Gateshead Joint Strategic Needs Assessment 2012 Data Annex Chapter 6: Cancer

Transcription

1 Gateshead Joint Strategic Needs Assessment 2012 Data Annex Chapter 6: Cancer

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3 Gateshead Joint Strategic Needs Assessment 2012 Data Annex Chapter 6 Cancer This Annex to the Gateshead Joint Strategic Needs Assessment brings together indicators of population, health, well-being, the wider determinants of health and usage of care and health services among the population of Gateshead. Trends are considered over time and the values for local populations are compared to figures for local neighbours, similar populations in other parts of England, the NE regional average and the England average. The data set has been put together jointly by NHS South of Tyne and Wear and Gateshead Council The Annex is divided into nine chapters: 1. Population 2. Social and Environmental Context 3. Child Health and Lifestyle 4. Life Expectancy, Mortality and Ill Health due to All Causes 5. Heart Disease, Stroke and Related Conditions 6. Cancer 7. Adult Health, Long Term Conditions other than Heart Disease and Cancer and Social Care 8. Adult Lifestyle 9. Public Voice Within this Chapter on Cancer, the information is grouped by type of cancer. Each subsection is structured to show, first, mortality, followed by survival rates, population incidence, and finally population prevalence where this is available. Wherever information is available at a geographical level below the Local Authority population as a whole, this is illustrated on maps of Gateshead showing electoral wards. Each ward has an average population of around 10,000 people. The maps of variations in health and lifestyle for small areas are constructed so that poor health or less healthy lifestyle behaviours are shown as darker colours. The data set is designed to support Local Authorities and Primary Care Trusts when undertaking Joint Strategic Needs Assessment in It will also be of use to a wide range of partner agencies in the public, third and commercial sectors and individuals who either provide or use local health and care services. The format of the data set has been informed by consultation with health and social care specialists across the North East region and this process was facilitated by the North East Public Health Observatory. It also acknowledges the content suggested by the Association of Public Health Observatories in its report The JSNA Core Dataset. If you have any queries about the data in this annex please contact: Public Health Analyst, NHS South of Tyne and Wear, Pemberton House, Colima Avenue, Sunderland SR5 3XB Tel: andy.billett@sotw.nhs.uk There are a number of websites now providing tools which monitor indicators of health and social care at Local Authority or ward level for all areas either within a region or across England. Within this chapter, much information has been taken from the National Cancer E-Atlas maintained by the National Cancer Intelligence Network. Where indicators are monitored by the Cancer E-Atlas, outputs are reproduced, but the user is directed to Atlas for further details. A link to the Cancer e-atlas is provided at the foot of the relevant sections for those who access this document from a PC with internet access.. 299

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5 Contents 6. Cancer Premature Mortality Due to all Cancers All cancers (ICD10 C00-C97), indirectly age-standardised mortality ratio (SMR), all ages All cancers (ICD10 C00-C97), average years of life lost rate per 10,000 population among persons under 75 years Mortality due to all cancers (ICD10 C00-C97 excluding C44), all ages Index of cancer survival at one year after diagnosis among people ages years Number and percentage of people with a chronic disease all cancers among people all ages Incidence of all cancers (ICD10 C00-C97 excluding C44), under 75 years Incidence of all cancers (ICD10 C00-C97 excluding C44), all ages Mortality by Type of Cancer Presentation of data by type of cancer Mortality due to lung cancer (ICD10 C33-C34), under 75 years Mortality due to lung cancer (ICD10 C33-C34), all ages Survival to 3 years following diagnosis of lung cancer (ICD10 C33-C34) Survival to 1 year following diagnosis of lung cancer (ICD10 C33-C34) Incidence of lung cancer (ICD10 C33-C34), under 75 years Incidence of lung cancer (ICD10 C33-C34), all ages Mortality due to mesothelioma (ICD10 C45), all ages Survival following diagnosis of mesothelioma (ICD10 C45), all ages Incidence of mesothelioma (ICD10 C45), all ages Mortality due to colorectal cancer (ICD10 C18-C20) all ages Survival to 5 years following diagnosis of colorectal cancer (ICD10 C18-C20) among people all ages Survival to 3 years following diagnosis of colorectal cancer (ICD10 C18-C20) among people all ages Survival to 1 year following diagnosis of colorectal cancer (ICD10 C18-C20) among people all ages Incidence of colorectal cancer (ICD10 C18-C20), all ages Staging of colorectal cancer (ICD10 C18-C20) Mortality due to prostate cancer (ICD10 C61), males all ages Mortality due to prostate cancer (ICD10 C61), males all ages Survival to 5 years following diagnosis of prostate cancer (ICD10 C61) Survival to 3 years following diagnosis of prostate cancer (ICD10 C61) Survival to 1 year following diagnosis of prostate cancer (ICD10 C61) Incidence of prostate cancer (ICD10 C61) Mortality due to breast cancer (ICD10 C50), females all ages Survival to 5 years following diagnosis of breast cancer (ICD10 C50) Survival to 3 years following diagnosis of breast cancer (ICD10 C50) Survival to 1 year following diagnosis of breast cancer (ICD10 C50) Incidence of breast cancer (ICD10 C50), all ages Staging of breast cancer (ICD10 C50) Mortality due to cervical cancer (ICD10 C53) Incidence of cervical cancer (ICD10 C53), all ages Staging of cervical cancer (ICD10 C53) Pancreatic cancer (ICD10 C25) Oesophageal cancer (ICD10 C15)

