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Trends in incidence and mortality, England 1988 to 2008.

Dec 23, 2015

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Ellen Green
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Page 1: Trends in incidence and mortality, England 1988 to 2008.
Page 2: Trends in incidence and mortality, England 1988 to 2008.

Trends in incidence and mortality, England 1988 to 2008

0

2

4

6

8

10

12

14

16

18

ASI

R a

nd A

SMR

per

100

,000

fem

ale

popu

lati

on

Year

England - IncidenceEngland - Mortality

Page 3: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of incidence by SHA, 2004-2008

East of England

South East CoastLondon

North West

West Midlands

East Midlands

North East

Yorkshire and The Humber

6.0

7.0

8.0

9.0

10.0

11.0

0 1 2 3 4

ASIR

Rat

e pe

r 100

,000

Fem

ale

Popu

latio

n

Age Standardised Female Population (millions)

Data

Average

2SD limits

3SD limits

Page 4: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of incidence by Cancer Network, 2004-2008

3 CountiesAnglia

Avon, Somerset & Wiltshire East Midlands

Essex

Greater Midlands

Humber & Yorkshire Coast

Mount Vernon

North East London

North London

North of England

North West London

Pan Birmingham

South West LondonSurrey, West Sussex &

Hampshire

Sussex

Yorkshire

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

11.0

12.0

13.0

14.0

15.0

0 1 2

ASI

R Ra

te p

er 1

00,0

00 F

emal

e Po

pula

tion

Age Standardised Female Population (millions)

Data

Average

2SD limits

3SD limits

Page 5: Trends in incidence and mortality, England 1988 to 2008.

Map of incidence by Cancer Network, 2004-2008

Page 6: Trends in incidence and mortality, England 1988 to 2008.

Age-specific incidence rates and number of cases diagnosed by five year age group, England 2008

0

2

4

6

8

10

12

14

16

18

20

0

50

100

150

200

250

300

350

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+

Age-specifi

c rate per 100,000 felmale populati

on

No.

Cas

es

Age Group

Total Cases

Rate

Page 7: Trends in incidence and mortality, England 1988 to 2008.

Trends in incidence in women under 35, England 1988 to 2008

0

5

10

15

20

25

30

35

Age

-spe

cifi

c in

cide

nce

rat

e pe

r 100

,000

fem

ale

popu

lati

on

Year

30-34

25-29

20-24

Page 8: Trends in incidence and mortality, England 1988 to 2008.

Scatter plot of incidence against measure of deprivation by PCT, 2004-2008

R² = 0.1189

0

2

4

6

8

10

12

14

16

18

20

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

ASI

R pe

r 100

,000

fem

ale

popu

lati

on

Deprivation (proportion of people income deprived)

Page 9: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of mortality by SHA, 2004-2008

East of England

South CentralSouth East Coast

North East North West

1.5

1.7

1.9

2.1

2.3

2.5

2.7

2.9

3.1

0 1 2 3 4 5 6 7

ASM

R p

er 1

00,0

00 F

emal

e P

op

ula

tio

n

Age Standardised Female Population (millions)

Data

England Average

2SD limits

3SD limits

Page 10: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of mortality by Cancer Network, 2004-2008

Anglia

Greater Manchester & Cheshire

Merseyside & Cheshire

North of England

Thames Valley

1.0

1.5

2.0

2.5

3.0

3.5

0 1 2 3

ASM

R pe

r 100

,000

Fem

ale

Popu

lati

on

Age Standardised Female Population (millions)

Data

England Average

2SD limits

3SD limits

Page 11: Trends in incidence and mortality, England 1988 to 2008.

Map of mortality by Cancer Network, 2004-2008

Page 12: Trends in incidence and mortality, England 1988 to 2008.

Age-specific mortality rates and number of deaths by five year age group, England 2006-2008

0

2

4

6

8

10

12

14

16

18

20

0

50

100

150

200

250

300

350

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+

Crude RateNo.

Cas

es

Age Group

Total CasesCrude Rate

Page 13: Trends in incidence and mortality, England 1988 to 2008.

Trends in mortality in women under 35, England 1986-1988 to 2006-2008

0

1

2

3

4

5

6

Age

-sp

eci

fic

mo

rtal

ity

rate

pe

r 1

00

,000

fem

ale

po

pu

lati

on

30-34

25-29

20-25

Page 14: Trends in incidence and mortality, England 1988 to 2008.

Scatter plot of mortality against measure of deprivation by PCT, 2004-2008

R² = 0.3304

0

1

2

3

4

5

6

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

ASM

R pe

r 100

,000

fem

ale

popu

latio

n

Income Domain Score

Page 15: Trends in incidence and mortality, England 1988 to 2008.

Trends in one and five-year relative survival, England 1985-1987 to 2005-2007/2001-2003

50

55

60

65

70

75

80

85

90

95

100

% R

elati

ve S

urvi

val

1 Year

5 Year

Page 16: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of one-year relative survival by Cancer Network, 2005-2007

North East London

70

75

80

85

90

0 100 200 300 400 500

% R

elati

ve S

urvi

val

Precision of Survival Estimate

Data

Average

2SD limits

3SD limits

Page 17: Trends in incidence and mortality, England 1988 to 2008.

Funnel plot of five-year relative survival by Cancer Network, 2001-2003

Humber & Yorkshire Coast

50

55

60

65

70

75

80

0 100 200 300 400 500

% R

elati

ve S

urvi

val

Precision of Survival Estimate

Data

Average

2SD limits

3SD limits

Page 18: Trends in incidence and mortality, England 1988 to 2008.

Age-specific relative survival, England 2005-2007 and 2001-2003

0

10

20

30

40

50

60

70

80

90

100

All Females 15-39 40-49 50-59 60-69 70-79 80+

% R

elati

ve Su

rviv

al

Age Group

1 Year

5 Year

Page 19: Trends in incidence and mortality, England 1988 to 2008.

Trends in age-specific one-year relative survival, England 1985-1987 to 2005-2007

0

10

20

30

40

50

60

70

80

90

100

1 Ye

ar R

elati

ve Su

rviv

al %

15-39

40-49

50-59

60-69

70-79

80+

Page 20: Trends in incidence and mortality, England 1988 to 2008.

Trends in age-specific five-year relative survival, England 1986-1988 to 2001-2003

0

10

20

30

40

50

60

70

80

90

1005

Year

Rel

ative

Surv

ival

% 15-39

40-49

50-59

60-69

70-79

80+

Page 21: Trends in incidence and mortality, England 1988 to 2008.

Relative survival by deprivation, England 2005-2007 and 2001-2003

50

55

60

65

70

75

80

85

90

95

100

All Females Affluent 2 3 4 Deprived

% R

elati

ve S

urvi

val

1 Year

5 Year