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February 2015
Cancer in Wales
A summary of population cancer incidence, mortality and
survival – includes new 2013 data released as Official Statistics
on 3 February 2015
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Slide
Cancer in Wales
A summary report of the population cancer
incidence, mortality and survival – includes new
2013 data released as Official Statistics on 3
February 2015
Cancer in Wales
Using these slides
• These slides accompany the Cancer in Wales report.
• These slides are a resource to demonstrate findings
from the Cancer in Wales report.
• The presentation can be used as a whole or as
individual slides.
• Please acknowledge the work of the Welsh Cancer
Intelligence and Surveillance Unit when using these
slides.
Cancer in Wales
Index
•
Slides 7 - 12:
Incidence, mortality and survival for all
cancers combined
•
Slides 13 - 21:
Cancer geography in Wales
•
Slides 22 - 26:
Incidence, mortality and survival by area
deprivation
•
Slides 27 - 53:
Incidence, mortality and survival of
different cancer types
Cancer in Wales
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Cancer in Wales
Acknowledgements
Project team
Dr Ceri White, Rebecca Thomas, Tamsin Long, Ciaràn Slyne,
Julie Howe, Helen Crowther, Dr Dyfed Wyn Huws
Acknowledgements
A special thanks to the Welsh Cancer Intelligence and
Surveillance Unit’s staff, especially the registration team
without whom the data used within this report would not be
produced.
Thanks to the following people for their help with this
publication: Dr Clare Elliot, Gwenllian Evans, Dr Judith
Greenacre, Dr Ciarán Humphreys, Isabel Puscas, Hannah
Thomas and Janet Warlow
Cancer in Wales
Incidence, mortality and survival for all
cancers combined
Figure 1: Gradual increase in one and five year relative survival (%) for all cancers in
Wales over time.
One year relative survival (%)
Five year relative survival (%)
80
70.4
70
64.8
60
53.2
50
49.6
40
30
20
10
0
2000-2004
2001-2005
2002-2006
2003-2007 2004-2008 2005-2009
Period of diagnosis
2006-2010
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
2007-2011
2008-2012
Incidence, mortality and survival for all
cancers combined
Figure 2: The most common age at diagnosis has fallen from 75-79 years in 2004 to
65-69 years in 2013 for both men and women.
1800
Men, 2013
1600
1400
Number of cases
1200
1000
800
Women, 2004
Women, 2013
600
400
200
Men, 2004
0
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival for all
cancers combined
Figure 3: The age-specific cancer rate rises more steeply for men than for women with
increasing age.
5000
Men, 2004
Age specific rate per 100,000 population
4500
4000
3500
Men, 2013
3000
2500
Women, 2013
2000
Women, 2004
1500
1000
500
0
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival for all
cancers combined
Figure 4: The number of registered cancer deaths by age group shows small
fluctuations over time in both men and women.
900
Men, 2004
800
700
Men, 2013
Number of deaths
600
500
400
Women, 2004
300
200
Women, 2013
100
0
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival for all
cancers combined
Figure 5: The age specific cancer mortality rates show little change over
time in men and women.
4000
3500
Age specific rate per 100,000 population
Men, 2004
3000
2500
Men, 2013
2000
Women, 2013
1500
1000
500
0
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Women,
2004
Incidence, mortality and survival for all
cancers combined
Table 1: Increases for one and five year relative survival from
cancer for men and women over time, with the increases
greater in men.
One year survival
(%)
Five year survival
(%)
20002004
20002004
20082012
20042008
Men
62.3
69.1
46.1
50.9
Women
67.3
71.8
53.1
55.6
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 6: Change in the number of new cancer cases diagnosed in Wales at local authority and
health board level over time.
2004
2013
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 7: The cancer incidence rate (EASR) per 100,000 population is statistically significantly
higher than Wales for two health boards in 2009-2013.
Statistically significantly different to Wales
Not statistically significantly different to Wales
Powys Teaching
Abertawe Bro
Morgannwg University
Hywel Dda University
Wales
582.6
613.6
619.0
Wales
630.9
Betsi Cadwaladr
University
633.9
Cardiff & Vale University
635.7
Aneurin Bevan
University
Cwm Taf University
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
650.5
656.8
Cancer geography in Wales
Figure 8: The highest local authority incidence rate in Merthyr Tydfil is almost 20 per cent higher
than the lowest in Ceredigion in 2009-2013.
