Cancer Summit Wirral Cancer Intelligence Data Andrea Hutchinson Public Health Information Specialist January 2014
Apr 01, 2015
Cancer Summit
Wirral Cancer Intelligence Data
Andrea Hutchinson
Public Health Information Specialist
January 2014
Overview – New Cancers
• The number of new cases of cancer has been on the increase (25%), from 1620 cases (1993) to 2018 (2011).
• Wirral’s rate is slightly higher than the England average for 2011 with a SRR 107• The most common cancers during (2009-11) in men; Prostate (27%), Lung (16%) and
Colorectal (13%) • Women Breast (28%), Lung (14%) and Colorectal (12%)
Overview – Mortality
• Death rates gradually decreasing over time• SMR <75 years is slightly below Eng average – SMR 98 • All ages is higher – SMR 106
Trends – Breast
• Breast Cancer Incidence has increased by almost two-fifths (38%) • Rates have remained lower than the England average, with some variation
Breast CancerIncidence Mortality
• Breast cancer incidence is lower - SRR 98.8 (95% CI 92.2-105.7) than England & NW average
• Breast cancer mortality <75 years is lower - SMR 94.7 (95% CI 76.9-115.3) than the England average
North West WirralSRR 101.2 98.8
0102030405060708090
100110120
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Indirectly Standardised Incidence Ratio for Breast Cancer*; all ages, 2009-11
Source: HSCIC*Breast Cancer ICD10 C50
North West WirralSMR 100.1 94.7
0102030405060708090
100110120130
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Indirectly Standardised Mortality Ratio for Breast Cancer*; < 75 years, 2009-11
Source: HSCIC*Mortality form Breast cancer ICD10 C50
Trends - Lung
• New cases of Lung cancer in females has gradually increased• In males Wirral have seen a reduction
Lung Cancer
Incidence Mortality
• Lung cancer Incidence is almost 30% higher than national average in both males SRR 128 (95% CI 117-140) and females SRR 131 (95% CI 118-144)
• Deaths from lung cancer is 30% higher in males SMR 127 (95% CI110-145) and 40% higher in females SMR 140 (95% CI 120-161)
North West WirralMales 124.0 128.3Females 132.8 131.0
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Indirectly Standardised Incidence Ratio from Lung Cancer*; all ages, 2009-11
North West WirralMales 120.8 127.0Females 131.6 140.0
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Indirectly Standardised Mortality Ratio from Lung Cancer*; < 75 years, 2010-12
Source: HSCIC*Mortality from Lung Cancer ICD 10 33-34
Trends – Colorectal
Rates of Colorectal cancer in males is slightly higher than the England average SMR -102Females Colorectal cancer cases is lower SMR - 88
Colorectal Cancer
Incidence Mortality
• Rates are lower in males for new cases SRR 99 (95% CI 89-109) and mortality SMR 82 (95% CI 62-106)
• Females is slightly higher than the average with SRR 106 (95% CI 96-118) for new cases and the death rate is 20% higher in females SMR 119 (95% CI 90-155)
North West WirralMales 104.3 99.4Females 100.5 106.4
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140
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Indirectly Standardised Incidence Ratio for Colorectal Cancer*; all ages, 2009-11
Source: HSCIC*Colorectal Cancer ICD10 C17-C21
North West WirralMales 111.0 82.5Females 107.5 119.7
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Indirectly Standardised Mortality Ratio for Colorectal Cancer*; <75 years, 2010-12
Source: HSCIC*Mortality from Colorectal Cancer ICD10 C17-C21
Trends – Prostate
• Most common cancer in men• 2-fold increase in the rate of prostate cancer cases Rates have risen sharply
from 1993 SRR 57 to SRR 118 in 2011
Prostate CancerIncidence Mortality
• 15% higher than England average in new cases of prostate cancer SRR 116 (95% CI 109-125)
• Death rate < 75 years is the same as England, SMR 100 (95% CI 73-132) however deaths in all ages is higher SMR 113 (95% CI 98-129)
North West WirralSMR 99.2 100.1
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Indirectly Standardised Mortality Ratio from Prostate Cancer*; <75 years, 2010-12
Source: HSCIC*Mortality from Prostate Cancer ICD 10 C61
North West WirralSRR 97.8 116.8
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140
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Indirectly Standardised Incidence Ratio for Prostate Cancer*; all ages, 2009-11
Source: HSCIC*Prostate Cancer ICD 10 C61
Trends – Cervical
• Cervical cancer rates have shown significant variation over time, with a decline in the number of new cases diagnosed in Wirral.
• Jade Goody effect saw a rise in new cases between 2008 -10
Cervical CancerIncidence Mortality
• Cervical cancer rates is 22% higher than the national average SRR 122 (95% CI 93-159)
• Death rates from cervical cancer in <75 years is 38% higher than national average - SMR 138 (95% CI 75-231)
North west WirralSRR 122.9 122.9
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Indirectly Standardised Incidence Ratio for Cervical Cancer*; all ages, 2009-11
Source: HSCIC*Mortality from Cervical Cancer ICD 10 C53
North West WirralSMR 116.9 138.1
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Indirectly Standardised Mortality for Cervical Cancer*; <75 years 2010-12
Source: HSCIC*Mortality From Cervical Cancer ICD 10 C53
Breast Screening
Cervical Screening
Bowel Screening
5- year Survival
1- year Survival
For further information…….
• Wirral 2013 compendium of statistics
http://info.wirral.nhs.uk/intelligencehub/statistics.html • Wirral JSNA
http://info.wirral.nhs.uk/ourjsna/
Andrea Hutchinson
Public Health Intelligence Team
Wirral Council
0151 666 5143