 (2011-2012)
85% β White 1996-2004 +
82% β White 1995β2000 (2005β2006)
——————————————————————
73% β African American 2002-2008 (2013-2014)
39% β African American 1999-2006 (2011-2012)
72% β African American 1996-2004 +
68% β African American 1995β2000 (2005β2006)
——————————————————————
Distant
——————————————————————
25% β White 2002-2008 (2013-2014)
5% β White 1999-2006 (2011-2012)
29% β White 1996-2004 +
27% β White 1995β2000 (2005β2006)
——————————————————————
15% β African American 2002-2008 (2013-2014)
8% β African American 1999-2006 (2011-2012)
17% β African American 1996-2004 +
15% β African American 1995β2000 (2005β2006)
——————————————————————
All Stages
——————————————————————
90% β White 2002-2008 (2013-2014)
2% β White 1999-2006 (2011-2012)
90% β White 1996-2004 +
56% β White 1995β2000
(2005β2006)
——————————————————————
78% β African American 2002-2008 (2013-2014)
3% β African American 1999-2006 (2011-2012)
77% β African American 1996-2004 +
50% β African American 1995β2000 (2005-2006)
——————————————————————
*Survival rates based on patients diagnosed 2002-2008 followed through 2009
*Survival rates based on patients diagnosed 1999-2006 followed through 2007
Survival rates based on patients diagnosed 1996 β 2004 followed through 2005 +
Local:
invasive cancer confined entirely to organ of origin
Regional:
malignant cancer either
1) extended beyond limits of organ of origin directly into surrounding organs or tissues
2) involves regional lymph nodes by way of lymphatic system
3) both regional extension and involvement of regional lymph nodes
Distant:
malignant cancer spread to parts of body remote from primary tumor either by direct extension or by discontinuous metastasis to distant organs, tissues, or via lymphatic system to distant lymph nodes
+ Source:
Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries, 1973-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008
——————————————————————
Considering all races, 5-year relative survival:
98% – localized disease
81% – regional disease
26% – distant-stage disease
Larger tumor size at diagnosis associated with decreased survival
among women of all races with regional disease, 5-year relative survival:
92% – tumors less than or equal to 2.0 cm
77% – tumors 2.1-5.0 cm
65% – tumors greater than 5.0 cm
——————————————————————
OVERALL 5-YEAR CANCER SURVIVAL RATE (2005-2006)
——————————————————————
55% – 1995-2000 (2005-2006)
27% – 1960-1963 (2005-2006)
——————————————————————
5-YEAR RELATIVE SURVIVAL RATES
——————————————————————
89% – 5 year relative survival rates for women diagnosed with breast cancer after diagnosis (2007-2008)
88% – 5 year relative survival rates for women diagnosed with breast cancer after diagnosis (2005-2006)
87% – 5 year Breast Cancer Survival Rates after Diagnosis (2005-2006)
——————————————————————
age 75 + – 5 year relative survival rate among women diagnosed with breast cancer
——————————————————————
88% – 75 and older (2005-2006)
86% – 75 and over (2005-2006)
——————————————————————
age 65 + – 5 year relative survival rate among women diagnosed with breast cancer
——————————————————————
89% – 65-74 (2005-2006)
88% – 65 and over (2005-2006)
——————————————————————
5-year relative survival rate among women diagnosed with breast cancer
——————————————————————
88% – 55-64 (2005-2006)
89% – 40-74 (2005-2006)
87% – 45-54 (2005-2006)
83% – 45 (less than) (2005-2006)
——————————————————————
40 and older – 5-year relative survival rate
——————————————————————
89% – 40 and older – 5-year relative survival rate slightly lower among women diagnosed with breast cancer (2007-2008)
——————————————————————
younger than 40 – 5-year relative survival rate
——————————————————————
82% – before 40 – slightly lower among women diagnosed with breast cancer (2007-2008)
——————————————————————
82% – younger than 40 – slightly lower among women diagnosed with breast cancer before age 40 – may be due to tumors in age group being more aggressive (2005-2006)
——————————————————————
All – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
86% – 1992-1997 (2002) – 1974-1997
78% – 1983-1985 (2002) – 1974-1997
75% – 1974-1976 (2002) – 1974-1997
——————————————————————
WHITE WOMEN
——————————————————————
69% – white women (2013-2014)
——————————————————————
62% – white women (2007)
——————————————————————
90% – 1999-2006 white women (2011-2012)
——————————————————————
90% – 1996-2004 white women – 5-year relative survival rate for breast cancer diagnosed (2009-2010)
——————————————————————
90% – white women with breast cancer to survive 5 years (2007-2008)
——————————————————————
5-year survival greater among white women (2007)
——————————————————————
90% – 2002-2008 – overall 5-year relative survival rate for breast cancer diagnosed among white women
——————————————————————
88% – White women – Likely to survive 5 years (2005-2006)
——————————————————————
81% – White women – 5 year survivors: relative 5 year survival rate (2005-2006)
——————————————————————
62% – 1996-2004 – white women – 5-year relative survival rate for breast cancer diagnosed (2009-2010)
——————————————————————
