SEER 2001 Expansion
On February 13, 2001,
the director of the National Cancer Institute
announced SEER's
expansion with awards to four additional states: Louisiana, Kentucky,
New Jersey, and California (the remaining portions of the state
not already under SEER coverage). The contracts were awarded through
competitive selection and peer review, with emphasis on:
- coverage of populations for which limited data existed, and
- data quality that meets SEER standards and reporting requirements.
Inclusion of the four new geographic areas
increases SEER coverage to 23 percent of African Americans, 40
percent of Hispanics, 42
percent of American Indians and Alaska Natives, 53 percent
of Asians, and 70 percent of Hawaiian/Pacific Islanders. Overall, when including the four new areas, SEER coverage increases
from 14 percent to 26 percent of the US population, from about 39 million
to near 74 million. (Details are provided in the table: Number of Persons by Race and Hispanic Ethnicity for SEER Participants.)
NCI has recognized
the need to better explain the cancer burden in racial/ethnic
minorities and medically underserved populations and is concerned
with research on the full diversity of the US population. In
previous expansions since 1973, SEER increased the proportions
of Hispanics, urban African Americans and Asian and Pacific Islanders
in Southern California and the Greater Bay Area, rural African
Americans in Georgia, northwestern populations in Seattle, Arizona
Indians, and Alaska Natives. One of the recommendations of both
the Surveillance Implementation Group and the NCI Cancer Control
Review Group was to further expand coverage to capture additional
key populations, such as rural low-income whites, more diverse
American Indian populations, rural African Americans, and other
Hispanic groups. The addition of the four new SEER areas -- the
largest expansion to date -- accomplishes this objective.
NCI funds are coupled
with funding from the Centers for Disease Control and Prevention
(CDC) through the National Program of Cancer Registries (NPCR)
as well as funding from the states. NCI's cost for the expansion
is nearly $4 million for the first year, totaling almost $10 million
for the first 29.5 months. A recent Memorandum of Understanding
has secured cooperation in cancer surveillance between the NCI
and CDC, with special emphasis on the registries of SEER and NPCR.
Beyond the expansion of SEER, NCI staff are working with the North
American Association of Central Cancer Registries to
provide guidance for all state registries in order to achieve
data content and compatibility acceptable for pooling data and
improving national estimates. The SEER team is developing computer
applications to unify cancer registration systems and to analyze
and disseminate population-based data. Access to surveillance
information also is being improved through expansion of web-based
training, dissemination of analytic tools, and linkage to other
national data sources.
|
Surveillance Research Program
Division of Cancer Control &