EASR per 100,000
population
Wales = 630.9
569.3 – 591.6
591.7 – 614.0
70.568001
71.322000
614.1- –
636.3
71.322001
72.076000
636.4- –
658.7
72.076001
72.830000
658.8- –
681.0
69.060000 - 69.814000
69.814001 - 70.568000
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 9: The cancer incidence rate at Middle Super Output Area (MSOA) shows considerable
variation across Wales
EASR per 100,000
population
Wales = 630.9
457.2 – 552.1
552.2 – 647.0
70.568001
71.322000
647.1- –
741.9
71.322001
72.076000
742.0- –
836.8
72.076001
72.830000
836.9- –
931.7
69.060000 - 69.814000
69.814001 - 70.568000
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 10: The cancer mortality rate (EASR) per 100,000 population is statistically significantly
higher than Wales in Cwm Taf university health board for 2009-2013.
Statistically significantly different to Wales
Not statistically significantly different to Wales
Powys Teaching
Wales
268.4
Hywel Dda University
283.4
Cardiff & Vale University
297.4
Wales
299.8
Abertawe Bro
Morgannwg University
300.1
Betsi Cadwaladr
University
302.7
Aneurin Bevan
University
308.8
Cwm Taf University
Source:
Welsh
Cancer
www.wcisu.wales.nhs.uk
Cancer in Wales
322.4
Intelligence
and
Surveillance
Unit’s
Cancer
Registry
Cancer geography in Wales
Figure 11: Variation seen in the number of cancer deaths registered in Wales at local authority
and health board level over time.
2004
2013
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 12: The highest local authority mortality rate in Blaenau Gwent is over a third higher than
the lowest in Monmouthshire in 2009-2013.
EASR per 100,000
population
Wales = 299.8
251.4 – 268.4
268.5 – 285.3
70.568001
71.322000
285.4- –
302.2
71.322001
72.076000
302.3- –
319.1
72.076001
72.830000
319.2- –
336.1
69.060000 - 69.814000
69.814001 - 70.568000
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 13: The cancer mortality rate at Middle Super Output Area shows pockets of high and low
mortality in Wales with great variation between some neighbouring areas.
EASR per 100,000
population
Wales = 299.8
191.9 – 257.2
257.3 – 322.6
70.568001
71.322000
322.7- –
387.9
71.322001
72.076000
388.0- –
453.3
72.076001
72.830000
453.4- –
518.6
69.060000 - 69.814000
69.814001 - 70.568000
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Cancer geography in Wales
Figure 14: One year relative survival is similar across the
seven health boards of Wales in 2008-2012.
Figure 15: Cwm Taf University health board has the
lowest five year relative survival of all health boards in
Wales in 2004-2008.
71.4
54.0
Wales = 70.4%
Wales = 53.2%
69.1 – 69.8
69.9 – 70.6
70.568001
70.7 –- 71.322000
71.3
71.322001
71.4 –- 72.076000
72.1
72.076001
72.2 –- 72.830000
72.8
49.1 – 50.5
50.6 – 51.8
70.568001
51.9 –- 71.322000
53.2
71.322001
53.3 –- 72.076000
54.5
72.076001
54.6 –- 72.830000
55.9
69.060000 - 69.814000
69.060000 - 69.814000
69.814001 - 70.568000
69.814001 - 70.568000
72.8
55.9
70.0
54.1
69.5
69.1
69.4
51.8
71.8
©Crown Copyright and database right 2015. Ordnance Survey 100044810
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
49.1
55.2
52.9
Incidence, mortality and survival by area
deprivation
Figure 16: The difference between the cancer incidence rate (EASR) per
100,000 population in the least deprived fifth compared to the most
deprived fifth has increased over time.
2002-2006
2009-2013
596.4
Least Deprived
579.9
Next least
deprived
605.9
605.7
619.1
Middle deprived
623.5
Next most
deprived
654.1
656.0
693.8
Most Deprived
710.8
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival by area
deprivation
Figure 17: The difference between the cancer mortality rate (EASR) per
100,000 population in the least deprived fifth compared to the most
deprived fifth has slightly increased over time.