90% – 1996-2002 – whites (2007) – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
——————————————————————
90% – 1996-2002 – White – 5-Year Relative Survival – Breast 2007 (2007-2008) +
——————————————————————
89% – 1995-2000 – White – 5-year Relative Survival (1995-2000 (2001) Diagnosis) SEER 1975-2001 (2004) (2005-2006)
——————————————————————
87% – 1992-1997 – White – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
——————————————————————
79% – 1983-1985 – White – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
——————————————————————
75% – 1974-1976 – White – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
——————————————————————
AFRICAN AMERICAN WOMEN
——————————————————————
78% – black women still living 5 years after getting disease (SEER, 2012)
——————————————————————
78% – 1999-2006 – 5-year relative survival rate for breast cancer diagnosed among African American women Survival and Stage at Distribution (2011-2012)
——————————————————————
76% – African American – 5 year survivors relative 5 year survival rate (2005-2006)
——————————————————————
74% – African American – Likely to survive 5 years (2005-2006)
——————————————————————
60% – African Americans – continue to have lower 5-year survival than whites overall and for each stage of diagnosis for most cancer sites (2013-2014)
African Americans continue to be less likely than whites to survive 5 years at each stage of diagnosis for most cancer sites (2009-2010)
Within each stage, 5-year survival also lower among African American women (2009-2010)
78% – 2002-2008 – overall 5-year relative survival rate for breast cancer diagnosed among African American women
77% – African American women with breast cancer less likely than white women to survive 5 years (2007-2008)
76% – African American women with breast cancer less likely than white women to survive 5 years 2005-2006
60% – 2002-2008 – overall 5-year relative survival rate among African Americans improved (2013-2014)
59% – 1999-2006 – African Americans continue to be less likely than whites to survive 5 years at each stage of diagnosis for most cancer sites (2011-2012)
58% – 1996-2004 – overall 5-year relative survival rate among African Americans improved (2009-2010)
77% – 1996-2002 – 5-Year Relative Survival – Breast – African American 2007 (2007-2008) +
77% – 1996-2002 – African American women (2007) – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
72% – 1992-1997 – Black – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
63% – 1983-1985 – Black – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
63% – 1974-1976 – Black – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis (2002)
27% – 1960-1963 – overall 5-year relative survival rate among African Americans improved (2009-2014)
——————————————————————
1996-2002 – 5-Year Relative Survival – Breast 2007 – (Based on cancer patients diagnosed 1996-2002 followed through 2003) (2007-2008) +
(Source: Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries, 1975-2003, Division of Cancer Control and Population Sciences, National Cancer Institute, 2006) (2007-2008)
——————————————————————
relative survival rates for women diagnosed with breast cancer (2005-2006):
β’
88% – 5 years after diagnosis (2005-2006)
80% – 10 years (2005-2006)
71% – 15 years (2005-2006)
63% – 20 years (2005-2006)
β’
Breast Cancer Survival Rates after Diagnosis:
β’
87% – 5 years (2005-2006)
77% – 10 years (2005-2006)
63% – 15 years (2005-2006)
52% – 20 years (2005-2006)
——————————————————————
2005-2006 – 5-year relative survival rate slightly lower among women diagnosed with breast cancer before age 40
β’
may be due to tumors in age group being more aggressive and less responsive to hormonal therapy:
β’
82% – younger than 40 (2005-2006)
89% – 40 – 74 (2005-2006)
88% – 75 and older (2005-2006)
β’
5 year relative survival rate (2005-2006):
β’
83% – < 45
87% – 45 – 54
88% – 55 – 64
89% – 65 – 74
88% – 65 and over
86% – 75 and over
——————————————————————
5 year survivors
relative 5 year survival rate (2005-2006):
β’
81% – White
76% – African American
——————————————————————
10 year survivors after diagnosis
relative 5 year survival rate (2005-2006):
——————————————————————
87% – White
85% – African American
——————————————————————
LOCALIZED CANCER INCIDENCE RATES RATIOS per 100,000 (1975-2001) – 1995-2000 (2001) – Diagnosed Female breast (2005-2006): Localized – Of all breast cancers diagnosed 2005-2006
——————————————————————
143.2 – White
118.6 – African American
0.8 – African American / White Ratio
——————————————————————
2005-2006
1995-2000 – 5-year Relative Survival (1995-2000 (2001) Diagnosis) SEER 1975-2001 (2004)
89% – White (2005-2006)
75% – African American (2005-2006)
——————————————————————
2005-2006
1995-2000 – 5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004)
Female breast
——————————————————————
Localized
——————————————————————
98% – White (2005-2006)
91% – African American (2005-2006)
——————————————————————
Regional
——————————————————————
82% – White (2005-2006)
68% – African American (2005-2006)
——————————————————————
Distant
