CiNA Explorer - NAACCR Cancer Statistics

CiNA Explorer Help

CiNA Explorer is an interactive tool for quick access to a wide range of NAACCR cancer statistics organized by cancer site and by demographic characteristics such as sex, race/ethnicity, age, and calendar year. A select number of cancer sites may also be viewed by stage at diagnosis. Statistics may be viewed as graphs or tables and downloaded for use in other programs.

The CiNA Explorer allows for direct comparison of one characteristic at a time (such as Race/Ethnicity or Sex) for selected groups. For example, you can compare Recent Trends of Lung Cancer Incidence by Race/Ethnicity for Women.

Help Sections
  1. Using CiNA Explorer
  2. Available Statistics
  3. Registry Groupings
  4. Standard Populations
  5. Definitions
  6. Frequently Asked Questions

Using CiNA Explorer

Quick Start Guide

The following steps provide an overview on how to use the CiNA Explorer application.

  1. Select a registry using the Get the Started with a Registry dropdown list.
    • Select from the list or in the first field of the list begin typing a registry to see the available options that match your term.
    • Note: Stage Distribution and Race/Ethnicity data are only available for US Registries.
  2. Select a cancer site using the Choose a Cancer Site dropdown list.
    • Select from the list or in the first field of the list begin typing a cancer site name to see the available sites that match your term.
    • Note: Only breast, cervical, colorectal, lung & bronchus, and prostate cancer have Stage Distribution data presented.
  3. Select a graph type from those available by clicking on the tab.
    • Some graphs are line graphs while others are bar graphs depending on which is more appropriate to your selection.
    • You can move from the Graph tab to the Data Table tab to see specific numbers.
    • The graph and data table will automatically update as you make selections.
  4. Select a Compare By variable tab.
    • The variable tab opens with the primary variable (the Compare By variable) at the top.
    • You can select Sex, Race/Ethnicity (U.S. Only), Age, or Registry to compare by.
    • Multiple variable values can be selected for the primary variable. For example, when comparing by gender you can select one or more of the choices which are Both Sexes (combined), Female, and Male.
  5. Age, Sex, Race/Ethnicity (U.S. Only), Stage at Diagnosis (U.S. Only)
    • The variables not selected as the variable to Compare By are secondary variables.
    • Select values for the secondary variables by clicking on the plus sign to open the dropdown lists and selecting a radio button next to value you want to use.
    • The secondary variables can only have one value at a time.
  6. Select a Graph or a Data Table by clicking on the tab.
    • Some graphs are line graphs while others are bar graphs--depending on which is more appropriate for your selection.
    • You can move from the Graph tab to the Data Table tab to see specific numbers.
    • The graph and data table will automatically update as you make selections.

Interface Details

An overview of the CiNA Explorer interface.

User Controls

  1. Get Started with a Registry
  2. Choose a Cancer Site
  3. Graph Type
    See definitions by clicking on the question mark.
  4. Compare By tabs
  5. Compare By variable values
    Select more than one value to have a comparison.
  6. Secondary variables
    Select only one value from each variable.
  7. More Options – See More Options section for details.

Results

  1. Selection Tabs
  2. Graph
  3. Legend
  4. Foot Notes
  5. Data Table
    The data table may have choices. If so, you can change your selection using the radio buttons.

More Options

The controls available under More Options are dependent on the statistic. All of the possible controls that can appear in More Options:

  • Precision – The number of decimal places shown in the table for Annual Percent Change (APC) or Rates may be specified here. You can set the value to 0.1, 0.01, 0.001, or 0.0001.
  • Show Confidence Interval – When this option is checked, the confidence intervals (CI) will be displayed in the data tables as columns for C.I. Low and C.I. High. The values will also be displayed if you hover over a data point on the graph.
  • Show Counts – When this option is checked, the average annual count will be displayed in the data tables as columns. The values will also be displayed if you hover a data point on the graph.

Available Statistics

CiNA Incidence

CiNA Incidence is the number of new cases of the specific cancer site/type per 100,000 people. Number of new cases per number of people in a population are also referred to as incidence rates.

CiNA Incidence for Pediatric Cancers

CiNA Incidence rates for pediatric cancer diagnoses are available in this application as the number of new cases of the specific cancer site/type per 1,000,000 people. The age at diagnosis range for these rates are ages 0-39. The cancer sites are available in the 'Choose a Cancer Site' dropdown list, below the standard site recode groups.

U.S. Mortality

Mortality is the number of new deaths of the specific cancer site/type per 100,000 people. Number of new deaths per number of people in a population are also referred to as mortality rates.

Survival

Relative survival is an estimate of the percentage of patients who would be expected to survive the effects of their cancer. It excludes the risk of dying from other causes. Relative Survival statistics compare the survival of patients diagnosed with cancer with the survival of people in the general population who are the same age, race, and sex and who have not been diagnosed with cancer.

Prevalence

Cancer Prevalence is the number or percent of people alive on a certain date who have been diagnosed with cancer. In Prevalence we show limited-duration prevalence which represents the proportion of people alive on a certain day who had a diagnosis in the 2, 5, or 10 years prior to the prevalence date. Limited duration prevalence is presented as U.S. counts or percent of the U.S. population by age, sex, race and time since diagnosis.

Registry Groupings

NAACCR Combined Registries

The NAACCR Combined Registry groupings include registries that meet the NAACCR criteria for high quality data definition as described in the corresponding CINA Monograph.