2002-2006
2009-2013
277.6
Least Deprived
249.9
297.8
Next least deprived
274.3
319.5
Middle deprived
296.3
349.1
Next most deprived
327.9
390.9
Most Deprived
369.8
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival by area
deprivation
Figure 18: One year relative survival (%) for all cancers combined has
improved in all deprivation fifths over time but the increase is greater in the
most deprived fifth than the least deprived fifth thus narrowing the gap.
1999-2003
2002-2006
2008-2012
71.3
Least Deprived
73.0
76.5
67.1
Next least deprived
69.5
73.4
64.3
Middle deprived
66.8
70.3
59.8
Next most deprived
63.3
67.4
57.8
Most Deprived
59.9
64.4
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival by area
deprivation
Figure 19: A greater increase in five year survival (%) is seen in the least
deprived fifth compared to the most deprived fifth over time, widening the
gap.
1999-2003
2002-2006
2004-2008
57.4
Least Deprived
60.3
62.0
52.2
Next least deprived
54.7
56.6
49.1
Middle deprived
52.3
53.4
44.3
Next most deprived
47.4
49.4
41.2
Most Deprived
43.3
44.9
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival by area
deprivation
Figure 20: The most common cancers in men and women in Wales in 2013
Number of
Female Breast
Women
2840
Prostate
2634
Lung
1326
Bowel (Colorectal)
1336
Melanoma
362
Head & Neck
453
293
Urinary Tract exc Bladder
357
232
422
Leukaemia
162
343
Uterus
936
192
331
Bladder
1057
347
Non-Hodgkin Lymphoma
240
528
Pancreas
254
Stomach
296
Oesophagus
275
Ovary
Liver
Men
248
165
141
406
183 114
Brain & CNS
154 119
Cervix
146
Larynx 114 29
Thyroid & Endocrine 4695
Testis 95
Hodgkin Lymphoma 56 32
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 21: Over a quarter of all cancers in men were prostate cancer in
2013.
Brain & CNS
1.6%
Larynx
1.2%
Other
9.9%
Liver
1.9%
Pancreas
2.6%
Prostate
26.9%
Oesophagus
2.8%
Stomach
3.0%
Non-Hodgkin Lymphoma
3.4%
Leukaemia
3.5%
Urinary Tract exc
Bladder
3.6%
Melanoma
3.7%
9,808
cases in
men in
Wales in
2013
Bladder
4.3% Head &
Neck
4.6%
Bowel (Colorectal)
13.6%
Lung
13.5%
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 22: Nearly a third of all cancers in women were breast cancer in
2013.
Oesophagus
1.5%
Cervix
1.6%
Other
13.9%
Bladder
1.8%
Stomach
1.8%
Head & Neck
2.1%
Urinary Tract exc
Bladder
2.5%
Leukaemia
2.6%
9,218
cases in
women in
Wales in
2013
Pancreas
2.7%
Non-Hodgkin Lymphoma
3.2%
Melanoma
3.8%
Female Breast
30.8%
Lung
11.5%
Ovary
4.4%
Uterus
5.7%
Bowel (Colorectal)
10.2%
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 23: The average change in the number of new cancer cases by cancer
type in Wales shows large variation in 2011-2013 compared with 20012003.
Change in
Men
Prostate
554
Bowel (Colorectal)
274
Female Breast
158
336
Melanoma
Lung
Women
176
112
30
245
Urinary Tract exc Bladder
115
Head & Neck
83
143
Uterus
39
154
Liver
92
Non-Hodgkin Lymphoma
64
Pancreas
57
Leukaemia
51
42
42
28
28
Thyroid & Endocrine 1618
Ovary
28
Brain & CNS 5 27
Larynx 15 4
Testis 15
Hodgkin Lymphoma 4 5
Cervix 10
Oesophagus 21 2
Stomach 56 62
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 24: The percentage change of new cancer cases varies by cancer type in
Wales, 2011-2013 compared with 2001-2003.
Change in %
17
15
All cancers
19
Female Breast
25
15
Melanoma
Lung 2
29
Urinary Tract exc Bladder
Head & Neck
28
Uterus
48
55
48
46
Liver
17
Pancreas
Thyroid & Endocrine
7
4
Testis
Cervix
Oesophagus
Stomach
52
19
15
21
16
Larynx
Hodgkin Lymphoma
103
29
28
Ovary
70
24
12
19
14
Leukaemia
Brain & CNS
92
46
Non-Hodgkin Lymphoma
Women
29
Prostate
Bowel (Colorectal)
Men
9
17
6
1
12
17
27
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 25: Age adjusted incidence rates of cancer types in Wales, 2013
compared with 2004.