——————————————————————
27% – White (2005-2006)
15% – African American (2005-2006)
——————————————————————
Unstaged
——————————————————————
56% – White (2005-2006)
50% – African American (2005-2006)
——————————————————————
LOCALIZED 5-YEAR RELATIVE SURVIVAL RATES (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
——————————————————————
98% – 1995-2000 – White
91% – 1995-2000 – African American
——————————————————————
LOCALIZED
——————————————————————
98% – 2010 – 5-year relative survival for localized breast cancer (malignant cancer that has not spread to lymph nodes or other locations outside breast) has increased (2009-2010)
98% – localized disease: 5-year relative survival – Considering all races (2007-2008)
98% – 2006 – 5-year relative survival for localized breast cancer (cancer not spread to lymph nodes or other locations outside breast) increased
98% – localized disease – 2005-2006 5-year relative survival lower among women with more advanced stage of disease at diagnosis: Considering all races
98% – 2005 – 5 year relative survival for localized
97% – 2004 – 5-year relative survival for localized breast cancer (cancer not spread to lymph nodes or other locations outside breast) increased
96% – 2002 – 5-year relative survival for localized breast cancer (cancer not spread to lymph nodes or other locations outside breast) increased
99% – 1996-2002 White – localized (2007-2008) *
94% – 1996-2002 African American – localized (2007-2008) *
80% – 1950s – 5-year relative survival for localized breast cancer (malignant cancer that has not spread to lymph nodes or other locations outside breast) has increased (2009-2010)
80% – 1950s – 5-year relative survival for localized breast cancer (cancer not spread to lymph nodes or other locations outside breast) increased (2006)
72% – 1940s – 5-year relative survival rate for localized breast cancer (cancer not spread to lymph nodes or other locations outside breast) increased (2002)
——————————————————————
5-year relative survival rate for breast cancer diagnosed at local stage
——————————————————————
77% – 1996-2004 – African American women – 5-year relative survival rate for breast cancer diagnosed at local stage (2009-2010)
——————————————————————
LOCALIZED
——————————————————————
62% – 1996-2002 White – Localized – Stage Distribution – Female breast (2007-2008)
64% β White – Localized (2005β2006)
64% – 1995-2000 (2001) – White: Diagnosed Female breast (2005-2006): Localized – Of all breast cancers diagnosed
5% – 1995-2000 (2001) – White: Diagnosed Female breast (2005-2006): Localized – Of all breast cancers diagnosed
52% – 1996-2002 African American – Localized – Stage Distribution – Female breast (2007-2008)
53% β African American – Localized (2005β2006)
53% – 1995-2000 (2001) – African American: Diagnosed Female breast (2005-2006): Localized – Of all breast cancers diagnosed
——————————————————————
REGIONAL 5-YEAR RELATIVE SURVIVAL RATES (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
——————————————————————
82% – 1995-2000 – White
68% – 1995-2000 – African American
——————————————————————
REGIONALLY
——————————————————————
84% – cancer spread regionally, current 5-year survival (2009-2010)
84% – regional disease – 5-year relative survival: Considering all races (2007-2008)
81% – regional disease – 5-year relative survival lower among women with more advanced stage of disease at diagnosis: Considering all races 2005-2006
85% – 1996-2002 White – Regional (2007-2008) *
80% – cancer spread regionally
78% – 2002 – 5-year relative survival rate: breast cancer spread regionally
72% – 1996-2002 African American – Regional (2007-2008) *
——————————————————————
36% – 1996-2002 African American – Regional: Stage Distribution – Female breast (2007-2008)
30% – 1996-2002 White – Regional: Stage Distribution – Female breast (2007-2008)
35% β African American – Regional (2005β2006)
35% – 1995-2000 (2001) – African American: Diagnosed
Female breast (2005-2006): Regional – Of all breast cancers diagnosed
28% β White – Regional (2005β2006)
——————————————————————
REGIONAL TUMORS
——————————————————————
94% – Larger tumor size at diagnosis also associated with decreased survival among women of all races with regional disease, 5-year relative survival for tumors less than or equal (2007-2008)
92% – tumors less than or equal to 2.0 cm – Larger tumor size at diagnosis associated with decreased survival among women of all races with regional disease, 5-year relative survival
77% – tumors 2.1-5.0 cm – Larger tumor size at diagnosis associated with decreased survival among women of all races with regional disease, 5-year relative survival
65% – tumors greater than 5.0 cm – Larger tumor size at diagnosis associated with decreased survival among women of all races with regional disease, 5-year relative survival
——————————————————————
DISTANT
——————————————————————
27% – women with distant spread (metastases) 5-year survival (2009-2010)
27% – 1995-2000 – White – Distant 5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
27% – distant-stage disease: 5-year relative survival, Considering all races (2007-2008)