6 6.43. Mortality due to stomach cancer (ICD10 C16) Incidence of stomach cancer (ICD10 C16) Bladder cancer (ICD10 C67) Mortality due to malignant melanoma (ICD10 C43) Incidence of malignant melanoma (ICD10 C43) Staging of melanoma (ICD10 C43) Cervical and breast screening uptake rates Coverage of cervical screening (% of women < 5 years since last adequate smear) among eligible women ages 25 to 64 years Coverage of breast screening (% of women < 3 years since last test) among eligible women ages 53 to 64 years Coverage of breast screening (% of women < 3 years since last test) among eligible women ages 53 to 70 years Uptake of bowel cancer screening Cancer waiting times Cancer achievement of access targets from urgent referral to first appointment within 14 days for all cancers Cancer achievement of access targets maximum 31 days wait from diagnosis to treatment for all cancers Cancer achievement of access targets maximum 62 day wait from referral to treatment for all cancers Proportion of deaths due to all cancers at home

7 6. Cancer 6.1. Premature Mortality Due to all Cancers Our Healthier Nation target: To reduce deaths from all cancers among persons under 75 years of age by at least 20% by the year These graphs show the contribution from premature mortality due to all cancers towards reducing the gap in life expectancy between England and local populations. Around one quarter of this gap in Gateshead is due to excess mortality due to all cancers. There is also an Our Healthier Nation target in relation to overall reductions in mortality in this area. Gateshead and South Tyneside PCTs have already achieved the Our Healthier Nation target of a 20% reduction in the premature mortality rate due to all cancers between 1996 and Rates are three year pooled, shown in the middle year of the three year period. 303

8 Premature mortality due to all cancers (cont.) Directly Age-Standardised Mortality Rate Due to All Cancers (ICD10 C00-C97) per 100,000 population Target Baseline Rate Rate % Rate (Pooled) 2010 No. of Rate No. of Rate Lower Upper % target deaths deaths confidence interval Reduction rate Gateshead Males Females Persons South Tyneside Males Females Persons Sunderland Males Females Persons North East Males Females Persons England Males Females Persons Inequality gap between PCT and England among persons (as a proportion of England rate) Gateshead 25% 15% South Tyneside 27% 24% Sunderland 19% 30% Source: Indicator Portal, NHS Information Centre at indicators.ic.nhs.uk Data for will be published in December 2010 by the National Centre for Health Outcomes Development at 304

9 Premature mortality due to all cancers (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 305

10 Premature mortality due to all cancers (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 306

11 Premature mortality due to all cancers (cont.) Mortality rates due to all cancers (ICD10 C00-C97) among people under 75 years by ward, Source: Business Information, NHS South of Tyne and Wear based on data from the Annual Deaths Extract, Office for National Statistics 307

12 Premature mortality due to all cancers (cont.) Mortality rates due to all cancers (ICD10 C00-C97) among people under 75 years by ward, Ward rates from an earlier period, , are shown to allow consideration of whether the distribution of health inequalities relating to cancer mortality has changed in recent years. Source: Information Services, NHS South of Tyne and Wear based on data from the Annual Deaths Extract, Office for National Statistics 308

