There's been a lot of bad news recently regarding U.S. death rates. In 2017, increases were seen in fatalities from seven of the 10 leading causes of death, according to recently released government data. But cancer has been something of a bright spot.
The nation's cancer death rate was increasing until the early 1990s. It has been dropping since, falling 27 percent between 1991 and 2016, the Cancer Society reported.
Lung cancer is the main reason. Among cancers, it has long killed the most people, especially men. But the lung cancer death
The report has some mixed news about prostate cancer, the second leading cause of cancer death in men.
The prostate cancer death rate fell by half over two decades, but experts have been wondering whether the trend changed after a 2011 decision by the U.S. Preventive Services Task Force to stop recommending routine testing of men using the PSA blood test. That decision was prompted by concerns the test was leading to overdiagnosis and overtreatment.
The prostate cancer death rate flattened from 2013 to 2016. So while the PSA testing may have surfaced cases that didn't need treatment, it may also have prevented some cancer deaths, the report suggests.
Of the most common types of cancer in the U.S., all the ones with increasing
There's been a decline in the historic racial gap in cancer death rates, but an economic gap is growing — especially when it comes to deaths that could be prevented by early screening and treatment, better eating and less smoking.
In the early 1970s, colon cancer death rates in the poorest counties were 20 percent lower than those in affluent counties; now they're 30 percent higher. Cervical cancer deaths are twice as high for women in poor counties now, compared with women in affluent counties. And lung and liver cancer death rates are 40 percent higher for men in poor counties.
Dr. Darrell Gray, deputy director of Ohio State University's Center for Cancer Health Equity, called the findings “important but not surprising.”
“We've known for some time that race is a surrogate” for other factors, like poverty and difficulty getting to or paying for doctor's appointments, he said.