Update on the Belgian Cancer Registry,

Transcription

1 Update on the Belgian Cancer Registry, breast cancer data... Belgian Breast Meeting 3-4/10/2008 Liesbet Van Eycken

2 Overview Introduction, history of the BCR Breast Cancer Incidence - Mortality Europe Belgium Flanders

3 History cancer registration in Belgium 1955 Obligatory health insurance social disease 1983 NKR-RNC 1994 AKR/LIKAR 2002 CIV IACR Flemish Network KB MOC - KB normen onco basiszorg en progr 2005: -STOP NCR

4 Belgian Cancer Registry Founded 1/7/2005 Collaboration between physicians, autorities and health insurances 12/2006: Health Law, art. 39: Kankerregister- Registre du Cancer Autorisation to use the national number Description of data transfer and pathways Clinical pathway (moc non moc) Pathology and Hematology pathway Cancer Plan March 2008 All cancers MOC Data manager funding in the hospital...

5 Actual Data sources Belgian Cancer Registry Hospitals: Oncol Care MOC non-moc Pathology labs Haematology Health Insurances Belgian Cancer Registry

6 CANCER IN EUROPE, new cancer cases 53% males 47% females cancer deaths 56% males 44% females Ferlay J et al, Ann Onc 2007, doi: /annonc/mdl498

7 Cancer incidence and mortality, estimates 2006 EUROPE Incidence (n) Total: Mortality (n) Total: Breast: Colorectal: Lung: Prostate: Lung: Colorectal: Breast: Stomach: Ferlay J et al, Ann Onc 2007, doi: /annonc/mdl498

8 2004, Breast Cancer, Belgium: new cases Borstkanker in België, 2004 Absolute aantallen 1400 Aantallen / , ,0 400,0 350, ,0 250, , ,0 100,0 50, Leeftijdscategorie 0,0 Absolute aantallen Aantallen /

9 Breast Cancer, 2004 Belgium Flemish Region Walloon region Brussels region % 33% 10%

10 Breast Cancer, Age standardised incidence, 2004 breast Wallonië Brussel Vlaanderen ESR (n/100,000)

11 n/100,000 Breast cancer, 2004, Age specific incidence 700,0 600,0 500,0 400,0 300,0 Flemish Region Walloon Region Brussels Region 200,0 100,0 0, age

12 Reasons? Methodology? Check (Wall-Bxl) Administrative procedures? Prevalent cases? Result check: >3.000 cases: change of 2,2%! Influence screening programs (timing)? Risk factors? Next years?...

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14 ESR (Aantallen / ) Breast Cancer: evolution of age stand. incidence rates Flemish Region Flanders: evolution of age standardised incidence rates (3 age categories) Jaar alle leeftijden

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21 Flemish Region, Breast Cancer: evolution of incidence and mortality per age category <50 y 50-69y 70+ ESR (N/ ) Borstkanker in Vlaanderen, Leeftijdscategorie 0-49 Mortaliteit versus incidentie ESR (N/ ) Borstkanker in Vlaanderen, Leeftijdscategorie Mortaliteit versus incidentie ESR (N/ ) Borstkanker in Vlaanderen, Leeftijdscategorie 70+ Mortaliteit versus incidentie Jaar Incidentie Mortaliteit Jaar Incidentie Mortaliteit Jaar Incidentie Mortaliteit

22 gestandaardiseerd cijfer (1/ inw.) Breast cancer mortality, Flemish Region, years: breast cancer is the most important cause of death Direct Gestandaardiseerde sterfte door borstkanker. Vlaams Gewest. Betrouwbaarheidsintervallen BG ASR OG 46 Linear (ASR) y = -0,7776x + 47,125 R 2 = 0,

23 Flemish Region, breast cancer: 5y relative survival per stage Borstkanker in Vlaanderen: Relatieve overleving per stadium, % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Maand I II III IV X

24 ESR (Aantallen / ) Breast Cancer, all ages, flemish region: stage distribution Breast Cancer, all ages: stage distribution, % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Jaar IV III II I

25 ESR (Aantallen / ) Breast Cancer, years, flemish region: stage distribution Breast cancer, years: stage distribution, % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Jaar IV III II I

26 Europe: 5-year relative survival, Eurocare-4 F. Berrino et al. 2007

27 Europe, breast cancer: 5-year relative survival, Eurocare-4 F. Berrino et al. 2007

28 5 year relative survival, all cancers, TNEH

29 Conclusion Breast Cancer High incidence in Belgium Differences in incidence in the Belgian regions Further investigations! TNM evolution? Mortality decreasing over time Survival data comparable with the European results Up to a cancer registry for Belgium with useful data for health care workers, autorities, research, etc...

30 Thank you! And... Thank you Cancer Registry team!