Second annual report from American Lung Association explores how states can act to save more lives, support patients and families facing lung cancer
HOUSTON — (November 13, 2019) — Today, the American Lung Association released the annual “State of Lung Cancer” Report, which reveals that Texas is almost last in lung cancer screening rates in the nation. Texas’ early diagnosis, surgical treatment and lack of treatment rates also all rank lower than the national average.
The annual “State of Lung Cancer” report examines the toll of lung cancer throughout the nation, and outlines steps every state can take to better protect its residents from lung cancer. This year’s “State of Lung Cancer” seeks to continue the positive trend of increased lung cancer survival, as the nationwide five-year lung cancer survival rate of 21.7%, up from 17.2% a decade ago, reflects a 26% improvement over the past 10 years. Here in Texas, the survival rate is 20.9%, which is below the national average..
“While we celebrate that more Americans than ever are surviving lung cancer, the disease remains the leading cause of cancer deaths, and much more can and must be done in Texas to prevent the disease and support families facing the disease,” said JoAnna Strother, director of advocacy for the Lung Association.
Part of the reason that lung cancer is so deadly is because most lung cancer cases are diagnosed at a later stage, after the disease has spread. Lung cancer screening is the key to early detection, when the disease is most curable, but only 21.5% of lung cancer cases nationally are diagnosed at an early stage. While this screening test has been available since 2015, only 1.7% of those eligible in Texas have been screened, which is one of the lowest rates in the nation.
“This simple test – lung cancer screening – is a powerful tool to save lives,” said Strother. “Yet we’re only seeing a fraction of those who qualify actually getting screened. We’re pushing for greater awareness of this test to save more lives here in Texas.”
The “State of Lung Cancer” report finds that the burden of lung cancer varies by state. By better understanding the impact of lung cancer across the nation, efforts and policies can be focused where the needs are greatest. Below are the key findings for Texas:
- Incidence: Incidence refers to the number of new cases of lung cancer in each state. On average, the higher prevalence of smoking, the more lung cancer cases in a state. The national lung cancer incidence rate is 59.6. Texas ranks 9thin lung cancer incidence rate in the nation (above average), at a rate of 52.2 people out of 100,000 people.
- Survival: Lung cancer has one of the lowest five-year survival rates because cases are often diagnosed at later stages when it is less likely to be curable. Texas ranks 25thin the nation for survival rates at 20.9% (average).
- Early Diagnosis: Nationally, only 21.5% of cases are diagnosed at an early stage when the survival rate is much higher. Unfortunately, about 48.5% of cases are not caught until a late stage when the survival rate is only 6%. Texas ranks 42ndin the nation (below average) at 19.3%.
- Surgical Treatment: Lung cancer can often be treated with surgery if it is diagnosed at an early stage and has not spread widely. Nationally, 20.6 % of cases underwent surgery. Texas ranks 43rdin the nation (almost last) at 16%.
- Lack of Treatment: There are multiple reasons why patients may not receive treatment. Some of these reasons may be unavoidable, but no one should go untreated because of lack of provider or patient knowledge, stigma associated with lung cancer, fatalism after diagnosis, or cost of treatment. Nationally, about 15.4% of cases receive no treatment. Texas ranks 42ndin the nation (below average) at 21%.
- Screening and Prevention: Screening for lung cancer with annual low-dose CT scans among those who qualify can reduce the lung cancer death rate by up to 20%. Nationally, only 4.2% of those who qualify were screened. Texas ranked 45thin the nation (almost last) with 1.7%.
Learn more about “State of Lung Cancer” at Lung.org/solc. For media interested in speaking with a medical expert about the “State of Lung Cancer” 2019 report or lung cancer survivor about their experience, contact James Martinez at the American Lung Association at James.Martinez@Lung.org or 312-445-2501.
Background on the Report
The American Lung Association’s “State of Lung Cancer” 2019 is the second report we have released on key lung cancer statistics for each state. The 2019 report uses data from the North American Association of Central Cancer Registries (NAACCR), Centers for Disease Control and Prevention (CDC), and American College of Radiology (ACR), among other sources. Analysis of this data is conducted by the American Lung Association Epidemiology and Statistics team.