13 Premature mortality due to all cancers (cont.) Age-standardised mortality rate due to all cancers (ICD10 C00-C97) per 100,000 population among persons under 75 by Gateshead ward Significance Significance Codes Names 00CHFZ Birtley CHGA Blaydon CHGB Bridges 216 Higher 222 Higher 223 Higher CHGC Chopwell and Rowlands Gill CHGD Chowdene CHGE Crawcrook and Greenside 94 Lower CHGF Deckham CHGG Dunston and Teams CHGH Dunston Hill and Whickham E Lower 66 Lower Lower 00CHGJ Felling 212 Higher Higher 00CHGK High Fell Higher CHGL Lamesley CHGM Lobley Hill and Bensham CHGN Low Fell 80 Lower 79 Lower 80 Lower CHGP Pelaw and Heworth CHGQ Ryton, Crookhill and Stella Lower Lower 87-00CHGR Saltwell CHGS Wardley and Leam Lane CHGT Whickham North CHGU Whickham South and Sunniside Lower Lower 00CHGW Windy Nook and Whitehills CHGX Winlaton and High Spen Gateshead North East England Source: Information Services, NHS South of Tyne and Wear, significance indicates whether ward rate is significantly higher or lower than Gateshead average at 95% level of confidence Significance Significance Significance Significance Significance 309

14 Premature mortality due to all cancers (cont.) Cancer mortality - international comparisons: Mortality rates due to all cancers among people of all ages in the United Kingdom were 214 per 100,000 among males and 149 among females in Organisation for Economic Co-operation and Development (OECD) countries with particularly low rates are Sweden (177 M, 130 F) and Australia (196 M, 123 F). OECD countries with high rates include Denmark (245 M, 186 F) and Hungary (346 M, 178 F). Source: SourceOECD at titania.sourceoecd.org 310

15 6.2. All cancers (ICD10 C00-C97), indirectly age-standardised mortality ratio (SMR), all ages Gateshead Gateshead S Tyneside S Tyneside Sunderland Sunderland NE England 3 Year Period Ratio Deaths Ratio Deaths Ratio Deaths Ratio Ratio Source: Indicator Portal at indicators.ic.nhs.uk figures will be published in December

16 6.3. All cancers (ICD10 C00-C97), average years of life lost rate per 10,000 population among persons under 75 years 3 Year Gateshead Gateshead S Tyneside S Tyneside Sunderland Sunderland NE England Period rate YLL rate YLL rate YLL rate rate Source: Indicator Portal at indicators.ic.nhs.uk figures will be published Dec YLL = years of life lost. Figures in bold are significantly higher than the England rate at 95% confidence. The Years of Life Lost rate measures the difference in years between age of death and 75 years for those people who die under this age. 75 years is used as it is as an approximation to the current average life expectancy at birth. 312

17 6.4. Mortality due to all cancers (ICD10 C00-C97 excluding C44), all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of deaths. 313

18 Mortality due to all cancers (ICD10 C00-C97 excluding C44), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 314

19 Mortality due to all cancers (ICD10 C00-C97 excluding C44), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 315

20 6.5. Index of cancer survival at one year after diagnosis among people ages years In 2010, the Office of National Statistics published a set of indices which showed a measure of relative cancer survival at one year after diagnosis for PCT populations across England. The indices are expressed as percentage and represent a weighted average of the proportion of cancer patients who survive to one year across all cancers. The index has been designed for routine monitoring of the local effectiveness of cancer services. It is adjusted for differences between PCTs in the profile of their resident cancer patients by age, sex and type of cancer. It is also adjusted for variations in the profile of resident cancer patients within PCT populations over time. The indices have been calculated for each of the eleven years between 1996 and Each index has an accompanying precision factor. The measure of precision is the inverse of the variance of the relative survival index. A lower precision factor indicates that the index is based on fewer observations and so we have less confidence in the accuracy of the index. Funnel plots are shown below for three years, 1996, 2001 and The horizontal yellow line represents the England average. Indices for all English PCT populations are shown on the plots. The dotted lines on the funnel plots equate to 95% and 99% confidence limits If an index is below the England average i.e. a smaller percentage of cancer patients than the England average survive to one year, and lies outside the first or second dotted line, then the index is significantly lower than the England index at a 95% or 99% level of confidence. One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics,