2004
2013
Prostate
158.9
Female Breast
Lung
Bowel (Colorectal)
Uterus
Ovary
Melanoma
Head & Neck
Non-Hodgkin Lymphoma
Bladder
Urinary Tract exc Bladder
Leukaemia
Pancreas
Stomach
Oesophagus
Liver
Cervix
Brain & CNS
Testis
Larynx
Thyroid & Endocrine
Hodgkin Lymphoma
26.3
33.0
24.2
25.0
16.7
24.0
17.0
21.6
19.3
20.7
37.3
20.6
16.4
20.0
20.2
19.4
16.4
16.5
20.2
15.6
15.9
14.2
87.9
80.6
76.4
76.1
6.2
9.7
11.4
9.5
8.8
9.0
6.8
6.6
4.5
4.9
3.6
4.6
2.4
2.9
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
190.2
175.4
202.1
Incidence, mortality and survival of different
cancer types
Figure 26: The average change in the incidence rate (EASR) per 100,000
population shows a large increase in melanoma and a large decrease in
lung cancer in men in Wales, 2011-2013 compared with 2001-2003.
Melanoma
A decrease of 18.1 for
all cancers
11.2
Head & Neck
6.5
Urinary Tract exc Bladder
5.6
Liver
5.3
Prostate
4.7
Bowel (Colorectal)
4.6
Non-Hodgkin Lymphoma
1.6
Pancreas
1.4
Thyroid & Endocrine 0.9
Testis 0.8
Brain & CNS 0.7
15.0
Larynx
0.1
Hodgkin Lymphoma
0.1
Leukaemia
0.2
4.0
Oesophagus
9.8
Stomach
Lung
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 27: The percentage change in the cancer incidence rate (EASR) per
100,000 population by cancer type for men in Wales shows an increase of
nearly three quarters for melanoma and two thirds increase for liver
cancer in 2011-2013 compared with 2001-2003.
Melanoma
72.2
Head & Neck
26.8
Urinary Tract exc Bladder
27.4
Liver
66.3
Prostate 2.7
Bowel (Colorectal)
Non-Hodgkin Lymphoma
Pancreas
4.9
7.2
8.2
Thyroid & Endocrine
37.0
Testis
Brain & CNS
6.9
Larynx
1.5
Hodgkin Lymphoma
3.3
Leukaemia
0.6
Oesophagus
30.3
12.0
16.9
Stomach
13.3
Lung
All cancers
2.5
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 28: The change in the incidence rate (EASR) per 100,000 population
by cancer type for women in Wales shows a large increase in lung cancer
in 2011-2013 compared with 2001-2003.
Lung
An increase of 33.3 for
all cancers
10.3
Breast
8.3
Uterus
7.7
Melanoma
5.9
Bowel (Colorectal)
5.6
Urinary Tract exc Bladder
4.1
Liver
2.1
Head & Neck
Non-Hodgkin Lymphoma
1.8
1.3
Thyroid & Endocrine
0.9
Leukaemia
0.9
Pancreas
0.6
Hodgkin Lymphoma
0.2
Larynx
0.2
Ovary
0.5
Brain & CNS
0.9
Cervix
1.1
Oesophagus
2.1
Stomach
4.5
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 29: The percentage change in the cancer incidence rate (EASR) per
100,000 population by cancer type for women shows an increase of over a half for
liver cancer in Wales in 2011-2013 compared with 2001-2003.
All cancers
6.4
Lung
Breast
18.1
5.3
Uterus
33.3
Melanoma
35.6
Bowel (Colorectal)
10.0
Urinary Tract exc Bladder
40.4
Liver
54.2
Head & Neck
Non-Hodgkin Lymphoma
19.1
7.7
Thyroid & Endocrine
Leukaemia
Pancreas
21.7
7.0
4.3
Hodgkin Lymphoma
10.3
Larynx
Ovary
Brain & CNS
Cervix
19.0
33.0
11.7
1.7
10.9
9.8
Oesophagus
Stomach
*Bladder cancer not shown due to a coding change in 2007
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 30: The cancer incidence rate (EASR) per 100,000 population for
areas with increasing deprivation (fifths) by cancer type
Least deprived
Next least deprived
Middle deprived
Next most deprived
Most Deprived
250
EASR per 100,000 population
200
150
100
50
0
2002-2006
2009-2013
Lung
2002-2006
2009-2013
Female Breast
2002-2006
2009-2013
Prostate
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
2002-2006
2009-2013
Bowel (Colorectal)
Incidence, mortality and survival of different
cancer types
Figure 31: Lung cancer is the most common cancer death in Wales in
2013.