26% – distant metastasis
26% – distant-stage disease – 2005-2006 5-year relative survival lower among women with more advanced stage of disease at diagnosis: Considering all races
28% – 1996-2002 White – Distant (2007-2008) *
21% – 2002 – 5-year relative survival rate: breast cancer distant metastasis
16% – 1996-2002 African American – Distant (2007-2008) *
15% – 1995-2000 – African American – Distant 5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
28% – 1995-2000 (2001) – White: Distant – Diagnosed Female breast (2005-2006): Of all breast cancers diagnosed
——————————————————————
9% – 1996-2002 African American – Distant – Stage Distribution African Americans – Female breast (2007-2008)
9% β African American – Distant (2005β2006)
9% – 1995-2000 (2001) – African American: Diagnosed
Female breast (2005-2006): Localized – Of all breast cancers diagnosed
6% – 1996-2002 White – Distant – Stage Distribution Whites – Female breast (2007-2008)
5% β White – Distant (2005β2006)
——————————————————————
UNSTAGED
——————————————————————
56% – 1996-2002 – Unstaged – White (2007-2008) *
56% – 1995-2000 – White – Unstaged 5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
50% – 1995-2000 – Unstaged – African American – 5-year Relative Survival Rates (1995-2000 (2001) diagnosed) SEER 1975-2001 (2004) Female breast (2005-2006)
45% – 1996-2002 – Unstaged – African American (2007-2008) *
——————————————————————
3% – 1996-2002 African American – Unstaged – Stage Distribution Whites – Female breast (2007-2008)
3% β African American – Unstaged (2005β2006)
3% – 1995-2000 (2001) – African American: Unstaged – Of all breast cancers diagnosed – Diagnosed
Female breast (2005-2006)
2% – 1996-2002 White – Unstaged – Stage Distribution Whites – Female breast (2007-2008)
2% β White – Unstaged (2005β2006)
2% – 1995-2000 (2001) – White: Diagnosed Female breast (2005-2006): Unstaged – Of all breast cancers diagnosed
——————————————————————
ALL – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
90% – 1999-2006 (2011) – 1975-2006
87% – 1992-1999 (2004)
87% – 1992-1999 (2004) – 1974-1999
86% – 1974-1998 (2003)
86% – 1992-1998 (2003) – 1974-1998
86% – 1992-1997 (2002) – 1974-1997
79% – 1984-1986 (2011) – 1975-2006
78% – 1983-1985 (2004)
78% – 1983-1985 (2004) – 1974-1999
78% – 1983-1985 (2002) – 1974-1997
75% – 1975-1977 (2011) – 1975-2006
78% – 1974-1998 (2003)
75% – 1974-1976 (2004)
75% – 1974-1976 (2004) – 1974-1999
75% – 1974-1976 (2002) – 1974-1997
——————————————————————
WHITE WOMEN – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
91% – 1999-2006 (2011) – 1975-2006
90% – 1996-2002 (2007)
88% – 1992-1999 (2004)
88% – 1992-1999 (2004) – 1974-1999
88% – 1992-1998 (2003) – 1974-1998
88% – 1974-1998 (2003)
87% – 1992-1997 (2002) – 1974-1997
81% – 1984-1986 (2011) – 1975-2006
79% – 1983-1985 (2004)
79% – 1983-1985 (2004) – 1974-1999
79% – 1983-1985 (2002) – 1974-1997
76% – 1975-1977 (2011) – 1975-2006
75% – 1974-1976 (2004)
75% – 1974-1976 (2004) – 1974-1999
75% – 1974-1976 (2002) – 1974-1997
——————————————————————
AFRICAN AMERICAN WOMEN – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
78% – 1999-2006 (2011) – 1975-2006
77% – 1996-2002 (2007)
74% – 1992-1999 (2004)
74% – 1992-1999 (2004) – 1974-1999
73% – 1992-1998 (2003) – 1974-1998
73% – 1974-1998 (2003)
72% – 1992-1997 (2002) – 1974-1997
65% – 1984-1986 (2011) – 1975-2006
64% – 1983-1985 (2004)
64% – 1983-1985 (2004) – 1974-1999
63% – 1983-1985 (2002) – 1974-1997
63% – 1974-1998 (2003)
63% – 1974-1976 (2004)
63% – 1974-1976 (2004) – 1974-1999
63% – 1974-1976 (2002) – 1974-1997
62% – 1975-1977 (2011) – 1975-2006
——————————————————————
COMBINED – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
91% – 1999-2006 – White Women – 1975-2006 (2011)
90% – 1999-2006 – All – 1975-2006 (2011)
90% – 1996-2002 – White Women (2007)
87% – 1992-1997 – White Women – 1974-1997 (2002)
86% – 1992-1997 – All – 1974-1997 (2002)
81% – 1984-1986 – White Women – 1975-2006 (2011)
79% – 1984-1986 – All – 1975-2006 (2011)
79% – 1983-1985 – White Women – 1974-1997 (2002)
78% – 1999-2006 – African American Women – 1975-2006 (2011)
78% – 1983-1985 – All – 1974-1997 (2002)
77% – 1996-2002 – African American Women (2007)
76% – 1975-1977 – White Women – 1975-2006 (2011)
75% – 1975-1977 – All – 1975-2006 (2011)
75% – 1974-1976 – All – 1974-1997 (2002)
75% – 1974-1976 – White Women – 1974-1997 (2002)
72% – 1992-1997 – African American Women – 1974-1997 (2002)
65% – 1984-1986 – African American Women – 1975-2006 (2011)
63% – 1983-1985 – African American Women – 1974-1997 (2002)
63% – 1974-1976 – African American Women – 1974-1997 (2002)
62% – 1975-1977 – African American Women – 1975-2006 (2011)
——————————————————————
COMBINED by YEAR – 1974-1997 – Trends in 5-Year Relative Survival Rates* by Race and Year of Diagnosis
——————————————————————
91% – 1999-2006 – White Women – 1975-2006 (2011)
90% – 1999-2006 – All – 1975-2006 (2011)
78% – 1999-2006 – African American Women – 1975-2006 (2011)
——————————————————————
90% – 1996-2002 – White Women (2007)
