Esmo 9 10 october 2010
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ESMO, 9-10 October 2010. Status of cancer in Europe Now. Dr. Andrea Micheli Director Descriptive Studies and Health Planning Unit Fondazione IRCCS “Istituto Nazionale dei Tumori” Milan. EUROPE in the WORLD. GROSS DOMESTIC PRODUCT (GDP) AND CANCER INCIDENCE.

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ESMO, 9-10 October 2010

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Esmo 9 10 october 2010

ESMO, 9-10 October 2010

Status of cancer in Europe Now

Dr. Andrea MicheliDirector Descriptive Studies and Health Planning UnitFondazione IRCCS “Istituto Nazionale dei Tumori”Milan


Esmo 9 10 october 2010

EUROPE in the WORLD

GROSS DOMESTIC PRODUCT (GDP) AND CANCER INCIDENCE

Age-standardized incidence rates, World Standard Population per 100,000, GDP: at current prices US $, 2006.

Source: GLOBOCAN 2002, IARC & United Nations (UN)


Esmo 9 10 october 2010

EUROPE in the WORLD

GROSS 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)


Gdp and epidemiological cancer data all cancers m f

GDP AND EPIDEMIOLOGICAL CANCER DATA All cancers M & F

Sources: Ferlay et al. EJC, 2010. EUROCARE-4. For GDP International Monetary Fund


Esmo 9 10 october 2010

GDP and age-standardized incidence rates for all cancers. Men

Sources: Human Development Report 2009; Ferlay et al. 2008


Esmo 9 10 october 2010

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


Esmo 9 10 october 2010

EUROCARE-45-year relative survival, all cancerscountries are ordered by Total Expenditure on Health

Europe

Berrino F. et al, The Lancet Oncology, 2007


Esmo 9 10 october 2010

5 YEARS RELATIVE SURVIVAL FOR ALL CANCERS

Ranked by 1995 TNEH

Source: Verdecchia A. et al. European Journal of Public Health, 2008


Esmo 9 10 october 2010

5 YRS AGE-ADJUSTED BREAST CANCER

RELATIVE SURVIVAL

Standard: ICSS


Esmo 9 10 october 2010

5 YRS AGE-ADJUSTED COLORECTAL CANCER

RELATIVE SURVIVAL, MEN

Standard: ICSS


Esmo 9 10 october 2010

5 YRS AGE-ADJUSTED COLORECTAL CANCER

RELATIVE SURVIVAL, WOMEN

Standard: ICSS


Esmo 9 10 october 2010

5-YRS ALL CANCERS RELATIVE SURVIVAL TREND IN EUROPE

Source: Verdecchia A. et al. EJC 2009


Esmo 9 10 october 2010

LIFE EXPECTANCY TRENDS IN EUROPE

Inequalities

in health have

increased

Source: United Nations Population Division


Esmo 9 10 october 2010

Cancer in Europe: trends & inequalities

  • Incidence: 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


Esmo 9 10 october 2010

The burden of Cancer in Europe

  • Incidence: 3.2 million cancer

    53% (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 deaths

    56% (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


Esmo 9 10 october 2010

Number of new cancer cases per year

Number of cancer publications per year

Scientific contributions in cancer domain and cancer burden in 2002

English 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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