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ESMO, 9-10 October 2010

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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  1. 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

  2. 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)

  3. 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)

  4. GDP AND EPIDEMIOLOGICAL CANCER DATA All cancers M & F Sources: Ferlay et al. EJC, 2010. EUROCARE-4. For GDP International Monetary Fund

  5. GDP and age-standardized incidence rates for all cancers. Men Sources: Human Development Report 2009; Ferlay et al. 2008

  6. 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

  7. EUROCARE-45-year relative survival, all cancerscountries are ordered by Total Expenditure on Health Europe Berrino F. et al, The Lancet Oncology, 2007

  8. 5 YEARS RELATIVE SURVIVAL FOR ALL CANCERS Ranked by 1995 TNEH Source: Verdecchia A. et al. European Journal of Public Health, 2008

  9. 5 YRS AGE-ADJUSTED BREAST CANCER RELATIVE SURVIVAL Standard: ICSS

  10. 5 YRS AGE-ADJUSTED COLORECTAL CANCER RELATIVE SURVIVAL, MEN Standard: ICSS

  11. 5 YRS AGE-ADJUSTED COLORECTAL CANCER RELATIVE SURVIVAL, WOMEN Standard: ICSS

  12. 5-YRS ALL CANCERS RELATIVE SURVIVAL TREND IN EUROPE Source: Verdecchia A. et al. EJC 2009

  13. LIFE EXPECTANCY TRENDS IN EUROPE Inequalities in health have increased Source: United Nations Population Division

  14. 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

  15. 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

  16. 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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