77% – 1996-2002 – African American Women (2007)
——————————————————————
87% – 1992-1997 – White Women (2002)
86% – 1992-1997 – All (2002)
72% – 1992-1997 – African American Women (2002)
——————————————————————
81% – 1984-1986 – White Women – 1975-2006 (2011)
79% – 1984-1986 – All – 1975-2006 (2011)
65% – 1984-1986 – African American Women – 1975-2006 (2011)
——————————————————————
79% – 1983-1985 – White Women (2002)
78% – 1983-1985 – All (2002)
63% – 1983-1985 – African American Women (2002)
——————————————————————
76% – 1975-1977 – White Women – 1975-2006 (2011)
75% – 1975-1977 – All – 1975-2006 (2011)
62% – 1975-1977 – African American Women – 1975-2006 (2011)
——————————————————————
75% – 1974-1976 – All (2002)
75% – 1974-1976 – White Women (2002)
63% – 1974-1976 – African American Women (2002)
——————————————————————
Stages (%) – 5-Year Relative Survival Rates by Stage at Diagnosis
——————————————————————
97.0% – 1992-1999 – Local (2004)
97% – 1992-1998 – Local (2003)
96% – 1992-1997 – Local (2002)
——————————————————————
88% – 2006 – All Stages (2006)
86.6% – 1992-1999 – All Stages (2004)
86% – 1992-1998 – All Stages (2003)
86% – 1992-1997 – All Stages (2002)
——————————————————————
81% – Regional (2006)
78.7% – 1992-1999 – Regional (2004)
78% – 1992-1998 – Regional (2003)
78% – 1992-1997 – Regional (2002)
——————————————————————
26% – 2006 – distant metastases (2006)
23.3% – 1992-1999 – Distant (2004)
23% – 1992-1998 – Distant (2003)
21% – 1992-1997 – Distant metastases (2002)
——————————————————————
*
——————————————————————
1996-2002 – 5-Year Relative Survival Rates (5-year relative survival rate among cancer patients diagnosed 1996-2002 followed through 2003) *
Female breast – (Source: Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries, 1973-2003, Division of Cancer Control and Population Sciences, National Cancer Institute, 2006) (2007-2008)
Local:
invasive cancer confined entirely to organ
Regional:
malignant cancer
1) extended beyond limits of organ of origin directly into surrounding organs or tissues
2) involves regional lymph nodes by way of lymphatic system
3) has both regional extension and involvement of regional lymph nodes
Distant:
cancer spread to parts of body remote from primary tumor either by direct extension or by discontinuous metastasis to distant organs, tissues, or via lymphatic system to distant lymph nodes
Source:
Surveillance, Epidemiology, and End Results (SEER) Program, 17 SEER Registries, 1975-2003, Division of Cancer Control and Population Sciences, National Cancer Institute, 2006 (2007-2008)
——————————————————————
5-YEAR SURVIVAL – INVASIVE BREAST CANCER
——————————————————————
90% – 2002-2008 – women diagnosed with invasive breast cancer still living 5 years after getting disease (SEER, 2012)
——————————————————————
10-YEAR SURVIVAL RATES
——————————————————————
Caution should be used when interpreting 10-year survival rates since they represent detection and treatment circumstances 5-17 years ago and may underestimate expected survival based on current conditions (2009-2010)
Caution should be used when interpreting long-term survival rates since they reflect experience of women treated using past therapies and do not reflect recent trends in early detection or advances in treatment (2007-2008)
——————————————————————
87% – White – 10 year survivors after diagnosis relative 5 year survival rate (2005-2006)
——————————————————————
85% – African American – 10 year survivors after diagnosis relative 5 year survival rate (2005-2006)
——————————————————————
81% – 10 year – relative survival rates for women diagnosed with breast cancer (2007-2008)
——————————————————————
80% – 10 year – survival rate for all stages combined (2009-2010)
——————————————————————
80% – 10 years after diagnosis – relative survival rates for women diagnosed with breast cancer (2005-2006)
——————————————————————
77% – 10 year – Breast Cancer Survival Rates after Diagnosis (2005-2006)
——————————————————————
15-YEAR SURVIVAL RATE
——————————————————————
73% – 15 year – relative survival rates for women diagnosed with breast cancer (2007-2008)
——————————————————————
71% – 15 years after diagnosis – relative survival rates for women diagnosed with breast cancer (2005-2006)
——————————————————————
63% – 15 years – Breast Cancer Survival Rates after Diagnosis (2005-2006)
——————————————————————
20-YEAR SURVIVAL RATE
——————————————————————
63% – 20 years after diagnosis – relative survival rates for women diagnosed with breast cancer (2005-2006)
——————————————————————
52% – 20 years – Breast Cancer Survival Rates after Diagnosis (2005-2006)
======================================
Breast Cancer
American Cancer Society
Cancer Facts & Figures (2002-2014)
======================================
REFERENCES:
======================================
[A] – .7/30/2013, Tuesday – Karmanos Cancer Centerβs Dr. David Gorski appointed program co-director of Michigan Breast Oncology Quality Initiative:
ββββββββββββββββββββββ
http://www.karmanos.org/News/Default.aspx?sid=1&nid=359
======================================
