Action Plan on Colorectal Cancer for the State of Texas




Contents
Executive Summary
Introduction
	Project Charge
	Steering Committee
	Plan Development Process and Timeline
	Acknowledgments
The Challenge: Colorectal Cancer in Texas
	What is Colorectal Cancer?
	Risk Factors
	Incidence and Mortality
	Prevention and Screening Guidelines
	Current Knowledge, Attitudes and Practices
	Access to and Availability of Services
	Financial and Policy Issues
Current Resources
	The Texas Cancer Council
	The American Cancer Society, Texas Division
	The Cancer Information Service
	The Texas Cancer Data Center
	The Cancer Gateway of Texas
	Texas Department of Health
	The University of Texas M. D. Anderson Cancer Center
	Cancer Care Facilities
	Physician Specialists
	Non-Physician Healthcare Professionals
	Physician Oncology Education Program
	Nurse Oncology Education Program
	National Colorectal Cancer Awareness Month
Recommendations
Conclusion
References
Appendices
	A.	Texas Counties with Highest Colorectal Cancer Mortality, 1990-97
	B.	Texas Medical Association Physician Survey
	C.	ACS Division Colorectal Cancer Outcomes, 2000-2005
	D.	Windsor Village United Methodist Church LIFE Ministry Strategic Plan

Appendix A

Top Counties for Colorectal Cancer Mortality Rates* 1990-1997, for Each Race and Gender
	All Races Male Female	Anglos Male Female	African Americans Male Female	Hispanics Male Female
All Counties	20.5113.32	20.6613.46	31.7121.25	14.767.86
Angelina			22.65
Aransas	18.24
Austin	18.92
Bastrop*	18.89	18.35	29.3
Bexar*			32.27	18.068.44
Bosque	28.29	29.93
Brazoria			37.4134.2
Collin*		16.54
Dallas*			33.0725.1
De Witt	28.21	29.33
Denton*		16.52
Eastland	18.55	19.17
El Paso*			35.71	15.558.18
Ellis	19.01	19.16	29.2
Erath		17.08
Falls	27.34
Fannin	29.5119.81	28.6919.81
Fort Bend*	<			29.29
Galveston*	18.17	18.13	28.4622.91	21.1210.26
Gillespie		24.94
Gray	18.44	19.18
Gregg*			26.56
Grimes	30.64	34.35
Harris*			35.73	12.15
Hood*	18.36
Hunt*			36.91
Hutchinson	18.1	18.32
Jasper	18.44
Jefferson*			23.43
Kaufman*	32.3419.14	29.9418.12	55.5526.98
Lamar		18.57
Lavaca		24.59
Liberty*	18.59	18.55
Matagorda			43.01
McLennan*			35.15	21.3114.8
Milam		21.31
Montague	29.18	28.8
Navarro	18.14		33.1
Nueces*			33.69	19.6911.17
Orange*	16.65
Panola	25.92
Potter*	25.94	27.52
Red River	18.55
San Jacinto	28.36
Tarrant*			35.3122.58	21.15
Travis*			31.8922.21	9.99
Upshur*		25.58
Victoria*		27.46
Washington	33.9	33.418.0
Webb*		58.13
Young	35.4	36.61
• Designated urban counties *Average annual rates per 100,000, age-adjusted to the 1970 U.S. standard. Counties with gewer than 25 deaths were excluded. SOURCE: Texas Cancer Registry

Colorectal Cancer Mortality Rates, 1990-1997

Metropolitan Counties of Texas 58 of Total 254 Counties

Archer	Coryell	Harris	McLennan	Taylor
Bastrop	Dallas	Harrison	Midland	Torn Green
Bell	Denton	Hays	Montgomery	Travis
Bexar	Ector	Henderson	Nueces	Upshur
Bowie	Ellis	Hidalgo	orange	Victoria
Brazoria	El Paso	Hood	Parker	Waller
Brazos	Fort Bend	Hunt	Potter	Webb
Caldwell	Galveston	Jefferson	Randall	Wichita
Cameron	Grayson	Johnson	Rockwall	Williamson
Chambers	Gregg	Kaufman	San Patricio	Wilson
Collin	Guadalupe	Liberty	Smith
Comal	Hardin	Lubbock	Tarrant