21 Index of cancer survival at one year after diagnosis among people ages years (cont.) One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics, 2010 One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics,

22 Index of cancer survival at one year after diagnosis among people ages years (cont.) One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics, 2010 One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics,

23 Index of cancer survival at one year after diagnosis among people ages years (cont.) One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics, 2010 One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics,

24 Index of cancer survival at one year after diagnosis among people ages years (cont.) One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics, 2010 One year cancer survival index among people years by English PCT population KEY Gateshead South Tyneside Sunderland Source: Office for National Statistics,

25 6.6. Number and percentage of people with a chronic disease all cancers among people all ages Gateshead number on disease register Gateshead Prevalence (%) S Tyneside number on disease register S Tyneside Prevalence (%) Sunderland number on disease register Sunderland Prevalence (%) SHA Prevalence (%) England Prevalence (%) Year 06/07 2, , , /08 2, , , /09 2, , , /10 3, , , /11 3, , , Source: NHS Information Centre at data from the Quality and Outcomes Framework (QOF). Data for 2011/12 will be published Oct Figures in bold indicate that these are significantly higher or lower than the comparative England prevalence at 95% confidence. 321

26 Number and percentage of people with a chronic disease all cancers among people all ages (cont.) Proportion of GP Practice populations all ages that are diagnosed with all cancers in 2010/11 Source: NHS Information Centre, Quality and Outcomes Framework, 2010/11, data for 2011/12 will be published in Oct

27 Number and percentage of people with a chronic disease all cancers among people all ages (cont.) Proportion of GP Practice populations all ages that are diagnosed with all cancers in 2010/11 All Cancers Prevalence 09/10 All Cancers Register 10/11 All Cancers Prevalence 10/11 Practic No. e Code Practice Name 1 A85001 DR SCHUMM & PARTNERS 1.4% % 2 A85002 DR ROBERTS & PARTNERS 1.5% % 3 A85003 DR LIDDLE & PARTNERS 1.9% % 4 A85004 DR BRUMBY & PARTNERS 1.7% % 5 A85005 DR MORRIS & PARTNERS 1.7% % 6 A85006 DR TASKER AND PARTNERS 1.4% % 7 A85007 DR BRYSON & PARTNERS 1.9% % 8 A85008 DR STEELE & PARTNERS 1.3% % 9 A85009 DR RUTENBERG & PARTNERS 1.4% % 10 A85010 DR MATHESON & PARTNERS 1.3% % 11 A85011 DR SCOTT & PARTNERS 1.9% % 12 A85012 DR S M IMAM 1.0% % 13 A85013 DR ILYAS & PARTNER 2.1% % 14 A85014 DR CHAPMAN & PARTNERS 1.6% % 15 A85015 DR ROONEY & PARTNERS 2.2% % 16 A85016 DR ROONEY & PARTNERS 2.1% % 17 A85017 DR COPE & PARTNERS 1.3% % 18 A85018 DR JOHNSON & PARTNERS 1.6% % 19 A85019 DR KENNAN & PARTNERS 1.2% % 20 A85020 DR MCNULTY AND PARTNERS 2.0% % 21 A85021 DR KUMAR 1.6% % 22 A85023 DR SHERRATT & PARTNERS 1.3% % 23 A85024 DR M S HASSAN 1.3% % 24 A85025 DR ORRITT & PARTNER 1.2% % 25 A85026 DR PENRICE & PARTNER 1.4% % 26 A85601 DR MANDAL 1.9% % 27 A85605 DR HILTON 2.3% % 28 A85609 DR MUTHU KRISHNAN 1.2% % 29 A85611 DR SUCHDEV & PARTNERS 1.2% % 30 A85614 BRIDGES MEDICAL PRACTICE 1.9% % 31 A85616 DR DUGGAL 1.7% % 32 A85617 DR HUNT 1.3% % 33 A85620 GRANGE RD. MED. PRACTICE 1.9% % 34 Y02658 BLAYDON GP LED H. CENTRE n/a % 35 Y02712 MEDICUS FAMILY PRACTICE n/a 9 3.1% GATESHEAD 3, % Source: NHS Information Centre, Quality and Outcomes Framework, 2010/11, data for 2011/12 will be published in October

