Cancer

What to know

  • Cancer is the second leading cause of death in the United States, causing 1 in every 6 deaths.
  • We can reduce cancer cases and deaths by limiting behavioral and environmental risks, making screening and treatment available to all, supporting medically underserved populations, and improving quality of life for those who have survived cancer.
  • The Community Preventive Services Task Force recommends several patient- and provider-focused interventions to increase screening for breast, cervical, and colorectal cancers.

More information

Keep Reading: Cancer

Definition details

Population
All people.
Numerator
Deaths with International Classification of Diseases (ICD)-10 codes C18–C20 as the underlying cause of death among residents during a calendar year.
Denominator
Midyear resident population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 Colorectal cancer is a leading cause of cancer death and, in 2021, more than 52,000 people died from the disease.1 Declines in colorectal cancer death trends have slowed in more recent years. During 2001–2019, the average declines accelerated from 3.1% per year during 2001–2009 to 2.1% per year during 2009–2019 among males and from 3.0% per year during 2001–2010 to 2.0% per year during 2010–2019 among females.2 Screening can prevent colorectal cancer by detecting and removing precancerous polyps and can detect cancer early when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends that adults age 45 to 75 be screened for colorectal cancer.3
Notes
Because colorectal cancer can have a long latency period, years might pass before changes in behavior or clinical practice patterns affect population mortality.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
Healthy People 2030 objective: C-06. Reduce the colorectal cancer death rate.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479
Reference 3
US Preventive Services Task Force. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2021;325(19):1965–1977. doi:10.1001/jama.2021.6238

Population
All people.
Numerator
Deaths with International Classification of Diseases (ICD)-10 code C50 as the underlying cause of death among female residents during a calendar year.
Denominator
Midyear resident female population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 Female breast cancer is a leading cause of cancer death and in 2021, nearly 43,000 females died from the disease.1 Trends in breast cancer death rates during 2001–2019 varied in declines over the time period (1.6% per year during 2001–2003; 2.3% per year during 2003–2007; 1.6% per year during 2007–2013; 1.2% per year during 2013–2019).2 Screening can detect breast cancer early when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends that women who are 50 to 74 years old and are at average risk for breast cancer get a mammogram every two years. Women who are 40 to 49 years old should talk to their doctor or other health care provider about when to start and how often to get a mammogram.3
Notes
Because breast cancer can have a long latency period, years might pass before changes in behavior or clinical practice patterns affect population mortality.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
Healthy People 2030 objective: C-04. Reduce the female breast cancer death rate.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479
Reference 3
Siu AL, US Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016. doi:10.7326/M15-2886

Population
All females.
Numerator
Deaths with International Classification of Diseases (ICD)-10 code C53 as the underlying cause of death among female residents during a calendar year.
Denominator
Midyear resident female population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 In 2021, more than 4,300 females died from cervical cancer.1 Trends in cervical cancer death rates during 2001–2019 were stable during 2001–2003 and decreased 0.8% per year during 2003–2019.2 Screening can help prevent cervical cancer or find it early, when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).3
Notes
Because cervical cancer can have a long latency period, years might pass before changes in behavior or clinical practice patterns affect population mortality.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
None.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479
Reference 3
US Preventive Services Task Force. Screening for cervical cancer: US Preventive Services Task Force recommendation statement. JAMA. 2018;320(7):674–686. doi:10.1001/jama.2018.10897

Population
All people.
Numerator
Deaths with International Classification of Diseases (ICD)-10 code C34 as the underlying cause of death among residents during a calendar year.
Denominator
Midyear resident population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 Lung cancer is the leading cause of cancer death and in 2021, more than 134,000 people died from the disease.1 Declines in lung cancer death trends continued over time. During 2001–2019, the average declines accelerated for males (2.0% per year during 2001–2005; 2.9% per year during 2005–2012; 4.1% per year during 2012–2015; and 5.4% per year during 2015–2019) and females (0.6% per year during 2001–2007; 2.0% per year during 2007–2014; and 4.2% per year from 2014–2019).2 The U.S. Preventive Services Task Force recommends yearly lung cancer screening with low-dose computed tomography for people who: (1) have a 20 pack-year or more smoking history; (2) smoke now or have quit within the past 15 years; (3) and are between 50 and 80 years old.3 Lung cancer screening is not a substitute for quitting smoking.3
Notes
Because lung cancer can have a long latency period, years might pass before changes in behavior or clinical practice patterns affect population mortality.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
Healthy People 2030 objective: C-02. Reduce the lung cancer death rate.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479
Reference 3
US Preventive Services Task Force. Screening for lung cancer: US Preventive Services Task Force recommendation statement. JAMA. 2021;325(10):962–970. doi:10.1001/jama.2021.1117

