Transcript Diapositiva 1

1st International Cancer Control Congress
Vancouver, 23-26 October 2005
European Union
against cancer
The EUROCHIP project
Public Health Program
EUROPEAN COMMISSION: HEALTH & CONSUMER PROTECTION DIRECTORATE - GENERAL
www.tumori.net/eurochip
How can we develop
national cancer control strategies
to support maximum impact
with defined populations?
Health for all by year 2000
LIFE
EXPECTANCY
TRENDS IN
EUROPE
Inequalities
in health
increased
in the last
30 years
Source: Micheli et al
Annals of Oncology, 2003
CANCER INEQUALITIES IN EUROPE INCREASED
ALL CANCERS COMBINED - RR (MAX/MIN)
Incidence
Mortality
Year
1985
1996
M
1.9
1.9
W
1.9
2.2
M
2.4
4.3
W
1.8
1.9
M
1987
2.2
1992
2.5
W
2.0
2.0
5-yrs Survival
Sources: EUROCIM - EUROCARE
CANCER CONTROL
SUGGESTIONS
Why? To fight inequalities
How? With translational research
What? Population based data & disease
natural history
network
permanent consensus conference
ACTIONS
SUCCESSES IN RESEARCH
HAVE NOT BEEN FOLLOWED BY
ACTIONS
WE NEED A
BRIDGE BETWEEN
RESEARCH AND HEALTH PLANNING
A “NEW “ RESEARCH AREA
WITH SPECIFIC METHODOLOGY
A TRANSLATIONAL RESEARCH
TRANSLATIONAL RESEARCH
1. INFORMATION: set indicators, find data sources,
establish cancer registries, collect / improve/
standardise data
2. ANALYSIS: analyse data, compare data, find
relations, find major deficiencies
3. ACTION: design, validate and finance initiatives to
reduce cancer disparities
These phases are part of an iterative process
Our goal is to constantly test the efficacy of the health intervention
We need data comparison:
MAP OF EUROCHIP
INFORMATION: EUROCHIP
LIST FOR PRIMARY PREVENTION
• Consumption of fruit and vegetables
• Consumption of alcohol
• Prevalence of tobacco consumption
• Population-based distribution of
Body Mass Index
• Attitude to physical activity
• Exposure to sun radiation
• Occupational exposure to carcinogens
ANALYSIS: AVERAGE AMOUNT OF FRUIT AND
VEGETABLES (KG) AVAILABLE PER PERSON PER YEAR
Source: WHO, Health For All, 2004
INCIDENCE AND MORTALITY ESTIMATES 1970-2010
ALL CANCERS COMBINED – 0-84 YRS – MEN
North - Lombardy – MILAN
Standardized incidence rate
(European standard)
South - Campania – NAPLES
Standardized mortality rate
(European standard)
Source: Website “I Tumori in Italia” www.tumori.net
AGE STANDARDISED -TOTAL PREVALENCE, -INCIDENCE, AND -SURVIVAL
ALL CANCERS COMBINED, M + W, 1992
The area of the disk is proportional to the 5-year relative survival
TREATMENT
ACTS
TO INCREASE
PREVALENCE
PREVENTION AIMS TO REDUCE INCIDENCE
Source:
Micheli et al
Annals of
Oncology,
2002
INFORMATION PHASE:
EUROCHIP LIST FOR EARLY DETECTION
• Organised screening coverage
• % of women underwent a mammography
• % of women underwent a cervical cytology
exam
• % of persons underwent a colorectal cancer
screening test
UTERUS CANCER STANDARDIZED MORTALITY RATE
AGE: 20 – 44 (IN THESE AGES MOSTLY CERVICAL CANCER)
European standard per 100,000
TRANSLATIONAL RESEARCH
GROSS DOMESTIC PRODUCT (1997) AND
5-YEAR- AGE- AND CANCER SITE- ADJUSTED RELATIVE SURVIVAL (WOMEN)
The area of the disk is proportional to the Total National Health Expenditure ($ PPP) in the country
$ PPP: Purchasing Power Parity, per capita (US $) Sources: Micheli A et al, Annals of Oncology, 2003
Cancer control strategy
Bridge between research and public health
Guarantee health access &
modify research strategy
International co-operation
Fight against health inequalities