28 6.7. Incidence of all cancers (ICD10 C00-C97 excluding C44), under 75 years Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population under

29 Incidence of all cancers (ICD10 C00-C97 excluding C44), under 75 years (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population under

30 6.8. Incidence of all cancers (ICD10 C00-C97 excluding C44), all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of registrations. 326

31 Incidence of all cancers (ICD10 C00-C97 excluding C44), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 327

32 Incidence of all cancers (ICD10 C00-C97 excluding C44), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 328

33 6.9. Mortality by Type of Cancer There are around 600 deaths each year in Gateshead due to cancer. These represent 30% of all deaths, which is higher than the comparative figure of 28% for England as a whole. Similarly, deaths due to lung cancer represent a higher proportion of all deaths due to cancer in Gateshead when compared to England as a whole. In Gateshead 30% of all deaths due to cancer are caused by lung cancer compared to 22% across England. Deaths Due to Cancer, 2008 to 2010 pooled Gateshead S Tyneside Sunderland England Deaths Deaths Deaths Deaths Lung Cancer ,347 Colorectal Cancer ,370 Breast Cancer ,448 Prostate Cancer ,521 Oesophageal Cancer ,562 Stomach Cancer ,340 Malignant Melanoma ,277 Cervical Cancer ,285 Other cancers , ,723 All Cancers 1,822 1,565 2, ,873 All Causes 6,173 5,078 8,717 1,396,021 % due to cancer % % % % Lung Cancer Colorectal Cancer Breast Cancer Prostate Cancer Oesophageal Cancer Stomach Cancer Malignant Melanoma Cervical Cancer Other cancers All Cancers Source: NHS Information Centre Indicators Portal at based on deaths data from the Office for National Statistics 329

34 6.10. Presentation of data by type of cancer Data is presented below showing mortality and incidence of the eight types of cancer for which there are the greatest number of deaths across the UK lung cancer, colorectal cancer, breast cancer, prostate cancer, oesophageal cancer, stomach cancer and bladder cancer. In addition statistics are presented relating to cervical cancer, due to the existence of a screening programme, melanoma (skin cancer) due to concern about the use of sunbeds and the effects of climate change and mesothelioma, due to Gateshead s industrial heritage of heavy industry. Figure 1.1: The 20 most common causes of death from cancer, UK, 2008 Lung Colorectal Breast Prostate Pancreas Oesophagus Stomach Bladder Non-Hodgkin lymphoma Ovary All leukaemias Kidney Brain with central nervous system Liver Multiple myeloma Mesothelioma Malignant melanoma Oral Uterus Bone and connective tissue Other cancers Males Females 0 10,000 20,000 30,000 40,000 Number of deaths Source: Cancer Research UK Common Cancers UK Mortality Statistics at info.cancerresearchuk.org 330

35 6.11. Mortality due to lung cancer (ICD10 C33-C34), under 75 years Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population under 75. Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

36 Mortality due to lung cancer (ICD10 C33-C34), under 75 years (cont.) Age-standardised mortality rate per 100,000 males under 75 years South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of deaths per year among males under 75 years South Year Gateshead Tyneside Sunderland North East England ,026 12, , , , , , , , , , , , , , , , , ,433 Source: UK Cancer Information Service Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

37 Mortality due to lung cancer (ICD10 C33-C34), under 75 years (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population under 75. Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

38 Mortality due to lung cancer (ICD10 C33-C34), under 75 years (cont.) Age-standardised mortality rate per 100,000 females under 75 years South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of deaths per year among females under 75 years South Year Gateshead Tyneside Sunderland North East England , , , , , , , , , , , , , , , , , ,198 Source: UK Cancer Information Service Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

39 6.12. Mortality due to lung cancer (ICD10 C33-C34), all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of deaths. 335

40 Mortality due to lung cancer (ICD10 C33-C34), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

41 Mortality due to lung cancer (ICD10 C33-C34), all ages (cont.) Age-standardised mortality rate per 100,000 males all ages South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of deaths per year among males all ages South Year Gateshead Tyneside Sunderland North East England ,500 20, ,439 19, ,410 19, ,398 18, ,368 17, ,328 17, ,297 17, ,211 16, ,250 16, ,165 16, ,123 16, ,102 15, ,147 15, ,193 15, ,197 15, ,213 16, ,125 15, ,034 15,715 Source: UK Cancer Information Service Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