Population
All males.
Numerator
Deaths with International Classification of Diseases (ICD)-10 code C61 as the underlying cause of death among male residents during a calendar year.
Denominator
Midyear resident male population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 Prostate cancer is a leading cause of cancer death and, in 2021, more than 32,000 males died from the disease.1 Trends in prostate cancer death rates during 2001–2019 declined 3.4% per year during 2001–2013 and were level during 2013–2019.2 In 2018, the U.S. Preventive Services Task Force (USPSTF) stated that men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen (PSA) test. Before making a decision, men should talk to their doctor about the benefits and harms of screening for prostate cancer, including the benefits and harms of other tests and treatment. Men who are 70 years old and older should not be screened for prostate cancer routinely.3
Notes
Because prostate cancer can have a long latency period, years might pass before changes in behavior or clinical practice patterns affect population mortality.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
Healthy People 2030 objective: C-08. Reduce the prostate cancer death rate.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479
Reference 3
US Preventive Services Task Force. Screening for prostate cancer: US Preventive Services Task Force recommendation statement. JAMA. 2018;319(18):1901–1913. doi:10.1001/jama.2018.3710

Population
Population: Adults aged 45–75.
Numerator
Adults aged 45–75 years who report having had a fecal occult blood test (FOBT) within the previous year; a FIT-DNA test within the previous 3 years; a sigmoidoscopy within the previous 5 years; a sigmoidoscopy within the previous 10 years with a FIT in the past year; a colonoscopy within the previous 10 years; or a CT colonography (virtual colonoscopy) within the previous 5 years.
Denominator
Adults aged 45–75 years who report having had or never having a fecal occult blood test (FOBT); a FIT-DNA test; a sigmoidoscopy; a colonoscopy; or a CT colonography (virtual colonoscopy).
Measure
Prevalence (crude and age-adjusted).
Time Period of Case Definition
Previous year for FOBT alone; previous 3 years for FIT-DNA test alone; previous 5 years for sigmoidoscopy alone; 10 years for a sigmoidoscopy combined with a FIT in the past year; 10 years for a colonoscopy alone; every 5 years for CT colonography (virtual colonoscopy) alone.
Summary
Colorectal cancer is a leading cause of cancer incidence and death.1 In 2021, more than 142,000 people were diagnosed with and 52,000 people died from the disease.1 Screening can prevent colorectal cancer by detecting and removing precancerous polyps and can detect cancer early when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends that adults age 45 to 75 be screened for colorectal cancer.2 There are different time intervals and several types of tests for colorectal cancer screening, including stool tests (including one that detect altered DNA in the stool), flexible sigmoidoscopy, colonoscopy, and computed tomography (CT) colonoscopy (or virtual colonoscopy).2
Notes
In May 2021, the U.S. Preventive Services Task Force changed its colorectal cancer screening recommendation. The age at which adults at average risk of getting colorectal cancer were recommended to begin screening was lowered from 50 to 45. The BRFSS 2020 colorectal cancer screening questions changed to include five test types (FIT, sigmoidoscopy, colonoscopy, FIT-DNA, and CT colonography) compared to three types (FIT, sigmoidoscopy, and colonoscopy) included previously. Estimates of people getting colorectal cancer screening are not comparable to previous years. Recommendations for colorectal cancer screening are not always consistent among national groups. The questions are part of the BRFSS Rotating Core (even years).
Data Source
Behavioral Risk Factor Surveillance System (BRFSS).
Related Objectives or Recommendations
Healthy People 2030 objective: C-07. Increase the proportion of adults who get screened for colorectal cancer.
Related CDI Topic Area
None.
Reference 1
Centers for Disease Control and Prevention. CDC WONDER. Underlying Cause of Death, 2018-2021, Single Race. https://wonder.cdc.gov/ucd-icd10-expanded.html
Reference 2
US Preventive Services Task Force. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2021;325(19):1965–1977. doi:10.1001/jama.2021.6238

