Atlas of Cancer Mortality

Results -- Geographic Patterns for Rectal Cancer

Like colon cancer, there was a clear pattern in both periods of elevated rates among whites in the northeastern, mid-Atlantic, and midwestern areas, with low rates across the southern tier. Few of the SEAs west of the Mississippi River had high rates. The similar variations for colon and rectal cancer suggest risk factors in common. Reporting practices may contribute to the similarity in patterns, since rectal cancer is sometimes specified on the death certificate as intestinal cancer, which is then categorized with colon cancer. 49 The geographic variation among blacks was similar to that of whites, although less consistent.

References
49. Chow WH, Devesa SS. Death certificate reporting of colon and rectal cancers (letter). JAMA 1992;267:3028.

Suggested Citation

Devesa SS, Grauman DG, Blot WJ, Pennello G, Hoover RN, Fraumeni JF Jr. Atlas of cancer mortality in the United States, 1950-94. Washington, DC: US Govt Print Off; 1999 [NIH Publ No. (NIH) 99-4564].
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