AQW 17173/17-22 Mr Stewart Dickson Alliance Party East Antrim
Tabled Date: 13/04/2021 Answered On Date: 18/05/2021 Priority Written: No
Question: To ask the Minister of Health how five-year and ten-year survival rates in Northern Ireland, for each type of cancer, compare to other parts of the United Kingdom, and the Republic of Ireland.
Answer:
At present the Northern Ireland Cancer Registry (NICR) have not carried out ten-year survival analysis on any type of cancer. It does however routinely carry out five-year survival analysis on many of the cancer sites. This analysis was part of an international study led by the EUROCARE-5 project investigating survival of cancer patients diagnosed in 2000-2007 with residence in Europe. This survival information, and a UK and Republic of Ireland comparison, is detailed in Table 1 below for 25 major cancer sites. | Northern Ireland | England | Scotland | Wales | Republic of Ireland | Site | RSC | LB | UB | RSC | LB | UB | RSC | LB | UB | RSC | LB | UB | RSC | LB | UB | Head and Neck | 48.96 | 44.36 | 54.03 | 46.11 | 45.33 | 46.91 | 43.05 | 41.08 | 45.11 | 42.70 | 39.79 | 45.82 | 42.09 | 39.01 | 45.42 | Esophagus | 16.12 * | 13.73 | 18.92 | 12.37 | 11.97 | 12.79 | 10.99 | 9.97 | 12.13 | 13.13 | 11.66 | 14.79 | 15.55 * | 13.88 | 17.43 | Stomach | 18.06 | 15.89 | 20.52 | 17.00 | 16.57 | 17.44 | 16.11 | 14.96 | 17.35 | 17.78 | 16.21 | 19.50 | 20.32 | 18.72 | 22.05 | Colorectal | 54.00 | 52.50 | 55.54 | 52.08 | 51.80 | 52.35 | 53.84 | 53.03 | 54.66 | 50.95 | 49.91 | 52.03 | 54.32 | 53.29 | 55.37 | Colon | 54.25 | 52.36 | 56.21 | 51.34 | 50.98 | 51.70 | 53.88 | 52.86 | 54.91 | 49.94 | 48.59 | 51.33 | 54.97 | 53.66 | 56.31 | Rectum | 54.32 | 51.85 | 56.90 | 53.74 | 53.30 | 54.17 | 54.19 | 52.86 | 55.56 | 52.61 | 50.94 | 54.33 | 53.01 | 51.36 | 54.72 | Liver | 8.87 | 5.89 | 13.36 | 8.24 | 7.71 | 8.81 | 7.40 | 6.08 | 9.00 | 8.71 | 6.72 | 11.30 | 12.99 | 10.53 | 16.02 | Pancreas | 3.02 | 1.84 | 4.96 | 4.67 | 4.37 | 4.98 | 3.44 | 2.76 | 4.30 | 5.37 | 4.31 | 6.69 | 6.88 | 5.76 | 8.22 | Lung | 11.04 | 10.03 | 12.16 | 8.80 | 8.63 | 8.98 | 8.65 | 8.22 | 9.11 | 8.55 | 7.91 | 9.24 | 11.82 | 11.10 | 12.59 | Soft Tissue | 58.40 | 51.85 | 65.76 | 57.63 | 56.39 | 58.90 | 56.39 | 52.62 | 60.43 | 60.20 | 55.74 | 65.02 | 62.70 | 58.19 | 67.55 | Skin Melanoma | 90.74 | 88.46 | 93.08 | 85.35 | 84.93 | 85.77 | 88.82 | 87.58 | 90.08 | 80.05 | 78.24 | 81.89 | 86.44 | 84.88 | 88.03 | Breast | 82.12 | 80.55 | 83.71 | 79.30 | 79.06 | 79.55 | 78.46 | 77.65 | 79.28 | 78.20 | 77.21 | 79.20 | 79.01 | 77.87 | 80.16 | Cervix Uteri | 61.13 | 56.34 | 66.32 | 59.59 | 58.72 | 60.47 | 57.89 | 55.45 | 60.44 | 58.10 | 