Bowel cancer survival rates vary across England
http://www.100md.com
《英国医生杂志》
Rates of survival from bowel cancer vary more than rates for breast and lung cancer in different regions of England, the latest regional cancer statistics show.
The Office for National Statistics figures included data on all adults who were given a diagnosis of cancer between 1994 and 1996 and who were followed up to the end of 2001. They included all the NHS regions in England apart from the North East, because a reorganisation of health areas had artificially skewed the figures in this region.
There was a 6% difference between the regions with the highest and the lowest five year survival rates among men and women with colon cancer. This compared with a 3% range in survival rates among women with breast cancer.
Five year survival rates for colon cancer were lowest in the North West for men (41%) and in the East Midlands for women (42%). The regions with the highest survival rates for colon cancer were the South West for men (47%) and the South East for women (48%). Nationally, survival rates for colon cancer for men and women were similar, at around 45%.
Two pilot studies are currently evaluating the best way to carry out screening for bowel cancer.
Dr Richard Sullivan, head of clinical programmes at Cancer Research UK, said there were two potential reasons for the north-south divide. 揝ervice delivery may be better in the South ?Alternatively, patients in the South may be presenting with earlier stage disease.?Communication failures or cultural difference might explain the delays, he said.
The five year survival rate for breast cancer ranged from 74% (North West, East Midlands, and South West) to 77% (East of England and London). There was greater variation among individual strategic health authorities: from 69% in Hampshire and the Isle of Wight to 80% in South West London. This difference was not statistically significant, said Dr Sullivan.
揟hese figures are good news. Five year survival rates are improving steadily for breast cancer. Mortality associated with this common cancer has fallen by more than 30% over the past 10 years,?he said.
The national five year survival rate for lung cancer for men and women was just over 5%. Rates were lowest in the East Midlands for men (4.7%) and the West Midlands for women (also 4.7%) and highest in the North West and London for men (5.7%) and London for women (6.7%).
Dr Sullivan said that although overall mortality from lung cancer had fallen, especially in men, survival rates had changed little in the past 20 years. 揟his highlights the need for more research into lung cancer, including new ways to treat this deadly cancer,?he said.(London, Susan Mayor)
The Office for National Statistics figures included data on all adults who were given a diagnosis of cancer between 1994 and 1996 and who were followed up to the end of 2001. They included all the NHS regions in England apart from the North East, because a reorganisation of health areas had artificially skewed the figures in this region.
There was a 6% difference between the regions with the highest and the lowest five year survival rates among men and women with colon cancer. This compared with a 3% range in survival rates among women with breast cancer.
Five year survival rates for colon cancer were lowest in the North West for men (41%) and in the East Midlands for women (42%). The regions with the highest survival rates for colon cancer were the South West for men (47%) and the South East for women (48%). Nationally, survival rates for colon cancer for men and women were similar, at around 45%.
Two pilot studies are currently evaluating the best way to carry out screening for bowel cancer.
Dr Richard Sullivan, head of clinical programmes at Cancer Research UK, said there were two potential reasons for the north-south divide. 揝ervice delivery may be better in the South ?Alternatively, patients in the South may be presenting with earlier stage disease.?Communication failures or cultural difference might explain the delays, he said.
The five year survival rate for breast cancer ranged from 74% (North West, East Midlands, and South West) to 77% (East of England and London). There was greater variation among individual strategic health authorities: from 69% in Hampshire and the Isle of Wight to 80% in South West London. This difference was not statistically significant, said Dr Sullivan.
揟hese figures are good news. Five year survival rates are improving steadily for breast cancer. Mortality associated with this common cancer has fallen by more than 30% over the past 10 years,?he said.
The national five year survival rate for lung cancer for men and women was just over 5%. Rates were lowest in the East Midlands for men (4.7%) and the West Midlands for women (also 4.7%) and highest in the North West and London for men (5.7%) and London for women (6.7%).
Dr Sullivan said that although overall mortality from lung cancer had fallen, especially in men, survival rates had changed little in the past 20 years. 揟his highlights the need for more research into lung cancer, including new ways to treat this deadly cancer,?he said.(London, Susan Mayor)