Number of
Lung
486
Female Breast
831
421
573
Prostate
529
Pancreas
223
Oesophagus
223
285
117
Stomach
186
117
Bladder
203
96
Liver
159
Non-Hodgkin Lymphoma
143
119
Leukaemia
149
95
Ovary
114
243
Head & Neck
160
54
Brain & CNS
128 83
Urinary Tract exc Bladder
115 88
Uterus
Women
1011
Bowel (Colorectal)
Melanoma
Men
69 56
90
Larynx 48 6
Cervix
50
Thyroid & Endocrine
10 14
Hodgkin Lymphoma
10 5
Testis
3
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 32: Over a fifth of all cancer deaths in men in Wales were from lung
cancer in 2013.
Melanoma
1.5%
Larynx
1.0%
Other
15.0%
Urinary Tract exc
Bladder
2.5%
Lung
22.1%
4,579
deaths in
men in
Wales in
2013
Brain & CNS
2.8%
Non-Hodgkin Lymphoma
3.1%
Leukaemia
3.3%
Liver
3.5%
Bowel (Colorectal)
10.6%
Head & Neck
3.5%
Stomach
4.1%
Bladder
4.4%
Pancreas
4.9%
Oesophagus
6.2%
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Prostate
11.6%
Incidence, mortality and survival of different
cancer types
Figure 33: Over a fifth of all cancer deaths in women in Wales were from
lung cancer in 2013.
Lung
20.2%
Other
20.5%
Melanoma
1.4%
Brain & CNS
2.0%
Urinary Tract exc
Bladder
2.1%
Uterus
2.2%
Leukaemia
2.3%
Bladder
2.3%
Liver
2.8%
Oesophagus
2.8%
Stomach
2.8%
Non-Hodgkin Lymphoma
2.9%
4,109
deaths in
women in
Wales in
2013
Female Breast
13.9%
Bowel (Colorectal)
10.2%
Pancreas
5.4%
Ovary
5.9%
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 34: The largest change in the average number of cancer deaths is
for lung cancer in women in 2011-2013 compared with 2001-2003.
Men
Change in
Women
Lung 1
140
Liver
65
Pancreas
48
Urinary Tract exc Bladder
22
Brain & CNS
Uterus
30
Non-Hodgkin Lymphoma
28
24
Leukaemia
12
31
19
27
Melanoma
45
5
2
4
5
Head & Neck 2 12
Hodgkin Lymphoma 3 0
Testis 1
Ovary4
Larynx6 1
Thyroid & Endocrine6 1
96
52
Oesophagus
14
Bowel (Colorectal)
12
Cervix
24
Prostate
34
27
29
Female Breast
64
Stomach
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 35: The largest percentage change in the average number of cancer
deaths is for liver cancer for both men and women in Wales in 2011-2013
compared with 2001-2003.
Change in %
All cancers 1 5
Lung 0
Men
20
Liver
Pancreas
16
19
Urinary Tract exc Bladder
Brain & CNS
7
81
28
Leukaemia
Head & Neck
Hodgkin Lymphoma
2
5
4
4
50
8
10
10
44
Testis
Ovary 2
Larynx 15
Thyroid & Endocrine
Oesophagus
Bowel (Colorectal)
Cervix
33
27
53
26
Melanoma
32
5
17
2
7
Prostate
32
6
Female Breast
14
92
28
28
Uterus
Non-Hodgkin Lymphoma
Women
10
62
15
Stomach
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 36: The cancer mortality rate (EASR) per 100,000 population is
highest for lung cancer in Wales in 2013 and 2004 compared to other
cancer types.
