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Cancer: Death

Volume 483: debated on Tuesday 18 November 2008

To ask the Secretary of State for Health what assessment he has made of trends in mortality rates of (a) common cancers and (b) rarer cancers; and if he will make a statement. (232840)

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 November 2008:

As National Statistician, I have been asked to reply to your recent question asking what assessment has been made of trends in mortality rates of (a) common cancers and (b) rarer cancers. (232840)

The attached table provides the age-standardised mortality rates in England, by sex, for the period 1971 to 2005, for all cancers combined, and for each cancer for which this information is readily available.

A detailed description of trends in cancer incidence and mortality over the period 1950 to 2003 is available in the 'Cancer Atlas of the United Kingdom and Ireland, 1991-2000’, chapter 2 (pp 7-38), entitled 'Geographical patterns in cancer in the UK and Ireland'. This publication is also available in the House of Commons library, and from the Office for National Statistics’ website via the following link:

www.statistics.gov.uk/statbase/Product.asp?vlnk=14059

An article examining trends in cancer in the UK and constituent countries over the period 1993-2004 for all cancers combined, and for the four most common cancers, was published in the Health Statistics Quarterly, volume 38, pp 33-46. This is available in the House of Commons library, and from the Office for National Statistics website via the following link:

www.statistics.gov.uk/cci/article.asp?ID=2007&Pos=1 &ColRank=1&Rank=1

Age-standardised mortality rates per 100,000 population by cancer site and sex, England, 1971 to 20051

