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Is England closing the international gap in cancer survival?

Walters S, Benitez-Majano S, Muller P, Coleman MP, Allemani C, Butler J, Peake M, Guren MG, Glimelius B, Bergström S, Påhlman L, Rachet B - Br. J. Cancer (2015)

Bottom Line: Trends during 1995-2009 were compared with estimates for Australia, Canada, Denmark, Norway and Sweden.There has been acceleration in lung cancer survival improvement in England recently, with average annual improvement in 1-year survival rising to 2% during 2010-2012.Survival improved more in Denmark than in England for rectal and lung cancers between 1995-1999 and 2005-2009.

View Article: PubMed Central - PubMed

Affiliation: Cancer Survival Group, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

ABSTRACT

Background: We provide an up-to-date international comparison of cancer survival, assessing whether England is 'closing the gap' compared with other high-income countries.

Methods: Net survival was estimated using national, population-based, cancer registrations for 1.9 million patients diagnosed with a cancer of the stomach, colon, rectum, lung, breast (women) or ovary in England during 1995-2012. Trends during 1995-2009 were compared with estimates for Australia, Canada, Denmark, Norway and Sweden. Clinicians were interviewed to help interpret trends.

Results: Survival from all cancers remained lower in England than in Australia, Canada, Norway and Sweden by 2005-2009. For some cancers, survival improved more in England than in other countries between 1995-1999 and 2005-2009; for example, 1-year survival from stomach, rectal, lung, breast and ovarian cancers improved more than in Australia and Canada. There has been acceleration in lung cancer survival improvement in England recently, with average annual improvement in 1-year survival rising to 2% during 2010-2012. Survival improved more in Denmark than in England for rectal and lung cancers between 1995-1999 and 2005-2009.

Conclusions: Survival has increased in England since the mid-1990s in the context of strategic reform in cancer control, however, survival remains lower than in comparable developed countries and continued investment is needed to close the international survival gap.

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Related in: MedlinePlus

Trends in 1- and 5-year net survival in England by year of diagnosis. Unfilled and filled markers represent estimates of 1- and 5-year net survival, respectively. The average arithmetic improvement in survival between years is shown for the calendar periods 1995–1999, 2000–2004, 2005–2009 and 2010–2013 above the trends.
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fig3: Trends in 1- and 5-year net survival in England by year of diagnosis. Unfilled and filled markers represent estimates of 1- and 5-year net survival, respectively. The average arithmetic improvement in survival between years is shown for the calendar periods 1995–1999, 2000–2004, 2005–2009 and 2010–2013 above the trends.

Mentions: The year-on-year trends in survival in England during 1995–2012 show a period of relative improvement in net survival in the late 1990s, followed by some years of stability in the early 2000s (Figure 3). During 2005–2009, survival again improved more quickly particularly for 1- and 5-year survival from colon, rectal and ovarian cancers. For stomach and lung cancers, that pattern can be seen for 1-year survival but less so for 5-year survival, which showed rather little annual improvement before 2005, followed by steady improvement, especially for lung cancer. Breast cancer is the exception: the biggest annual improvements in 1- and 5-year survival occurred in the late 1990s, with smaller but steady improvements since then, particularly for 5-year survival. For lung cancer, 1-year survival has improved more rapidly since 2007/2008, with the annual improvement peaking at 2.2% per annum for patients diagnosed in 2010–2012. Five-year lung cancer survival also improved, but more slowly, at 1.1% per annum from 2010.


Is England closing the international gap in cancer survival?

Walters S, Benitez-Majano S, Muller P, Coleman MP, Allemani C, Butler J, Peake M, Guren MG, Glimelius B, Bergström S, Påhlman L, Rachet B - Br. J. Cancer (2015)

Trends in 1- and 5-year net survival in England by year of diagnosis. Unfilled and filled markers represent estimates of 1- and 5-year net survival, respectively. The average arithmetic improvement in survival between years is shown for the calendar periods 1995–1999, 2000–2004, 2005–2009 and 2010–2013 above the trends.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4559829&req=5

fig3: Trends in 1- and 5-year net survival in England by year of diagnosis. Unfilled and filled markers represent estimates of 1- and 5-year net survival, respectively. The average arithmetic improvement in survival between years is shown for the calendar periods 1995–1999, 2000–2004, 2005–2009 and 2010–2013 above the trends.
Mentions: The year-on-year trends in survival in England during 1995–2012 show a period of relative improvement in net survival in the late 1990s, followed by some years of stability in the early 2000s (Figure 3). During 2005–2009, survival again improved more quickly particularly for 1- and 5-year survival from colon, rectal and ovarian cancers. For stomach and lung cancers, that pattern can be seen for 1-year survival but less so for 5-year survival, which showed rather little annual improvement before 2005, followed by steady improvement, especially for lung cancer. Breast cancer is the exception: the biggest annual improvements in 1- and 5-year survival occurred in the late 1990s, with smaller but steady improvements since then, particularly for 5-year survival. For lung cancer, 1-year survival has improved more rapidly since 2007/2008, with the annual improvement peaking at 2.2% per annum for patients diagnosed in 2010–2012. Five-year lung cancer survival also improved, but more slowly, at 1.1% per annum from 2010.

Bottom Line: Trends during 1995-2009 were compared with estimates for Australia, Canada, Denmark, Norway and Sweden.There has been acceleration in lung cancer survival improvement in England recently, with average annual improvement in 1-year survival rising to 2% during 2010-2012.Survival improved more in Denmark than in England for rectal and lung cancers between 1995-1999 and 2005-2009.

View Article: PubMed Central - PubMed

Affiliation: Cancer Survival Group, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

ABSTRACT

Background: We provide an up-to-date international comparison of cancer survival, assessing whether England is 'closing the gap' compared with other high-income countries.

Methods: Net survival was estimated using national, population-based, cancer registrations for 1.9 million patients diagnosed with a cancer of the stomach, colon, rectum, lung, breast (women) or ovary in England during 1995-2012. Trends during 1995-2009 were compared with estimates for Australia, Canada, Denmark, Norway and Sweden. Clinicians were interviewed to help interpret trends.

Results: Survival from all cancers remained lower in England than in Australia, Canada, Norway and Sweden by 2005-2009. For some cancers, survival improved more in England than in other countries between 1995-1999 and 2005-2009; for example, 1-year survival from stomach, rectal, lung, breast and ovarian cancers improved more than in Australia and Canada. There has been acceleration in lung cancer survival improvement in England recently, with average annual improvement in 1-year survival rising to 2% during 2010-2012. Survival improved more in Denmark than in England for rectal and lung cancers between 1995-1999 and 2005-2009.

Conclusions: Survival has increased in England since the mid-1990s in the context of strategic reform in cancer control, however, survival remains lower than in comparable developed countries and continued investment is needed to close the international survival gap.

Show MeSH
Related in: MedlinePlus