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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
Indire
ctly S
tanda
rdise
d Inc
idenc
e Rati
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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
Indire
ctly S
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ortal
ity Ra
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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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180
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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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Incid
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Ratio
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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140
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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
Indire
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ndardi
sed Inc
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Ratio
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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250
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Mort
ality R
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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