Population
All people.
Numerator
Incident cases of cancer with an International Classification of Diseases for Oncology Second Edition (ICD-O-2) or Third Edition (ICD-O-3) (for cases diagnosed after January 1, 2001) code C00 – C80 and behavior = 3 (malignant, primary site) or C67.0 – C67.9 (bladder cancer) and behavior = 2 or 3 (in situ or malignant, primary site) among residents during a calendar year (certain histologic types are excluded).
Denominator
Midyear resident population for the same calendar year.
Measure
Annual incidence number and rate (crude and age-adjusted) [cases per 100,000] from a 5-year cycle.
Time Period of Case Definition
Five years.
Summary
In 2019, more than 1.7 million new cases of cancer were diagnosed.1 Approximately one in two males and one in three females will have a diagnosis of cancer over their lifetime.2 Cancer is not a single disease, but rather numerous diseases with different causes, risks, and potential interventions.3 Information on all cancer sites combined provides a measure of, and means of tracking, the burden from cancer. Trends in cancer incidence rates varied by sex. Among males, incidence rates were stable during 2001–2007, decreased an average of 2.1% per year during 2007–2013, and became stable again during 2013–2018. Among females, incidence rates were stable during 2001–2003 and increased an average of 0.2% per year during 2003–2018.4
Notes
Interpretation of trends or patterns in cancer incidence can be made only by examination of specific types of cancers. Because certain cancers have a long latency period, years might pass before changes in behavior or clinical practice patterns affect the incidence of new cancer cases. In addition, certain cancers are not amenable to primary prevention or screening.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
None.
Related CDI Topic Area
None.
Reference 1
US Cancer Statistics Working Group. U.S. Cancer Statistics Data Visualizations Tool, Based on 2021 Submission Data (1999-2019). National Cancer Institute, Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2022. https://www.cdc.gov/cancer/dataviz
Reference 2
Hayat, M.J., Howlader, N., Reichman, M.E. and Edwards, B.K. (2007), Cancer Statistics, Trends, and Multiple Primary Cancer Analyses from the Surveillance, Epidemiology, and End Results (SEER) Program. The Oncologist. 2007; 12: 20-37. doi:10.1634/theoncologist.12-1-20
Reference 3
National Cancer Institute, PDQ Screening and Prevention Editorial Board. Cancer Prevention Overview (PDQ®)–Patient Version. National Institutes of Health; Accessed November 3, 2022. https://www.cancer.gov/about-cancer/causes-prevention/patient-prevention-overview-pdq
Reference 4
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479

Population
All people.
Numerator
Incident cases of cancer with an International Classification of Diseases (ICD)-10 codes C00–C97 as the underlying cause of death among residents during a calendar year.
Denominator
Midyear resident population for the same calendar year.
Measure
Mortality rate (crude and age-adjusted); number [cases per 100,000]—from a 5-year cycle.
Time Period of Case Definition
Calendar year.
Summary
In 2022, 1 in every 6 deaths in the United States was due to cancer.1 In 2021, more than 605,000 people died from the disease.1 Cancer is not a single disease, but rather numerous diseases with different causes, risks, and potential interventions.2 Information on all cancer sites combined provides a measure of, and means of tracking, the burden from cancer. Trends in cancer death rates varied by sex. During 2001–2019, trends among males showed that average declines accelerated from 1.8% per year during 2001–2015 to 2.3% per year during 2015–2019. Among females, trends declined from 1.4% per year during 2001–2016 to 2.1% per year during 2016–2019.3
Notes
Cancer is not a single disease, but rather numerous diseases with different causes, risks, and potential interventions. Interpretation of trends or patterns in cancer mortality can be made only by examination of specific types of cancers. Because certain cancers have a long latency period, years might pass before changes in behavior or clinical practice patterns affect cancer mortality. In addition, certain cancers are not amenable to primary prevention or screening.
Data Source
U.S. Cancer Statistics Data Visualizations Tool (US Cancer DVT).
Related Objectives or Recommendations
Healthy People 2030 objective: C-01. Reduce the overall cancer death rate.
Related CDI Topic Area
None.
Reference 1
Kochanek KD, Murphy SL, Xu JQ, Arias E. Mortality in the United States, 2022. NCHS Data Brief, no 492. Hyattsville, MD: National Center for Health Statistics. 2024.
Reference 2
National Cancer Institute, PDQ Screening and Prevention Editorial Board. Cancer Prevention Overview (PDQ®)–Patient Version. National Institutes of Health; Accessed November 3, 2022. https://www.cancer.gov/about-cancer/causes-prevention/patient-prevention-overview-pdq
Reference 3
Cronin KA, Scott S, Firth AU, et al. Annual report to the nation on the status of cancer, part 1: national cancer statistics. Cancer. 2022;128(24):4251–4284. doi:10.1002/cncr.34479