[B] – .7/30/2013 – Dr. Gorski named co-director of Michigan Breast Oncology Quality Initiative:
ββββββββββββββββββββββ
http://prognosis.med.wayne.edu/article/dr-gorski-named-codirector-of-michigan-breast-oncology-quality-initiative
======================================
[C] – 07/30/2013 – Dr. Gorski named co-director of Michigan Breast Oncology Quality Initiative : ββββββββββββββββββββββ
http://www.wsupgdocs.org/news-and-media/WayneStateContentPage.aspx?nd=1293&news=515
======================================
[D] – 2/1/2011 – Barbara Ann Karmanos Cancer Center Names Dr. David Gorski Leader of Breast Multidisciplinary Team:
/PRNewswire-USNewswire/ — The Barbara Ann Karmanos Cancer Center has named David Gorski, M.D., Ph.D., leader of the Breast Multidisciplinary Team (MDT), effective Tuesday, Feb. 1
ββββββββββββββββββββββ
http://m.prnewswire.com/news-releases/barbara-ann-karmanos-cancer-center-names-dr-david-gorski-leader-of-breast-multidisciplinary-team-115018114.html
======================================
[E] – 11/2/2011, Wednesday – Make the Right Move:
ββββββββββββββββββββββ
http://www.karmanos.org/News/breast-cancer-specialists
======================================
[F]
ββββββββββββββββββββββ
http://cancerbiologyprogram.med.wayne.edu/faculty/gorski.php
======================================
[G] – Research Interest:
ββββββββββββββββββββββ
http://www.wsusurgery.com/research-team-dr-gorski/
======================================
[H]
ββββββββββββββββββββββ
http://wsusurgery.com/facultyc3/david-gorski/
ββββββββββββββββββββββ
http://www.wsusurgery.com/facultyc3/david-gorski/
======================================
[I]
ββββββββββββββββββββββ
http://wsusurgery.com/research-team-dr-gorski/
ββββββββββββββββββββββ
http://www.wsusurgery.com/research-team-dr-gorski/
======================================
[J]
ββββββββββββββββββββββ
http://karmanos.org/Physicians/Details.aspx?sid=1&physician=70
ββββββββββββββββββββββ
http://www.karmanos.org/Physicians/Details.aspx?sid=1&physician=70
======================================
[K]
ββββββββββββββββββββββ
http://sciencebasedmedicine.org/editorial-staff/
ββββββββββββββββββββββ
http://www.sciencebasedmedicine.org/editorial-staff/
======================================
[L]
ββββββββββββββββββββββ
http://www.scienceinmedicine.org/fellows/GorskiD.html
ββββββββββββββββββββββ
http://scienceinmedicine.org/fellows/GorskiD.html
======================================
[M]
ββββββββββββββββββββββ
http://sciencebasedmedicine.org/editorial-staff/david-h-gorski-md-phd-managing-editor/
ββββββββββββββββββββββ
http://www.sciencebasedmedicine.org/editorial-staff/david-h-gorski-md-phd-managing-editor/
======================================
[N]
ββββββββββββββββββββββ
http://scienceblogs.com/insolence
======================================
[O]
ββββββββββββββββββββββ
http://ncas.org/2013/02/mar-9-david-h-gorski-quackademic.html?m=1
ββββββββββββββββββββββ
http://www.ncas.org/2013/02/mar-9-david-h-gorski-quackademic.html?m=1
======================================
[P]
ββββββββββββββββββββββ
http://whybiotech.com/?p=3808
ββββββββββββββββββββββ
http://www.whybiotech.com/?p=3808
======================================
[Q]
ββββββββββββββββββββββ
http://en.wikipedia.org/wiki/David_Gorski
======================================
[R] – Breast Cancer Research β Dr. Gorski:
ββββββββββββββββββββββ
http://www.wsusurgery.com/breast-cancer-research-dr-gorski/
======================================
[S] – Selected Publications:
ββββββββββββββββββββββ
http://www.wsusurgery.com/selected-publications-dr-gorski/
======================================
[T] – Lab Photos:
ββββββββββββββββββββββ
http://www.wsusurgery.com/lab-photos-dr-gorski/
======================================
[U]
ββββββββββββββββββββββ
https://www.doximity.com/pub/david-gorski-md
======================================
[V] – Detroit, Michigan population
ββββββββββββββββββββββ
http://www.worldpopulationstatistics.com/detroit-population-2013/
======================================
[W]
ββββββββββββββββββββββ
http://quickfacts.census.gov/qfd/states/26/2622000.html
======================================
[X]
ββββββββββββββββββββββ
http://www.city-data.com/city/Detroit-Michigan.html
======================================
[Y] – 11/13/2013 – The War on Cancer (I donβt think it means, what you think it says it means) #Winning?:
ββββββββββββββββββββββ
https://stanislawrajmundburzynski.wordpress.com/2013/11/13/httpcancer-orgacsgroupscontentepidemiologysurveilancedocumentsdocumentacspc-036845-pdf/
======================================
[Z] – 3/9/2013 – Quackademic Medicine: How pseudoscience is infiltrating medical academia.β
ββββββββββββββββββββββ
http://m.youtube.com/watch?v=mewOSMNgfGQ&desktop_uri=%2Fwatch%3Fv%3DmewOSMNgfGQ
======================================
[]
ββββββββββββββββββββββ
http://www.nixonlibrary.gov/forresearchers/find/tapes/excerpts/watergate.php
——————————————————————
http://whitehousetapes.net/transcript/nixon/cancer-presidency
——————————————————————
http://m.washingtonpost.com/politics/cancer-on-the-presidency/2012/06/08/gJQAp24LOV_video.html
——————————————————————