2013
2004
Lung
Prostate
Female Breast
Bowel (Colorectal)
Ovary
Pancreas
Oesophagus
9.9
10.8
Bladder
Stomach
Liver
Non-Hodgkin Lymphoma
Leukaemia
Head & Neck
Brain & CNS
Urinary Tract exc Bladder
Uterus
Melanoma
Cervix
Larynx
Thyroid & Endocrine
Hodgkin Lymphoma
Testis
5.4
10.3
14.0
14.7
14.7
14.6
15.0
13.8
30.3
34.0
35.8
43.8
41.9
14.6
9.0
7.5
8.9
9.1
8.3
5.7
7.5
6.4
7.0
7.5
6.9
4.7
5.4
4.3
4.2
3.5
3.2
1.6
2.1
0.7
0.8
0.3
0.5
0.5
0.2
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
62.3
63.5
71.0
Incidence, mortality and survival of different
cancer types
Figure 37: Prostate and lung cancers show the largest absolute decreases
in cancer mortality (EASR) rate per 100,000 men in Wales from 2001-2003
to 2011-2013
Liver
A decrease of 49.5 for
all cancers
Melanoma
3.6
1.3
Brain & CNS
1.1
Pancreas
1.0
Non-Hodgkin Lymphoma 0.5
Urinary Tract exc Bladder
Testis
0.1
Thyroid & Endocrine
0.0
Hodgkin Lymphoma
0.2
Head & Neck
0.6
Larynx
0.8
Leukaemia
1.1
Oesophagus
2.8
Bowel (Colorectal)
6.5
8.7
Stomach
14.0
Lung
14.2
Prostate
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
0.2
Incidence, mortality and survival of different
cancer types
Figure 38: The largest percentage increase in the cancer mortality rate
(EASR) per 100,000 men is for liver cancer from 2001-2003 to 2011-2013.
Liver
57.4
Melanoma
31.5
Brain & CNS
Pancreas
Non-Hodgkin Lymphoma
14.1
6.5
5.3
Urinary Tract exc Bladder 2.3
Testis
44.0
Thyroid & Endocrine
0.1
Hodgkin Lymphoma
21.7
Head & Neck
6.1
Larynx
23.1
Leukaemia
9.8
Oesophagus
12.0
Bowel (Colorectal)
14.4
Stomach
39.0
14.9
23.6
Lung
Prostate
All cancers
12.3
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 39: Breast cancer has the largest absolute decrease in cancer
mortality (EASR) rate per 100,000 women in Wales from 2001-2003 to
2011-2013
Lung
An decrease of 20.1 for
all cancers
4.4
Liver
2.3
Uterus
Pancreas
0.8
Urinary Tract exc Bladder
0.7
Hodgkin Lymphoma
0.2
Larynx
0.0
Melanoma
0.0
Brain & CNS
0.1
Leukaemia
0.1
Head & Neck
0.4
Thyroid & Endocrine
0.4
Non-Hodgkin Lymphoma
0.5
Cervix
1.7
Ovary
1.9
Oesophagus
2.5
3.8
Bowel (Colorectal)
4.0
10.1
1.6
Stomach
Breast
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 40: The largest percentage increase in the cancer mortality rate
(EASR) per 100,000 women is for liver cancer from 2001-2003 to 20112013
Lung
9.7
Liver
65.9
Uterus
Pancreas
41.2
6.6
Urinary Tract exc Bladder
14.8
Hodgkin Lymphoma
Larynx
54.6
7.6
Melanoma
0.7
Brain & CNS
1.1
Leukaemia
2.5
Head & Neck
11.2
Thyroid & Endocrine
37.7
Non-Hodgkin Lymphoma
34.6
6.6
Cervix
Ovary
11.3
Oesophagus
24.4
Bowel (Colorectal)
39.5
22.0
14.3
Stomach
Breast
All cancers
7.6
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 41: The cancer mortality rate (EASR) per 100,000 shows the
difference between the least deprived and most deprived fifth for lung
cancer is increasing in Wales.
