The Alaska Native Tumour Registry: fifty years of cancer surveillance data for Alaska Native people

Figures & data

Table 1. Leading causes of cancer death among AN people, 2014–2018. Data from the Alaska Native Tumour Registry (AN people) and SEER 9 registries (USW)

	AN people			USW
Cancer site (primary cause of death)	Count	MR	CI	Rate	CI	RR
All malignant cancers	913	211.6	(197.2, 226.9)	156.3	(156.1, 156.5)	1.4
Lung and Bronchus	218	50.8	(43.9, 58.7)	39.3	(39.2, 39.4)	1.3
Colon and Rectum	149	37.4	(31.3, 44.5)	13.4	(13.3, 13.5)	2.8
Breast	56	23.5	(17.5, 31.1)	19.6	(19.5, 19.7)	1.2
Prostate	20	16.4	(9.7, 26.2)	17.9	(17.8, 18.0)	0.9
Stomach	57	11.8	(8.8, 15.7)	2.6	(2.6, 2.6)	4.5
Pancreas	52	11.6	(8.5, 15.7)	11.0	(10.9, 11.0)	1.1
Oesophagus	33	6.6	(4.4, 9.8)	4.1	(4.1, 4.2)	1.6
Liver	26	5.5	(3.5, 8.5)	4.5	(4.5, 4.6)	1.2
Kidney and Renal Pelvis	23	4.8	(2.9, 7.5)	3.8	(3.7, 3.8)	1.3
Urinary Bladder	16	4.2	(2.3, 7.2)	4.5	(4.5, 4.6)	0.9
Ovary	11	4.0	(2.0, 7.8)	6.9	(6.9, 7.0)	0.6
Brain and Other Nervous System	18	3.6	(2.1, 6.2)	4.8	(4.8, 4.9)	0.8
Non-Hodgkin Lymphoma	14	3.3	(1.7, 6.0)	5.6	(5.6, 5.7)	0.6
Nasopharynx	14	2.9	(1.5, 5.3)	0.1	(0.1, 0.1)	29.0
Intrahepatic Bile Duct	12	2.6	(1.2, 5.0)	1.7	(1.7, 1.7)	1.5

MR: age-adjusted mortality rate; CI: confidence interval; RR: rate ratio

Figure 1. Five-year incidence per 100,000 population for the leading cancers diagnosed among AN people, 2014–2018, compared to USW

Figure 2. Frequency of diagnosis by SEER summary stage for (a) All sites, (b) female breast, (c) colorectal, (d) lung cancers, among AN people compared to USW, 2014–2018

Figure 3. Trends in5-year average annual age-adjusted incidence for (a) All sites, (b) female breast, (c) colorectal, (d) lung cancers, among AN people compared to USW, 1969–2018

Figure 4. Trends in 5-year average annual age-adjusted mortality for (a) all sites, (b) female breast, (c) colorectal, (d) lung cancers, among AN people compared to USW, 1994–2018