1 / 15

Epidemiology of Colorectal Cancer

Epidemiology of Colorectal Cancer. Rajiv Kumar Advanced Trainee in Medical Oncology Wellington Blood & Cancer Centre Wellington Hospital 14 September 2014. WHO 2000. Cancer Registrations 2005. Age-standardised registration rate (per 100 000) Breast 48.0 CRC & anus 47.1

briana
Télécharger la présentation

Epidemiology of Colorectal Cancer

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Epidemiology of Colorectal Cancer Rajiv Kumar Advanced Trainee in Medical Oncology Wellington Blood & Cancer Centre Wellington Hospital 14 September 2014

  2. WHO 2000

  3. Cancer Registrations 2005 • Age-standardised registration rate (per 100 000) • Breast 48.0 • CRC & anus 47.1 • Melanoma 38.8 • Trachea,bronchus,Lung 29.3 http://www.moh.govt.nz

  4. Cancer Registrations 2005 Men Women • Age-standardised registration rate (per 100 000) • Prostate 95.0 • CRC & Anus 50.7 • Melanoma 44.3 • Trachea,Bronhus,Lung 35.7 • Age-standardised registration rate (per 100 000) • Breast 92.0 • CRC & Anus 43.9 • Melanoma 34.3 • Trachea,Bronhus,Lung 24.1 Prostate 25.6% Colorectal & Anus 13.8% Melanoma of skin 11.5% Trachea,Lung,bronchus 9.8% NHL 3.9% MPS/MDS 3.6% Leukaemia 3.4% Urinary bladder 2.6% Kidney 2.3% Stomach 2.1% All Other Sites 21.4% 27.4% Breast 15.5% Colorectal & Anus 10% Melanoma of skin 7.9% Trachea,Lung,Bronchus 4.3% Uterine corpus 3.5% NHL 3.4% Ovary 3.1% MPS/MDS 2.7% Leukaemia 2.3% Pancreas 19.8% All Other Sites http://www.moh.govt.nz

  5. Cancer Deaths 2005 • Age-standardised death rate • (per 100 000) • Trachea,Bronchus,Lung 25.0 • CRC & anus 19.1 • Breast 11.6 • Prostate 8.3 http://www.moh.govt.nz

  6. Cancer Deaths 2005 Men Women • Age-standardised death rate (per 100 000) • Trachea,Bronchus,Lung 32.3 • CRC & Anus 22.6 • Prostate 19.9 • Age-standardised death rate (per 100 000) • Breast 21.7 • Trachea,Bronhus,Lung 19.2 • CRC & Anus 17.7 Trachea,Lung,bronchus 20.7% Colorectal & Anus 14.5% Prostate 13.5% Pancreas 4.3% Leukaemia 3.8% Melanoma of skin 3.7% NHL 3.7% Stomach 3.4% Brain 3.2% Oesophagus 3.1% Bladder 2.9% All Other Sites 23.2% 17.1% Breast 16.2% Colorectal & Anus 15.5% Trachea,Lung,Bronchus 5.0% Ovary 4.6% Pancreas 3.9% Leukaemia 3.0% Melanoma of skin 3.0% Somtach 2.9% NHL 2.3% Brain 2.1% Uterine corpus 19.8% All Other Sites http://www.moh.govt.nz

  7. CRC & Anus Registrations and deaths 1995 - 2006 http://www.moh.govt.nz

  8. Incidence of CRC by age Stratified by age 2005 http://www.moh.govt.nz

  9. CRC & Anus by Ethnicity / Sex 2005 http://www.moh.govt.nz

  10. Dukes Classification A C B D 5yr survival 93% 72 – 85% 44 – 83% 8%

  11. Stage at resection • CRC staging at time of resection from NZCR 2000 • More node positive & muscosal invasion at diagnosis • Low rates of early stage diagnosis = poor survival • Idea that screening would shift the stage at diagnosis  Better survival Keating, J., et al., The epidemiology of colorectal cancer: what can we learn from the New Zealand Cancer Registry? N Z Med J, 2003. 116(1174): p. U437

  12. SUMMARY • Significant problem in NZ • Incidence 47.1 per 100 000(2nd most common) • Mortality 19.1 per 100 000(2nd most common) • Ageing population is an issue in spite of stabilisation of age-standardisation incidence and mortality.

  13. Time Symptomatic disease Asymptomatic disease Screening

More Related