Least deprived
Next least deprived
Middle deprived
Next most deprived
Most Deprived
120
EASR per 100,000 population
100
80
60
40
20
0
2002-2006
2009-2013
Lung
2002-2006
2009-2013
Female Breast
2002-2006
2009-2013
Prostate
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
2002-2006
2009-2013
Bowel (Colorectal)
Incidence, mortality and survival of different
cancer types
Figure 42: Improvements in one year survival (%) are seen for the
majority of cancer types
2008-2012
2000-2004
Testis
Melanoma
89.3
Prostate
Breast (Female)
Uterus
84.8
Thyroid and Endocrine
Hodgkin lymphoma
80.3
Cervix
Larynx
76.2
Head and Neck
Non-Hodgkin lymphoma
69.9
Bowel (Colorectal)
70.4
62.3
Urinary Tract exc Bladder
Bladder
75.4
70.3
Ovary
58.8
Leukaemia
35.0
Oesophagus
31.2
Brain & CNS
32.4
Stomach
19.8
Liver
23.3
Lung
Pancreas
75.9
70.7
13.9
63.3
67.3
66.2
41.4
38.6
37.9
31.5
29.0
18.6
*There was a bladder coding change in 2007, hence the large change in survival.
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
96.5
93.6
96.4
89.9
92.5
90.5
89.9
88.6
87.1
82.6
85.8
80.4
82.7
97.0
98.2
94.1
96.5
Incidence, mortality and survival of different
cancer types
Figure 43: Improvements in five year survival (%) are seen for the
majority of cancer types
2000-2004
2004-2008
Testis
79.2
Prostate
87.6
82.5
85.7
82.5
85.0
Breast (Female)
Melanoma
Uterus
Thyroid and Endocrine
Hodgkin lymphoma
70.8
67.3
65.1
65.9
Bladder
Cervix
Larynx
Non-Hodgkin lymphoma
54.9
Head and Neck
54.3
54.8
Urinary Tract exc Bladder
Bowel (Colorectal)
Leukaemia
Ovary
Brain & CNS
Stomach
Oesophagus
Lung
Liver
Pancreas
13.9
15.4
10.7
12.3
8.0
8.4
6.3
6.3
7.3
5.9
3.5
3.7
40.9
43.4
37.6
38.0
78.4
82.4
79.8
79.8
80.9
79.4
60.4
63.3
62.4
48.1
51.9
49.0
51.6
*There was a bladder coding change in 2007, hence the large change in survival.
Source: Welsh Cancer Intelligence and Surveillance Unit’s Cancer Registry www.wcisu.wales.nhs.uk
Lung Cancer in Wales
95.1
95.9
Incidence, mortality and survival of different
cancer types
Figure 44: Large variation is seen for one year relative survival from
oesophageal cancer by health board
Powys Teaching
51.3
Cwm Taf University
46.7
Aneurin Bevan
University
42.7
Betsi Cadwaladr
University
42.7
Wales
41.4
Abertawe Bro
Morgannwg University
Cardiff & Vale
University
Hywel Dda University
38.8
37.0
35.6
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
Incidence, mortality and survival of different
cancer types
Figure 45: There is a large variation in five year survival by health board
population for prostate cancer.
Cardiff & Vale
University
91.5
Aneurin Bevan
University
88.6
Abertawe Bro
Morgannwg University
87.8
Wales
87.6
Cwm Taf University
87.4
Betsi Cadwaladr
University
86.9
Hywel Dda University
86.6
Powys Teaching
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
78.4
Incidence, mortality and survival of different
cancer types
Figure 46: Lung, female breast and prostate cancer show decreases in the
deprivation gap for one year relative survival over time in Wales.
Least deprived
Next least deprived
Middle deprived
Next most deprived
Most Deprived
100
90
One year relative survival, %
80
70
60
50
40
30
20
Lung
Female Breast
Prostate
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
2008-2012
2002-2006
1999-2003
2008-2012
2002-2006
1999-2003
2008-2012
2002-2006
1999-2003
2008-2012
2002-2006
0
1999-2003
10
Bowel (Colorectal)
Incidence, mortality and survival of different
cancer types
Figure 47: Wide variation exists between the least and most deprived
fifths for five year relative survival (%) in Wales for female breast,
prostate and bowel cancer.
Least deprived
Next least deprived
Middle deprived
Next most deprived
Most Deprived
100
90
Five year relative survival, %
80
70
60
50
40
30
20
Lung
Female Breast
Prostate
Source: Welsh Cancer Intelligence and Surveillance Units Cancer Registry www.wcisu.wales.nhs.uk
Cancer in Wales
2004-2008
2002-2006
1999-2003
2004-2008
2002-2006
1999-2003
2004-2008
2002-2006
1999-2003
2004-2008
2002-2006
0
1999-2003
10
Bowel (Colorectal)