42 Mortality due to lung cancer (ICD10 C33-C34), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. Mortality due to lung cancer (ICD10 C33-C34), under 75 years (cont.) Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

43 Mortality due to lung cancer (ICD10 C33-C34), all ages (cont.) Age-standardised mortality rate per 100,000 females all ages South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of deaths per year among females all ages South Year Gateshead Tyneside Sunderland North East England , , , , , , , , , , , , , , , , ,066 12, ,013 12,281 Source: UK Cancer Information Service Gateshead 2012 Joint Strategic Needs Assessment Data Annex Version QAd

44 Mortality due to lung cancer (ICD10 C33-C34), all ages (cont.) Indirectly age-standardised mortality ratio due to lung cancer among people of all ages 3 year Gateshead Gateshead S Tyneside S Tyneside Sunderland Sunderland NE England period Ratio Deaths Ratio Deaths Ratio Deaths Ratio Ratio Source: Indicator Portal, NHS Information Centre at indicators.ic.nhs.uk. Figures for will be published in Dec Figures in bold are significantly different from the England value at a 95% level of confidence 340

45 6.13. Survival to 3 years following diagnosis of lung cancer (ICD10 C33-C34) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is percentage surviving to 3 years among people all ages. 341

46 6.14. Survival to 1 year following diagnosis of lung cancer (ICD10 C33-C34) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is percentage surviving to 1 year among people all ages. 342

47 6.15. Incidence of lung cancer (ICD10 C33-C34), under 75 years Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population under

48 Incidence of lung cancer (ICD10 C33-C34), under 75 years (cont.) Age-standardised registration rate per 100,000 males under 75 years South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of registrations per year among males under 75 years South Year Gateshead Tyneside Sunderland North East England ,175 14, ,141 14, ,057 13, ,035 13, ,035 12, , , , , , , , , , , , ,672 Source: UK Cancer Information Service 344

49 Incidence of lung cancer (ICD10 C33-C34), under 75 years (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population under

50 Incidence of lung cancer (ICD10 C33-C34), under 75 years (cont.) Age-standardised registration rate per 100,000 females under 75 years South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of registrations per year among females under 75 years South Year Gateshead Tyneside Sunderland North East England , , , , , , , , , , , , , , , , ,242 Source: UK Cancer Information Service 346

51 6.16. Incidence of lung cancer (ICD10 C33-C34), all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 347

52 Incidence of lung cancer (ICD10 C33-C34), all ages (cont.) Age-standardised registration rate per 100,000 males all ages South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of registrations per year among males South Year Gateshead Tyneside Sunderland North East England ,653 21, ,585 21, ,526 21, ,533 20, ,586 20, ,474 19, ,427 19, ,360 19, ,397 19, ,356 18, ,300 18, ,337 18, ,323 18, ,421 19, ,405 18, ,354 19, ,359 18,652 Source: UK Cancer Information Service 348

53 Incidence of lung cancer (ICD10 C33-C34), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 349

54 Incidence of lung cancer (ICD10 C33-C34), all ages (cont.) Age-standardised registration rate per 100,000 females all ages South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of registrations per year among females South Year Gateshead Tyneside Sunderland North East England , , , , , , ,021 12, ,001 12, ,001 12, ,046 12, ,047 12, ,030 12, ,073 13, ,086 13, ,171 14, ,259 14, ,235 14,761 Source: UK Cancer Information Service 350

55 6.17. Mortality due to mesothelioma (ICD10 C45), all ages Source: National Cancer Intelligence Network, UK Cancer Information Service at Rate is age-standardised mortality rate per 100,000 population all ages. 351

56 Mortality due to mesothelioma (ICD10 C45), all ages (cont.) The majority of deaths due to mesothelioma occur among males. Mortality rates for persons are shown here due to the small number of deaths among women at primary care organisation level. This would mean that separate statistics for males and females would have to be suppressed to avoid disclosure. Age-standardised mortality rate per 100,000 persons all ages 3 year period Gateshead rate South Tyneside rate Sunderland rate North East rate England rate Source: UK Cancer Information Service Number of deaths per year South Year Gateshead deaths Tyneside deaths Sunderland deaths North East deaths England deaths , < , , , < , , < , , , ,982 Source: UK Cancer Information Service 352