Population
Females aged 50–74 years.
Numerator
Females aged 50–74 years who report having had a mammogram within the previous 2 years.
Denominator
Female respondents aged 50–74 years who report ever having or never having had a mammogram (excluding unknowns and refusals).
Measure
Prevalence (crude and age-adjusted).
Time Period of Case Definition
Previous 2 years.
Summary
Female breast cancer is a leading cause of cancer death and in 2021, nearly 43,000 females died from the disease.1 Screening can detect breast cancer early when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends that women who are 50 to 74 years old and are at average risk for breast cancer get a mammogram every two years. Women who are 40 to 49 years old should talk to their doctor or other health care provider about when to start and how often to get a mammogram.2
Notes
Recommendations for mammography screening are not always consistent among national groups. The questions are part of the BRFSS Rotating Core (even years).
Data Source
Behavioral Risk Factor Surveillance System (BRFSS).
Related Objectives or Recommendations
Healthy People 2030 objective: C-05. Increase the proportion of females who get screened for breast cancer.
Related CDI Topic Area
None.
Reference 1
Centers for Disease Control and Prevention. CDC WONDER. Underlying Cause of Death, 2018-2021, Single Race. https://wonder.cdc.gov/ucd-icd10-expanded.html
Reference 2
Siu AL, US Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016. doi:10.7326/M15-2886

Population
Females aged 21–65 years.
Numerator
Female respondents aged 21–65 years who do not report having had a hysterectomy and who report having had a Papanicolaou (Pap) test within the previous 3 years AND, female respondents 30–65, who do not report having had a human papilloma virus (HPV) test alone or in combination with a HPV test (also known as a co-test) within the previous 5 years.
Denominator
All female respondents aged 21–65 years.
Measure
Prevalence (crude and age-adjusted).
Time Period of Case Definition
For age 21–65: Previous 3 years for Pap test alone. For age 30–65 only: Previous 5 years for HPV test alone or combination of Pap test (co-test).
Summary
In 2021, more than 4,300 females died from cervical cancer.1 Screening can help prevent cervical cancer or find it early, when treatment is more likely to be effective. The U.S. Preventive Services Task Force recommends for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).2
Notes
In August 2018, the U.S. Preventive Services Task Force changed its cervical cancer screening recommendation to include another type of screening (hrHPV testing alone every 5 years). Estimates of people getting cervical cancer screening are not comparable to previous years. Recommendations for cervical cancer screening are not always consistent among national groups. The questions are part of the BRFSS Rotating Core (even years).
Data Source
Behavioral Risk Factor Surveillance System (BRFSS).
Related Objectives or Recommendations
Healthy People 2030 objective: C-09. Increase the proportion of females who get screened for cervical cancer.
Related CDI Topic Area
None.
Reference 1
Centers for Disease Control and Prevention. CDC WONDER. Underlying Cause of Death, 2018-2021, Single Race. https://wonder.cdc.gov/ucd-icd10-expanded.html
Reference 2
US Preventive Services Task Force. Screening for cervical cancer: US Preventive Services Task Force recommendation statement. JAMA. 2018;320(7):674–686. doi:10.1001/jama.2018.10897