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Lung Cancer: Medical Treatments

Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health how many lung cancer patients in each (a) cancer network and (b) strategic health authority area received (i) surgical resection, (ii) active, anti-cancer treatment and (iii) radiotherapy in each year since 1997-98. (220988)

I have been asked to reply.

The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

Letter from Karen Dunnell, dated July 2008:

As National Statistician, I have been asked to reply to your recent Parliamentary Question asking how many lung cancer patients in each (a) cancer network and (b) strategic health authority area received (i) surgical resection, (ii) active, anti-cancer treatment and (iii) radiotherapy in each year since 1997-98. [220988]

The latest year for which data are available on the national cancer registry database, which ONS operates on behalf of the Department of Health, is 2005. Tables 1-3 below show the number of cases of lung cancer, newly diagnosed in each of the years 1997-2005 in the specified geographical areas, receiving (i) surgical, (ii) hormonal and other treatments and (iii) radiotherapy as initial treatments. In 55 per cent of lung cancer cases in the database during the period, either no treatment information was recorded or patients were recorded as having had no treatment. Ten per cent of cases were recorded as receiving more than one treatment.

Table 1: Registrations of newly diagnosed cases of lung cancer1 receiving surgical treatment2, by Strategic Health Authority and Cancer Network3, England, 1997-2005

1997

1998

1999

2000

2001

2002

2003

2004

2005

England

3,339

2,907

3,026

3,000

2,913

2,750

2,701

2,775

3,120

Strategic Health Authority

North East

110

178

180

182

187

209

203

176

229

North West

435

366

402

393

324

244

271

283

418

Yorkshire and the Humber

442

361

370

363

347

370

342

329

310

East Midlands

424

357

362

337

296

262

247

248

207

West Midlands

357

336

337

369

330

325

303

337

377

East of England

311

310

304

299

325

317

309

283

472

London

361

377

362

394

366

366

338

343

354

South East Coast

162

178

157

189

195

188

206

215

202

South Central

266

155

195

173

159

150

160

162

145

Southwest

471

289

357

301

384

319

322

399

406

Cancer network

3 Counties

56

47

60

56

57

59

44

51

51

Anglia

165

161

156

162

146

161

168

162

162

Arden

49

60

60

45

49

44

48

61

56

Avon, Somerset and Wiltshire

148

80

128

90

132

91

97

147

153

Central South Coast

201

73

115

106

116

131

108

137

124

Derby/Burton

61

52

45

55

32

86

55

64

53

Dorset

133

40

53

53

59

50

40

51

63

Essex

50

49

48

36

77

75

77

57

211

Greater Manchester and Cheshire

174

158

157

130

145

143

159

179

194

Greater Midlands

130

117

106

125

123

121

108

128

132

Humber and Yorkshire Coast

104

89

103

78

84

83

75

78

76

Kent and Medway

49

56

51

70

66

66

62

77

80

Lancashire and South Cumbria

73

81

85

78

67

77

78

55

52

Leicestershire Northants and Rutland

108

138

122

139

119

97

91

98

84

Merseyside and Cheshire

178

119

149

162

92

8

17

33

158

Mid Trent

234

150

174

126

124

70

82

80

57

Mount Vernon

83

81

85

77

80

59

51

51

59

North East London

78

71

71

93

90

85

101

78

63

North London

80

111

102

104

79

85

77

71

91

North of England

131

188

196

214

218

233

227

201

251

North Trent

128

122

97

83

105

100

82

65

57

Pan Birmingham

147

128

136

168

124

126

124

117

162

Peninsula

136

127

119

105

137

133

142

157

151

South East London

86

72

64

63

84

76

58

86

90

South West London

63

67

69

80

70

69

59

80

74

Surrey, West Sussex and Hampshire

47

53

58

66

65

54

78

57

52

Sussex

51

56

48

36

46

41

51

58

56

Thames Valley

95

109

104

98

75

43

75

50

37

West London

76

82

74

89

77

89

67

53

86

Yorkshire

225

170

191

213

175

195

200

193

185

1 Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10)

2 More than one type of treatment was recorded for some cases.

3 Cancer Network boundaries as at January 2008.

Source:

Office for National Statistics

Table 2: Registrations of newly diagnosed cases of lung cancer1 receiving hormonal and other treatment2, by Strategic Health Authority3, England, 1997-2005