57 6.18. Survival following diagnosis of mesothelioma (ICD10 C45), all ages The numbers of registrations of mesothelioma among the populations of Gateshead, South Tyneside and Sunderland are too small to allow the calculation of a robust indicator of survival. Regional and national survival rates to one year and three years are shown below. Source: UK Cancer Information Service, National Cancer Intelligence Network at 353

58 6.19. Incidence of mesothelioma (ICD10 C45), all ages Source: UK Cancer Information Service, National Cancer Intelligence Network at Rate is age-standardised registration rate per 100,000 population. 354

59 Incidence of mesothelioma (ICD10 C45), all ages (cont.) The majority of registrations of mesothelioma occur among males. Registration rates for persons are shown here due to the small number of registrations among women at primary care organisation level. This would mean that separate statistics for males and females would have to be suppressed to avoid disclosure. Age-standardised registration rate per 100,000 persons all ages South 3 year period Gateshead Tyneside Sunderland North East England Source: UK Cancer Information Service Number of registrations per year South Year Gateshead Tyneside Sunderland North East England , , , , , , , , , < , , , , , , , ,216 Source: UK Cancer Information Service 355

60 6.20. Mortality due to colorectal cancer (ICD10 C18-C20) all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of deaths. 356

61 Mortality due to colorectal cancer (ICD10 C18-C20) all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 357

62 Mortality due to colorectal cancer (ICD10 C18-C20) all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 358

63 6.21. Survival to 5 years following diagnosis of colorectal cancer (ICD10 C18- C20) among people all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 5 years following diagnosis of colorectal cancer. 359

64 6.22. Survival to 3 years following diagnosis of colorectal cancer (ICD10 C18- C20) among people all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 3 years following diagnosis of colorectal cancer. 360

65 6.23. Survival to 1 year following diagnosis of colorectal cancer (ICD10 C18-C20) among people all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 1 year following diagnosis of colorectal cancer. 361

66 6.24. Incidence of colorectal cancer (ICD10 C18-C20), all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 362

67 Incidence of colorectal cancer (ICD10 C18-C20), all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 363

68 6.25. Staging of colorectal cancer (ICD10 C18-C20) The percentage of colorectal cancer patients by stage at diagnosis. Patients with colorectal cancers coded with ICD-10 C18-C20 have been used and split into stages A-D and also unstaged, either due to pre-treatment or the field being left blank. Source: North East Public Health Observatory, Dashboard at based on data supplied by the Northern and Yorkshire Cancer Registry and Information Service (NYCRIS) Colorectal cancer can be staged according to the Dukes system. 'Dukes A' means the cancer is only in the innermost lining of the colon or rectum or slightly growing into the muscle layer. 'Dukes B' means the cancer has grown through the muscle layer of the colon or rectum. 'Dukes C' means the cancer has spread to at least one lymph node in the area close to the bowel. 'Dukes D' means the cancer has spread to somewhere else in the body such as the liver or lung. 364

69 6.26. Mortality due to prostate cancer (ICD10 C61), males all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of deaths. 365

70 6.27. Mortality due to prostate cancer (ICD10 C61), males all ages Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 366

71 6.28. Survival to 5 years following diagnosis of prostate cancer (ICD10 C61) Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 5 years following diagnosis of prostate cancer. 367

72 6.29. Survival to 3 years following diagnosis of prostate cancer (ICD10 C61) Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 3 years following diagnosis of prostate cancer. 368

73 6.30. Survival to 1 year following diagnosis of prostate cancer (ICD10 C61) Source: National Cancer Intelligence Network, UK Cancer Information System at Percentage surviving to 1 year following diagnosis of prostate cancer. 369

74 6.31. Incidence of prostate cancer (ICD10 C61) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised registration rate per 100,000 population all ages. 370

75 6.32. Mortality due to breast cancer (ICD10 C50), females all ages Source: National Cancer Intelligence Network, Cancer e-atlas at Rate is age-standardised rate per 100,000 population all ages, count is average annual number of deaths. 371

76 Mortality due to breast cancer (ICD10 C50), females all ages (cont.) Source: National Cancer Intelligence Network, UK Cancer Information System at Rate is age-standardised mortality rate per 100,000 population all ages. 372