Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant...
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Transcript of Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant...
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Caroline BrookAssistant Director – Strategic Policy and Information
Northern and Yorkshire Cancer Registry and Information Service(NYCRIS)
Cancer Mortality Ratesin the under 75s
- An overview of the position within the North East and Yorkshire and the Humber
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ~9,000 cancer deaths in the under 75s per year across the three cancer networks (based on 2007)
• This has reduced in absolute numbers by 13.7% between 1996 and 2007
• However, the under 75s population has also reduced between 1996 and 2006 (-0.36 YCN, -0.88 HYC, -1.27 NECN)
Key facts
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Key facts• Lung, Colorectal, Breast and Prostate
account for almost 50% of all cancer deaths.
• Mortality rates for prostate – often erratic and difficult to interpret.
• Changing profile of cancer deaths across 5 year age bands.
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Cancer mortality rates-All cancers exc. non-melanoma skinBy 5 year age groups
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS North East
0
25
50
75
100
125
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175
200
1995
-97
1996
-98
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-99
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-00
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-01
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2001
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2002
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-07
AS
R p
er 1
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NE SHA - All Cancers (excl nmsc) Under 75 Mortality Rate
Persons Target
• Overall reduction to 2005-2007 = -19.5%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Site-specific reduction in cancer mortalityColorectal = -28.9% Lung = -23.8%Breast (f) = -23.0% Prostate = +0.3%
NHS North East
NE SHA - Lung Cancer Under 75 Mortality RateMale and Female England comparison
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10
20
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50
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-97
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-98
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-99
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-00
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-01
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-04
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-06
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er 1
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opul
atio
n
NE SHA Males NE SHA Females England Males England Females
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Yorkshire and the Humber
• Overall reduction to 2005-2007 = -17.7%
020406080
100120140160180
1995
-97
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-98
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-99
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er 1
00,0
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Y&H SHA, all cancers excl nmsc mortality, under 75 years
Persons Persons target
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Site-specific reduction in cancer mortalityColorectal = -28.6% Lung = -20.4%Breast (f) = -22.0% Prostate = -13.3%
NHS Yorkshire and the Humber
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Rotherham
• Site-specific reduction in cancer mortalityColorectal = -46.8% Lung = -22.3%Breast (f) = -43.4% Prostate = -9.3%
• OverallReduction= -19.4%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = -33.2%
• However...Males = +53.8%Females = -81.7%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Barnsley
• Site-specific reduction in cancer mortalityColorectal = -45.2% Lung = -13.3%Breast (f) = -25.3% Prostate = -45.7%
• OverallReduction= -14.7%(targetnot met)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = +8.7%
• However...Males = -28.4%Females = +71.8%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Doncaster
• Site-specific reduction in cancer mortalityColorectal = -29.2% Lung = -28.0%Breast (f) = -30.4% Prostate = -9.2%
• OverallReduction= -18.7%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = -32.3 %
• Unlike other South Yorks PCTsMales = -14.7%Females = -70.3%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Sheffield
• Site-specific reduction in cancer mortalityColorectal = -36.2% Lung = -18.8%Breast (f) = -20.3% Prostate = -18.7%
• OverallReduction= -20.8%(targetmet)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
0
25
50
75
100
125
150
175
200
1995-9
7
1996-9
8
1997-9
9
1998-0
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1999-0
1
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2001-0
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2002-0
4
2003-0
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2005-0
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Year
HYC, all cancers excl nmsc mortality, under 75 yearsTrend in relation to PSA target
Humber and Yorkshire Coast Cancer Network (HYCCN)
• OverallReduction= -17.9%
• Site-specific reduction in cancer mortalityColorectal = -24.3% Lung = -16.7%Breast (f) = -20.2% Prostate = -15.3%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Network performed well across the board with the network and all PCTs having either achieved the target to date or having a rate not significantly different from the target.
• Key issues are around more recent increasing trends and increased awareness and monitoring of these.
HYCCN Key facts
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Colorectal
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Lung
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
0
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30
40
50
60
1995-1
997
1995-1
998
1997-1
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1998-2
000
1999-2
001
2000-2
002
2001-2
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2002-2
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2003-2
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2004-2
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2005-2
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PCT mortality trends, with England comparator Lung cancer
North East Lincolnshire North Lincolnshire North Yorkshire and York
East Riding of Yorkshire Hull England
HYCCNLung cancer mortality rates
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Breast
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Reductionin inequalitygap = -58.4 %
• Males = -73.5%Females = -31.0%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Reductionin inequalitygap = -13.7 %
• However...Males = -28.2%Females = +13.5%
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• North of England Cancer Network• Catherine Murdoch
• Yorkshire Cancer Network• Sarah Cuthbertson
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• All 3 cancer networks and both SHAs doing well overall towards the 2010 target.
• Position is more variable when looking at gender and specific cancer sites.
• Recent changes in trends pose questions in relation to value of projections, local target setting and possible local actions required.
To conclude