http://www.history.com/speeches/nixon-and-dean-discuss-watergate
======================================
2013-2014 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-040951.pdf
ββββββββββββββββββββββ
Click to access acspc-040951.pdf
ββββββββββββββββββββββ
2013-2014 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access acspc-036921.pdf
ββββββββββββββββββββββ
Click to access acspc-036921.pdf
ββββββββββββββββββββββ
2012-2014 Cancer Facts & Figures for Hispanics / Latinos
ββββββββββββββββββββββ
Click to access acspc-034778.pdf
ββββββββββββββββββββββ
Click to access acspc-034778.pdf
======================================
2013 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2013
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2013
ββββββββββββββββββββββ
2013-2014 Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-040951.pdf
ββββββββββββββββββββββ
Click to access acspc-040951.pdf
ββββββββββββββββββββββ
ββββββββββββββββββββββ
http://onlinelibrary.wiley.com/doi/10.3322/caac.21203/full
ββββββββββββββββββββββ
2013
ββββββββββββββββββββββ
Click to access breast-cancer-facts-2012.pdf
ββββββββββββββββββββββ
Click to access breast-cancer-facts-2012.pdf
ββββββββββββββββββββββ
2012-2013 Survivorship
ββββββββββββββββββββββ
Click to access acspc-033876.pdf
ββββββββββββββββββββββ
Click to access acspc-033876.pdf
ββββββββββββββββββββββ
2013 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-036845.pdf
ββββββββββββββββββββββ
Click to access acspc-036845.pdf
ββββββββββββββββββββββ
2013 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2013/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2013/index
======================================
2011-2012 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-facts-and-figures-2011-2012
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-facts-and-figures-2011-2012
ββββββββββββββββββββββ
Breast Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures
ββββββββββββββββββββββ
2012 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-031941.pdf
ββββββββββββββββββββββ
Click to access acspc-031941.pdf
ββββββββββββββββββββββ
2012 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2012/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2012/index
ββββββββββββββββββββββ
2012 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2012
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2012
ββββββββββββββββββββββ
2011-2012 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access acspc-027765.pdf
ββββββββββββββββββββββ
Click to access acspc-027765.pdf
======================================
2011 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-029771.pdf
ββββββββββββββββββββββ
Click to access acspc-029771.pdf
ββββββββββββββββββββββ
2011 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2011
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2011
ββββββββββββββββββββββ
2009-2011 Cancer Facts & Figures for Hispanics / Latinos
ββββββββββββββββββββββ
Click to access ffhispanicslatinos20092011.pdf
ββββββββββββββββββββββ
Click to access ffhispanicslatinos20092011.pdf
======================================
2010
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-facts-figures-2009-2010
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-facts-figures-2009-2010
ββββββββββββββββββββββ
2009-2010 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access f861009final90809pdf.pdf
ββββββββββββββββββββββ
Click to access f861009final90809pdf.pdf
ββββββββββββββββββββββ
2010 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-024113.pdf
ββββββββββββββββββββββ
Click to access acspc-024113.pdf
ββββββββββββββββββββββ
2010 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2010/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2010/index
ββββββββββββββββββββββ
2009-2010 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access cffaa20092010pdf.pdf
ββββββββββββββββββββββ
Click to access cffaa20092010pdf.pdf
======================================
2009
ββββββββββββββββββββββ
http://www.komenstlouis.org/site/DocServer/DiversityAsianPacific.pdf?docID=222
ββββββββββββββββββββββ
2009-2010 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access cffaa20092010pdf.pdf
ββββββββββββββββββββββ
Click to access cffaa20092010pdf.pdf
ββββββββββββββββββββββ
2009 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access 500809webpdf.pdf
ββββββββββββββββββββββ
Click to access 500809webpdf.pdf
ββββββββββββββββββββββ
2009 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2009/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2009/index
ββββββββββββββββββββββ
2009 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2009
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2009
======================================
Breast Cancer Facts & Figures
ββββββββββββββββββββββ
http://www.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/
ββββββββββββββββββββββ
2007-2008 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access bcfffinalpdf.pdf
ββββββββββββββββββββββ
Click to access bcfffinalpdf.pdf
ββββββββββββββββββββββ
Cancer Facts and Statistics
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/index