17-21 U.S. Combined*

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
  • Puerto Rico**

*the SEER registries of Greater California, Greater Bay, Los Angeles, Detroit and Seattle are considered high quality data, but not included in the 17-21 Combined to avoid double counting.

**Puerto Rico data have been adjusted to accommodate the impact of Hurricane Maria.

17-21 Canada Combined

  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Northwest Territories
  • Ontario
  • Prince Edward Island
  • Saskatchewan

Nova Scotia and Quebec did not submit data for the current submission. Nunavut and Yukon did not meet the High Quality Data Standard requirements and are not included in the Canadian Combined.

17-21 North America Combined

The North America Combined registries include the registries from both the US combined and Canada combined (see registries included above).

U.S. Regions

  • New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont.
  • Middle Atlantic: New Jersey, New York, Pennsylvania.
  • South Atlantic: Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia.
  • East North Central: Illinois, Indiana, Michigan, Ohio, Wisconsin.
  • East South Central: Alabama, Kentucky, Mississippi, Tennessee.
  • West North Central: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota.
  • West South Central: Arkansas, Louisiana, Oklahoma, Texas.
  • Mountain: Arizona, Colorado, Idaho, Montana, New Mexico, Utah, Wyoming.
  • Pacific: Alaska, California, Hawaii, Nevada, Oregon, Washington.

IHS Purchased/Referred Care Delivery Area (PRCDA) Regions

PRCDA write-up. Text is needed here to explain what PRCDA is. Ideally a link to a webpage that includes a PRCDA 2020 map and also makes sense in the context of what is being shown here.
The regions below list the states included in each region. Only states that have PRCDA counties are listed for the regions.

  • Alaska.
  • East: Alabama, Connecticut, Florida, Louisiana, Maine, Massachusetts, Mississippi, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, and Virginia.
  • Pacific Coast: California, Idaho, Oregon, and Washington.
  • Northern Plains: Indiana, Iowa, Michigan, Minnesota, Montana, Nebraska, North Dakota, South Dakota, Wisconsin, and Wyoming.
  • Southern Plains: Kansas, Oklahoma, and Texas.
  • Southwest: Arizona, Colorado, Nevada, New Mexico, and Utah.

Standard Populations

Rates are per 100,000 population and are age-adjusted by five-year age groups to the 2000 U.S. standard population based on single years of age (Ries, et al. 2005) and the 2011 Canadian standard population.

Age distributions of the two standard populations

Age Group 2000 U.S.
(Census P25-1130)		 2011 CDN.
00 years 3,794,901 376,321
01-04 years 15,191,619 1,522,743
05-09 years 19,919,840 1,810,433
10-14 years 20,056,779 1,918,164
15-19 years 19,819,518 2,238,952
20-24 years 18,257,225 2,354,354
25-29 years 17,722,067 2,369,841
30-34 years 19,511,370 2,327,955
35-39 years 22,179,956 2,273,087
40-44 years 22,479,229 2,385,918
45-49 years 19,805,793 2,719,909
50-54 years 17,224,359 2,691,260
55-59 years 13,307,234 2,353,090
60-64 years 10,654,272 2,050,443
65-69 years 9,409,940 1,532,940
70-74 years 8,725,574 1,153,822
75-79 years 7,414,559 919,338
80-84 years 4,900,234 701,140
85-89 years 2,678,567 426,739
90+ years 1,580,606 216,331
Total 274,633,642 34,342,780

Definitions

  • Age-Adjusted Rate
    A method allowing comparisons of populations that takes into account age-distribution differences between populations.
  • Annual Percent Change
    Used to measure trends or the change in rates over time.
  • APC/Rate Precision
    The number of decimal places shown in the data table.
  • Cancer Sites
    Refer to the CiNA Explorer Cancer Site Definitions for more information
  • Confidence Interval
    A range of values that have a specified probability of containing the rate or trend.
  • P-Value
    Used in the calculation of confidence intervals and in significance testing. The default value for all p-values is 0.05 (equivalent to a 95% confidence interval or 0.05 significance).
  • Stage at Diagnosis
    The stage that the cancer has progressed to at the time of diagnosis.
    • In Situ: Requires Microscopic Review, Non-invasive
    • Localized: Confined to the Primary Site
    • Regional: Spread to Regional Lymph Nodes
    • Distant: Cancer Has Metastasized
    • Unstaged: Unknown (or Not Enough Information to Indicate a Stage)
  • Standard Error
    The standard error of an estimate is a measure of the sampling variability of the estimate.

Frequently Asked Questions

  1. How do I do cross-comparisons of multiple characteristics, for example Race and Sex?
    In CiNA Explorer, you can only compare one characteristic at a time (chosen on the Compare By box). To do cross comparisons for example, lung cancer incidence rates by Race and Sex, you can download the data in CSV format to be used with external graphic software like Microsoft Excel.
  2. How do I compare multiple registries?
    In the current version of CiNA Explorer, you can compare registries by:
    • Choosing one registry from the Get Started with a Registry dropdown at the top
    • In the Compare By section, choose the option NAACCR Registry
    • Click or tap the Select Registries button to get a list of all registries
    • Choose your registries and select Compare in the window when done
  3. Where do I go for Technical Support?
    Please send questions or comments to CiNA Explorer Support.