National Cancer Intelligence Network

Setting the scene - breast cancer in Yorkshire and Humber

Verity Bellamy NCIN (Yorkshire and Humber)

Contents• Breast cancer

• Incidence • Mortality• Survival

• Routes to diagnosis• Screening uptake• Staging

2 Breast cancer in Yorkshire and the Humber

3 Breast cancer in Yorkshire and the Humber

Breast cancer incidence is increasing

Breast cancer incidence 3 year rolling (2011-13)

4 Breast cancer in Yorkshire and the Humber

There is significant variation in breast cancer incidence by CCG

Breast cancer incidence (2011-13) England, Y&H SCN and Y&H CCGs

South Yorkshire & BassetlawArea Team

North Yorkshire and HumberArea Team West Yorkshire

Area Team

5 Breast cancer in Yorkshire and the Humber

Breast mortality is decreasing

Breast cancer mortality (2001-03 to 2011-13)

6 Breast cancer in Yorkshire and the Humber

Breast cancer mortality rates show variation by CCG

Breast cancer mortality rates (2011-13)

South Yorkshire &

BassetlawArea Team

Breast cancer incidence by deprivation score – incidence is significantly lower in the least deprived quintile

7 Breast cancer in Yorkshire and the Humber

However the mortality rate is significantly higher in the most deprived quintile…

8 Breast cancer in Yorkshire and the Humber

1 and 5 year annual net survival for patients diagnosed between 2004 and 2008 with breast cancer for Y&H area teams and England

9 Breast cancer in Yorkshire and the Humber

10 Breast cancer in Yorkshire and the Humber

For the most recent year (2006-08) one and five year survival from breast cancer is significantly lower than the England average

Age-standardised net survival for patients diagnosed 2006-2008, N&Y area teams

11 Breast cancer in Yorkshire and the Humber

Breast cancer routes to diagnosis 2006-2010, Strategic Clinical Networks and England

12 Breast cancer in Yorkshire and the Humber

Breast cancer routes to diagnosis 2006-2010, CCGs within West Yorkshire Area Team and England

13 Breast cancer in Yorkshire and the Humber

14 Breast cancer in Yorkshire and the Humber

Survival is significantly lower for emergency presentations at all intervals..

15 Breast cancer in Yorkshire and the Humber

Breast screening uptake varies significantly by CCG

16 Breast cancer in Yorkshire and the Humber

Screening uptake is lower in the more deprived areas.. The effect is greater in West and North Yorkshire & the Humber..

17 Breast cancer in Yorkshire and the Humber

Breast cancer staging 2013 vs 2012 diagnoses, CCGs within Yorkshire and Humber SCN and England

18 Breast cancer in Yorkshire and the Humber

North Yorkshire & Humber South Yorkshire & Bassetlaw

West Yorkshire

Breast cancer – complete staging and early stage 2013

19 Breast cancer in Yorkshire and the Humber

North Yorkshire & Humber South Yorkshire & Bassetlaw

West Yorkshire

1 year relative survival is significantly lower in later stage tumours, and the effect is worse in older age groups..

20 Breast cancer in Yorkshire and the Humber

21 Breast cancer in Yorkshire and the Humber

Any questions?

Contact details: verity.bellamy@phe.gov.uk

Tel: 0113 8557436

22 Prostate cancer in Yorkshire and the Humber