55.00 | 61.38 | 58.87 | 55.75 | 62.16 | Corpus Uteri | 73.58 | 69.96 | 77.38 | 75.72 | 75.12 | 76.32 | 76.87 | 74.85 | 78.95 | 73.65 | 71.38 | 76.00 | 74.16 | 71.35 | 77.09 | Ovary | 32.27 | 29.37 | 35.45 | 30.57 | 30.05 | 31.11 | 34.02 | 32.51 | 35.60 | 31.66 | 29.71 | 33.74 | 30.34 | 28.35 | 32.46 | Prostate | 83.33 | 81.48 | 85.23 | 80.26 | 79.95 | 80.58 | 78.83 | 77.74 | 79.94 | 78.03 | 76.87 | 79.22 | 85.50 | 84.47 | 86.54 | Testis | 89.11 | 87.01 | 91.26 | 91.81 | 90.19 | 93.46 | 91.61 | 87.17 | 96.28 | 88.31 | 82.70 | 94.31 | - | - | - | Urinary Bladder | 76.13 | 73.81 | 78.52 | 72.34 | 71.97 | 72.71 | 48.98 | 47.10 | 50.94 | 71.67 | 70.22 | 73.16 | 73.40 | 71.51 | 75.33 | Kidney | 48.56 | 45.28 | 52.08 | 47.32 | 46.74 | 47.90 | 46.08 | 44.42 | 47.81 | 49.80 | 47.64 | 52.06 | 51.75 | 49.43 | 54.18 | Thyroid | 79.89 | 74.62 | 85.53 | 81.06 | 80.11 | 82.03 | 81.59 | 78.58 | 84.70 | 76.90 | 73.16 | 80.83 | 75.29 | 71.22 | 79.60 | Plasma cell | 42.30 | 38.28 | 46.75 | 35.41 | 34.64 | 36.19 | 36.62 | 34.27 | 39.12 | 36.69 | 33.86 | 39.76 | 36.15 | 33.31 | 39.24 | Hodgkin's lymphoma | 80.08 | 75.35 | 85.11 | 79.13 | 78.27 | 80.00 | 80.89 | 78.35 | 83.51 | 77.01 | 73.43 | 80.76 | 83.09 | 79.91 | 86.39 | Non Hodgkin lymphoma | 58.99 | 56.50 | 61.59 | 56.73 | 56.30 | 57.15 | 60.34 | 59.00 | 61.70 | 56.61 | 54.97 | 58.30 | 63.04 | 61.37 | 64.76 | SBLL/CLL | 61.53 | 55.53 | 68.19 | 68.83 | 67.96 | 69.72 | 75.66 | 72.91 | 78.50 | 67.19 | 64.05 | 70.49 | 75.69 | 72.68 | 78.82 | CML | 47.99 | 38.74 | 59.45 | 49.57 | 47.61 | 51.61 | 64.62 | 58.38 | 71.52 | 51.91 | 44.78 | 60.17 | 57.94 | 49.47 | 67.84 | All Sites | 51.01 | 50.47 | 51.56 | 50.20 | 50.11 | 50.29 | 46.62 | 46.35 | 46.90 | 49.94 | 49.58 | 50.29 | 53.95 | 53.57 | 54.32 |
Table 1. Age-standardised five-year Relative Survival (RSC %) for patients diagnosed in 2000-2007 for 25 major malignant cancers, by Regions of the UK and Republic of Ireland with corresponding 95% Confidence Intervals. Source: Northern Ireland Cancer Registry (NICR) Relative Survival Cumulative (RSC), Lower Bound 95% Confidence Interval (LB), Upper Bound 95% Confidence Interval (UB) * Age standardised survival value is unexpectedly high compared to the European mean for this rapidly fatal cancer. This can be due to several reasons including: i) random variations and instability in one or more age classes; ii) problems in the follow up ascertainment; iii) problems in capturing all incident cases, particularly those with worse prognosis, or difficulties in accessing death certificates or in tracing back cases known by death certificate only.
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