Status of cancer in Europe Status of cancer in Europe NowNow
ESMO, 9-10 October 2010 ESMO, 9-10 October 2010
Dr. Andrea MicheliDirector
Descriptive Studies and Health Planning UnitFondazione IRCCS “Istituto Nazionale dei Tumori”
Milan
GROSS DOMESTIC PRODUCT (GDP) AND CANCER INCIDENCEGROSS DOMESTIC PRODUCT (GDP) AND CANCER INCIDENCE
Source: GLOBOCAN 2002, IARC & United Nations (UN)
Age-standardized incidence rates, World Standard Population per 100,000, GDP: at current prices US $, 2006.
EUROPE in the WORLDEUROPE in the WORLD
GROSS DOMESTIC PRODUCT (GDP) AND CANCER MORTALITYGROSS DOMESTIC PRODUCT (GDP) AND CANCER MORTALITY
Age-Standardized incidence rates, World Standard Population per 100,000, GDP: at current prices US $, 2006.
Source: GLOBOCAN 2002, IARC & United Nations (UN)
EUROPE in the WORLDEUROPE in the WORLD
GDP AND EPIDEMIOLOGICAL CANCER DATA GDP AND EPIDEMIOLOGICAL CANCER DATA
All cancers M & FAll cancers M & FCOUNTRIES BY QUARTILE of GDP per capita ($PPP)
Incidenceper 100,000
Mortalityper 100,000
5 yrs Survival
%
GDP < 20,000(BUL, ROM, LAT, PL, LIT, HUN, EST, SK)
336 209 -
20,000 < GDP < = 30,000(PT, MT, CZK, SLO, CY, HEL, S, I) 363 172 5030,000 < GDP < = 36,000(F, D, FIN, UK, B, SW, DK) 411 171 49GDP > 36,000(A, ICE, NL, CH, IRE, N, LUX) 405 176 53
Sources: Ferlay et al. EJC, 2010. EUROCARE-4. For GDP International Monetary Fund Sources: Ferlay et al. EJC, 2010. EUROCARE-4. For GDP International Monetary Fund
GDP and age-standardized incidence rates for all cancers. Men
Sources: Human Development Report 2009; Ferlay et al. 2008
GDP and age-standardized mortality rates for all cancers. Men
Disks are proportional to the public health expenditure ($ PPP) Sources: Human Development Report 2009; Ferlay et al. 2008
EUROCARE-45-year relative survival, all cancers
countries are ordered by Total Expenditure on Health
Europe
Berrino F. et al, The Lancet Oncology, 2007
5 YEARS RELATIVE SURVIVAL FOR ALL CANCERS5 YEARS RELATIVE SURVIVAL FOR ALL CANCERS
Ranked by 1995 TNEHRanked by 1995 TNEH
Source: Verdecchia A. et al. European Journal of Public Health, 2008
Standard: ICSS
5 YRS AGE-ADJUSTED BREAST CANCER RELATIVE SURVIVAL
Standard: ICSS
5 YRS AGE-ADJUSTED COLORECTAL CANCER 5 YRS AGE-ADJUSTED COLORECTAL CANCER RELATIVE SURVIVAL, MENRELATIVE SURVIVAL, MEN
Standard: ICSS
5 YRS AGE-ADJUSTED COLORECTAL CANCER 5 YRS AGE-ADJUSTED COLORECTAL CANCER RELATIVE SURVIVAL, WOMENRELATIVE SURVIVAL, WOMEN
5-YRS ALL CANCERS RELATIVE SURVIVAL TREND IN EUROPE5-YRS ALL CANCERS RELATIVE SURVIVAL TREND IN EUROPE
Source: Verdecchia A. et al. EJC 2009
LIFE LIFE EXPECTANCY EXPECTANCY
TRENDS IN TRENDS IN EUROPEEUROPE
InequalitiesInequalitiesin health havein health have
increasedincreased
Source: United Nations Population Division
• IncidenceIncidence: number of new cases is expected to continue to increase in the next years
INVESTMENT IN PRIMARY PREVENTION IS THE KEY
• Survival: expected to improve as in last decade but with lower performance in Low Income Countries
COSTS REDUCTION YET KEEPING THE SAME OUTCOME IS THE KEY
• Prevalence: expected to explode in next years LONGTERM SURVIVORS NEEDS MUST BE CONSIDERED
• Mortality: expected to reinforce the tendency in its reduction but with lower rate in some countries
DEVELOPMENT OF CANCER PLANS IS THE KEY TO AVOID AVOIDABLE DEATHS
Source: Pierotti M. et al. Tumori 2009
Cancer in Europe: trends & inequalitiesCancer in Europe: trends & inequalities
• Incidence: 3.2 million cancer53% (1.7 million) in men and 47% (1.5 million) in women
colorectal cancers (436,000 cases, 13.6% of the total) breast cancer (421,000, 13.1%)lung cancer (391,000, 12.2%) prostate cancer (382,000, 11.9%)
• Mortality: 1.72 million deaths56% (1 million) in men and 44% (0.7 million) in women
lung cancer (342,000 deaths, 19.9% of the total), colorectal cancer (212,000 deaths, 12.3%), breast cancer (129,000, 7.5%) stomach cancer (117,000, 6.8%)
Source: Ferlay et al. EJC 2010
The burden of Cancer in EuropeThe burden of Cancer in Europe
0 1,000 2,000 3,000 4,000 5,000 6,000 7,000
AustraliaNetherland
IndiaBrazilKorea
MexicoSpain
CanadaItaly
ChinaFrance
UKGermany
JapanUnited States
Number of cancer publications per year
0 500,000 1,000,000 1,500,000 2,000,000 2,500,000
AustraliaNetherland
KoreaMexico
SpainCanada
Italy
FranceUK
GermanyJapan
United States
Number of new cancer cases per year
0 500,000 1,000,000 1,500,000 2,000,000 2,500,000
AustraliaNetherland
IndiaBrazilKorea
MexicoSpain
CanadaItaly
ChinaFrance
UKGermany
JapanUnited States
Scientific contributions in cancer domain Scientific contributions in cancer domain and cancer burden in 2002and cancer burden in 2002
English languageEnglish language
"the 15 most wealthy countries are ordered by decreasing gross domestic product level"
Source: Pierotti M. et al. Tumori 2009
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