ββββββββββββββββββββββ
2008 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
ββββββββββββββββββββββ
2008 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2008/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2008/index
ββββββββββββββββββββββ
2008 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access 2008cafffinalsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access 2008cafffinalsecuredpdf.pdf
ββββββββββββββββββββββ
2008 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access worldcancer.pdf
ββββββββββββββββββββββ
Click to access worldcancer.pdf
ββββββββββββββββββββββ
Global
ββββββββββββββββββββββ
Click to access acspc-027766.pdf
ββββββββββββββββββββββ
Click to access acspc-027766.pdf
ββββββββββββββββββββββ
2008 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2008/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2008/index
ββββββββββββββββββββββ
Cancer Facts and Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
======================================
2007-2008 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access bcfffinalpdf.pdf
ββββββββββββββββββββββ
Click to access bcfffinalpdf.pdf
ββββββββββββββββββββββ
ββββββββββββββββββββββ
http://komen.org/BreastCancer/BreastFactsReferences.html
ββββββββββββββββββββββ
ββββββββββββββββββββββ
http://ww5.komen.org/BreastCancer/BreastFactsReferences.html
ββββββββββββββββββββββ
2007 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access caff2007pwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2007pwsecuredpdf.pdf
ββββββββββββββββββββββ
2007 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2007/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2007/index
ββββββββββββββββββββββ
2007 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2007
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2007
ββββββββββββββββββββββ
2007-2008 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access caff2007aaacspdf2007pdf.pdf
ββββββββββββββββββββββ
Click to access caff2007aaacspdf2007pdf.pdf
ββββββββββββββββββββββ
2006-2008 Cancer Facts & Figures for Hispanics / Latinos
ββββββββββββββββββββββ
Click to access caff2006hisppwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2006hisppwsecuredpdf.pdf
======================================
2006 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access caff2006pwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2006pwsecuredpdf.pdf
ββββββββββββββββββββββ
2006 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2006
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2006
ββββββββββββββββββββββ
2005-2006 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-factsβfigures-2005-2006
ββββββββββββββββββββββ
2005-2006 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access caff2005brfacspdf2005pdf.pdf
ββββββββββββββββββββββ
Click to access caff2005brfacspdf2005pdf.pdf
ββββββββββββββββββββββ
2005-2006 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-factsβfigures-2005-2006
ββββββββββββββββββββββ
2005-2006 Cancer Facts & Figures for African Americans
ββββββββββββββββββββββ
Click to access caff2005aacorrpwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2005aacorrpwsecuredpdf.pdf
======================================
2005 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access caff2005f4pwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2005f4pwsecuredpdf.pdf
ββββββββββββββββββββββ
ββββββββββββββββββββββ
http://worldwidebreastcancer.com/learn/breast-cancer-statistics-worldwide/
ββββββββββββββββββββββ
ββββββββββββββββββββββ
http://www.worldwidebreastcancer.com/learn/breast-cancer-statistics-worldwide/
ββββββββββββββββββββββ
Cancer Facts and Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsstatistics/allcancerfactsfigures/index
ββββββββββββββββββββββ
2005 – Cancer Facts & Figures
ββββββββββββββββββββββ
http://cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2005
ββββββββββββββββββββββ
http://m.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2005
======================================
2003-2004 Breast Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access caff2003brfpwsecuredpdf.pdf
ββββββββββββββββββββββ
Click to access caff2003brfpwsecuredpdf.pdf
ββββββββββββββββββββββ
2004 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access CancerRates2004.pdf
======================================
2003
ββββββββββββββββββββββ
http://cancer.org/cancer/breastcancer/detailedguide/breast-cancer-references
ββββββββββββββββββββββ
http://m.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-references
ββββββββββββββββββββββ
2003 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access 2003_ACS_Cancer_Facts.pdf
======================================
2002 β American Cancer Society Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access acspc-027766.pdf
ββββββββββββββββββββββ
Click to access acspc-027766.pdf
ββββββββββββββββββββββ
2002 – Cancer Facts & Figures
ββββββββββββββββββββββ
Click to access CancerFacts&Figures2002.pdf
======================================
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