Liesbet Van Eycken. Les nouveaux résultats: un subtil jeu d ensemble entre incidence, mortalité et survie - PDF

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Les nouveaux résultats: un subtil jeu d ensemble entre incidence, mortalité et survie De nieuwe resultaten: een subtiel samenspel tussen incidentie, mortaliteit en overleving Liesbet Van Eycken 5 year

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Les nouveaux résultats: un subtil jeu d ensemble entre incidence, mortalité et survie De nieuwe resultaten: een subtiel samenspel tussen incidentie, mortaliteit en overleving Liesbet Van Eycken 5 year cancer incidence in Belgium 1 year cancer incidence in Flanders 28: estimated number of cancer cases in Europe (EU-27) Every year 2.4 million new cancer cases 59,996 new cancer cases in 28 32,58 males 27,488 females European comparison: all cancers Evolution: absolute numbers Belgium o Males 32,4 o Females 26,28 27,488 5% Flanders Males Flemish Region Females Flemish Region % 24% All cancers, , age standardised incidence rate (WSR) Belgium Flemish Region males: EAPC=.9% [p=.1] females: EAPC=.8% [p=.1] males: EAPC= -.9% [p=.] females: EAPC= -1.1% [p=.] Brussels Capital Region Walloon Region Mortality Incidence Ratio Males M/I= 46% Survival proxy 54% o 15.95/32.58 Females M/I: 42% Survival proxy 58% o / The M/I ratio is a comparison of the number of deaths attributed to a specific cancer and the number of incident cases in the same time period Availability of cancer incidence and mortality data by region, Status on the 1st of Januari 211 incidence Belgium X X X X X Flemish Region X X X X X X X X X X Brussels Capital Region X X X X X Walloon Region X X X X X Mortality Belgium X* X* X* Flemish Region X X X X X X X X X X Brussels Capital Region X X X X X X X X X X Walloon Region X X X X* Belgian cancer mortality data calculated by the Cancer Registry 1) Algemene directie Statistiek en Economische informatie, FOD Economie (http://www.statbel.fgov.be/) 2) Vlaams Agentschap Zorg en Gezondheid, 3) Observatoire de la Santé et du Social de Bruxelles. Bulletins statistiques de décès ) Communauté Française-Direction générale de la Santé-Cellule des statistiques des naissances et des décès. Bulletins statistiques de décès /1/211 1 Objectives (1) Monitor the burden of cancer Monitor the trends in the frequency of cancer Make projections of cancer frequency o Assumed trends in risk factors o Interventions o Ageing planning cancer services Prostate cancer 12 Belgium 12 Flemish Region Brussels Capital Region 12 Walloon Region Prostate cancer Prostate cancer: 5 year observed and relative survival Relative Observed Objectives (2) Assess variations in frequency of cancer between and within countries o Age, sex, residence o Ethnic origin, socioeconomic status, occupation o Migrants o Test hypotheses causes of cancer Kidney cancer, incidence by region 14 Belgium 14 Flemish Region Brussels Capital Region 14 Walloon Region Kidney cancer, evolution by stage Males Females 6, 6, 5, 5, 4, 3, 2, 4, 3, 2, 1, 1,,, Stomach cancer, European Comparison Stomach cancer: comparison of age-standardised incidence rates (WSR), 28. Selection of European registry data Slovenia Italy Poland Spain Germany The Netherlands Belgium England Finland France Denmark Norway Iceland Sweden Italy Slovenia Germany Spain Poland Finland The Netherlands Belgium Norway Denmark England Sweden France Iceland 2, 15, 1, 5,, 5, 1, WSR (n/1,) Males Females Stomach cancer, incidence by region 12 Belgium 12 Flemish Region Brussels Capital Region 12 Walloon Region Testicular cancer Testicular cancer, European Comparison Testicular cancer: comparison of age-standardised incidence rates (WSR), 28. Selection of European registry data Norway Denmark Slovenia Germany The Netherlands France England Italy Belgium Sweden Iceland Finland Poland Spain 14, 12, 1, 8, 6, 4, 2,, WSR (n/1,) Testicular cancer, incidence by region 1 Belgium 1 Flemish Region Brussels Capital Region 1 Walloon Region Testicular cancer 14, Age group , Age group 5+ 12, 12, 1, 1, 8, 8, 6, 6, 4, 4, 2, 2,,, Testicular cancer, evolution by stage Testicular cancer: incidence by stage, Flemish Region , 4, 3, 2, ,, I II III Testicular cancer: incidence by histology, Flemish Region , 4, 3, 2, ,, Non-seminoma Seminoma Other and unspecified histology Malignant melanoma Malignant melanoma, European Comparison Malignant melanoma: comparison of age-standardised incidence rates (WSR), 28. Selection of European registry data Norway Sweden Denmark The Netherlands Slovenia Germany Finland England Iceland Belgium Italy France Poland Spain Denmark The Netherlands Norway Sweden Slovenia Belgium Iceland Germany England Finland France Italy Spain Poland 2, 15, 1, 5,, 5, 1, 15, 2, 25, WSR (n/1,) Males Females Malignant melanoma, incidence by region 16, Belgium 16, Flemish Region 14, 14, 12, 1, 8, 6, 4, 12, 1, 8, 6, 4, 2, 2,,, 16, 14, 12, 1, 8, 6, 4, 2,, Brussels Capital Region 16, 14, 12, 1, 8, 6, 4, 2,, Walloon Region Malignant melanoma, evolution by skin localisation Males Females 7, 7, 6, 6, 5, 5, 4, 3, 4, 3, 2, 2, 1, 1,,, Melanoma, relative 5-year survival by localisation Objectives (3) Monitor survival trends o Effectiveness of treatment o Evaluation of new treatments o Population based! o = Quality of Care Primary and secundary prevention o Screening programmes = see next speakers Dank u voor uw aandacht, Merci pour votre attention!
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