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

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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

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100110120130

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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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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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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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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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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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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

andreahutchinson@wirral.gov.uk