1997

1998

1999

2000

2001

2002

2003

2004

2005

England

3,166

2,472

2,077

409

381

455

443

368

594

Strategic Health Authority

North East

0

1

0

2

1

3

0

0

0

North West

339

236

9

9

10

5

35

35

14

Yorkshire and the Humber

745

739

639

45

15

27

36

13

27

East Midlands

1,637

1,369

1,129

39

61

83

89

87

100

West Midlands

11

6

17

5

0

2

1

0

10

East of England

62

43

138

155

155

172

156

97

315

London

150

53

114

126

108

125

102

119

112

South East Coast

78

19

31

27

30

37

22

14

16

South Central

30

0

0

1

1

1

1

2

0

South West

114

6

0

0

0

0

1

1

0

1 Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10)

2 More than one type of treatment was recorded for some cases.

3 Provision of Cancer Network figures for this table would entail disproportionate cost since detailed checks would be needed on whether comparison of the low numbers of treatments between the SHA and CN geographies might allow disclosure.

Source:

Office for National Statistics

Table 3: Registrations of newly diagnosed cases of lung cancer1 receiving radiotherapy treatment2, by Strategic Health Authority and Cancer Network3, England, 1997-2005

1997

1998

1999

2000

2001

2002

2003

2004

2005

England

9,229

9,799

9,905

9,309

8,349

7,722

8,008

7,917

7,617

Strategic Health Authority

North East

431

925

963

898

844

760

718

727

759

North West

1,226

1,266

1,538

1,525

1,337

753

983

1,177

1,194

Yorkshire and the Humber

1,128

1,163

1,081

1,072

1,007

952

886

847

831

East Midlands

478

456

560

551

491

450

389

377

343

West Midlands

1,323

1,306

1,209

1,064

934

913

887

890

848

East of England

1,342

1,240

1,217

1,149

1,030

1,112

1,010

1,010

1,028

London

1,574

1,538

1,442

1,467

1,286

1,143

1,161

1,099

945

South East Coast

972

1,049

891

963

827

745

706

681

640

South Central

426

457

516

458

433

531

678

618

500

South West

329

399

488

162

160

363

590

491

529

Cancer network

3 Counties

86

118

100

56

42

31

21

69

118

Anglia

658

626

612

611

490

550

524

541

619

Arden

286

294

268

288

251

271

246

229

189

Avon, Somerset and Wiltshire

191

239

237

74

103

143

256

209

233

Central South Coast

62

91

131

33

40

214

393

299

162

Derby/Burton

49

43

60

39

50

50

38

46

34

Dorset

24

61

124

2

9

52

127

87

102

Essex

341

325

297

279

293

355

310

289

230

Greater Manchester and Cheshire

783

745

802

762

710

198

467

689

580

Greater Midlands

541

501

439

412

350

307

335

329

278

Humber and Yorkshire Coast

275

305

311

303

264

281

284

267

260

Kent and Medway

414

416

376

409

354

302

294

273

218

Lancashire and South Cumbria

374

411

425

455

420

404

402

373

349

Leicestershire Northants and Rutland

285

278

246

246

217

209

167

153

182

Merseyside and Cheshire

21

23

222

206

106

49

29

30

187

Mid Trent

94

97

200

197

189

162

133

131

86

Mount Vernon

301

244

243

223

200

162

149

125

124

North East London

365

309

299

300

250

206

208

168

97

North London

269

259

270

244

231

219

181

193

175

North of England

511

1,053

1,085

1,035

978

894

838

847

871

North Trent

181

162

153

157

124

130

129

124

86

Pan Birmingham

413

385

389

297

276

294

277

295

283

Peninsula

86

87

76

61

39

145

172

100

129

South East London

351

367

318

341

349

318

311

328

298

South West London

298

321

332

354

255

228

251

225

241

Surrey, West Sussex and Hampshire

262

249

180

197

164

152

145

131

121

Sussex

243

290

253

285

242

224

197

236

258

Thames Valley

379

410

459

468

422

364

356

385

381

West London

381

385

344

316

292

255

269

265

225

Yorkshire

705

705

654

659

639

553

499

481

501

1 Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10)

2 More than one type of treatment was recorded for some cases.

3 Cancer Network boundaries as at January 2008.

Source:

Office for National Statistics