Rate per 100,000 population

Sex

Site

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

Male

All cancers

284

286

286

288

284

289

285

286

287

285

284

281

Lung

107

109

109

110

107

108

108

108

106

104

101

100

Colorectal

34

34

33

34

33

34

33

32

32

31

31

30

Stomach

32

31

31

30

30

29

28

28

27

26

25

24

Bladder

13

13

13

13

12

13

13

13

12

12

12

12

Pancreas

12

12

12

12

13

12

12

12

13

13

12

11

Leukaemia

8

7

8

8

8

8

8

8

8

8

8

8

Oesophagus

8

8

8

8

8

8

8

9

8

9

9

9

Prostate

2

2

2

2

2

2

2

2

2

2

2

2

Brain

4

5

4

5

4

5

5

5

5

5

5

4

Lip, mouth and pharynx

4

4

4

4

4

4

4

4

4

4

4

4

Kidney

4

4

4

4

5

5

5

5

5

4

5

5

Non Hodgkin's lymphoma

4

4

4

4

4

4

4

5

5

5

5

5

Larynx

3

3

3

3

3

3

3

3

3

3

3

3

Myeloma

3

3

3

3

3

3

3

3

4

3

4

3

Hogkin's disease

2

2

2

2

2

2

2

2

1

1

1

1

Testis

1

1

1

1

1

1

1

1

1

1

1

1

Melanoma

1

1

1

1

1

1

1

1

1

1

2

2

Female

All cancers

175

175

176

178

178

181

179

180

182

183

182

182

Breast

39

39

40

39

40

40

40

40

40

40

41

41

Colorectal

26

26

26

26

26

26

25

25

24

24

23

22

Lung

19

19

20

21

22

22

23

23

24

25

25

26

Stomach

15

15

14

14

13

13

12

13

12

12

11

10

Ovary

13

13

12

12

12

13

12

13

12

12

12

12

Cervix

8

8

8

7

8

8

7

7

7

7

7

6

Pancreas

7

7

7

8

7

8

8

7

8

8

7

8

Uterus

5

4

5

5

4

4

4

5

4

4

4

4

Leukaemia

5

5

4

5

5

5

5

5

5

5

5

5

Oesophagus

4

4

4

4

4

4

4

4

4

4

4

4

Bladder

3

3

3

4

3

4

3

4

4

3

4

3

Brain

3

3

3

3

3

3

3

3

3

3

3

3

Non Hodgkin's lymphoma

3

3

3

3

3

3

3

3

3

3

3

3

Myeloma

2

2

2

2

2

2

2

2

3

2

2

3

Kidney

2

2

2

2

2

2

2

2

2

2

2

2

Lip, mouth and pharynx

2

2

2

2

2

2

2

2

2

2

2

2

Melanoma

1

1

1

1

1

2

1

1

1

2

2

2

Hogkin's disease

1

1

1

1

1

1

1

1

1

1

1

1

Larynx

0

0

1

0

0

1

1

1

1

1

1

1

Rate per 100,000 population

Sex

Site

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

Male

All cancers

286

285

283

277

278

279

276

275

274

271

269

264

Lung

101

97

96

92

90

89

85

84

82

79

76

74

Colorectal

31

31

30

30

30

30

30

30

30

30

30

28

Stomach

25

23

22

22

21

21

20

19

18

18

16

16

Bladder

12

12

12

12

11

12

11

12

12

12

12

11

Pancreas

12

12

12

11

11

11

11

11

11

11

10

10

Leukaemia

8

8

8

7

8

7

7

7

7

7

7

7

Oesophagus

10

9

10

10

11

11

11

12

12

12

12

13

Prostate

2

2

2

2

3

3

3

3

3

3

3

3

Brain

5

5

5

5

5

6

6

6

5

6

6

6

Lip, mouth and pharynx

4

4

4

4

4

4

4

4

4

4

4

4

Kidney

5

6

5

5

5

5

6

6

6

6

6

6

Non Hodgkin's lymphoma

6

6

6

6

7

7

7

7

7

7

8

7

Larynx

3

2

3

3

3

3

3

2

3

3

3

2

Myeloma

4

4

4

4

4

4

4

4

4

4

4

4

Hogkin's disease

1

1

1

1

1

1

1

1

1

1

1

1

Testis

1

1

0

0

1

1

0

0

0

0

0

0

Melanoma

2

2

2

2

2

2

2

2

2

2

2

2

Female

All cancers

183

185

185

184

185

186

186

183

182

180

180

178

Breast

41

41

41

42

41

41

41

40

40

39

39

38

Colorectal

23

22

22

21

21

21

21

20

20

20

19

19

Lung

26

28

27

28

28

29

29

29

29

29

29

30

Stomach

10

10

9

9

9

8

8

8

7

7

7

7

Ovary

12

12

12

12

12

12

12

12

12

12

12

12

Cervix

6

6

6

6

6

6

6

5

5

5

5

4

Pancreas

7

8

8

8

8

8

8

8

7

8

8

7

Uterus

4

4

4

4

4

4

4

4

4

3

3

3

Leukaemia

5

5

5

5

5

5

5

4

4

4

4

4

Oesophagus

4

5

5

5

5

4

5

5

5

5

5

5

Bladder

3

3

3

4

3

3

4

4

3

3

3

4

Brain

3

4

3

3

4

4

4

4

4

4

4

4

Non Hodgkin's lymphoma

3

4

4

4

4

4

4

4

5

5

5

5

Myeloma

2

3

3

3

3

3

3

3

3

3

3

3

Kidney

2

2

2

2

3

3

3

3

3

3

3

3

Lip, mouth and pharynx

2

2

2

2

2

2

2

2

2

2

1

2

Melanoma

1

2

2

2

2

2

2

2

2

2

2

2

Hogkin's disease

1

1

1

1

1

1

1

1

0

0

1

0

Larynx

0

1

1

0

1

1

0

0

0

1

1

1

Rate per 100,000 population

Sex

Site

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

Male

All cancers

260

254

246

246

238

232

228

227

222

221

213

Lung

71

68

65

64

61

59

57

56

54

52

51

Colorectal

28

27

27

26

25

25

24

24

23

23

21

Stomach

15

15

14

13

13

12

11

11

10

9

9

Bladder

11

11

10

10

10

9

9

9

9

9

8

Pancreas

10

10

10

10

10

10

10

10

10

10

10

Leukaemia

7

7

7

7

7

7

7

7

7

7

7

Oesophagus

13

13

13

13

13

13

13

13

13

13

13

Prostate

3

3

3

3

3

3

3

3

3

3

3

Brain

6

6

6

6

6

6

6

6

6

6

6

Lip, mouth and pharynx

4

4

4

4

4

4

4

4

3

4

4

Kidney

6

6

6

6

6

6

6

6

6

6

6

Non Hodgkin's lymphoma

8

8

8

8

7

7

7

8

7

7

7

Larynx

2

2

2

2

2

2

2

2

2

2

2

Myeloma

4

4

4

4

4

4

4

4

4

4

4

Hogkin's disease

1

1

1

1

1

0

0

0

1

1

0

Testis

0

0

0

0

0

0

0

0

0

0

0

Melanoma

3

2

2

2

3

3

3

3

3

3

3

Female

All cancers

176

173

170

168

165

163

160

159

156

157

153

Breast

37

35

34

34

33

32

31

30

29

28

28

Colorectal

18

18

17

17

16

15

15

15

14

14

13

Lung

29

29

28

29

29

28

28

28

29

28

29

Stomach

6

5

6

5

5

5

5

4

4

4

4

Ovary

12

12

12

12

11

11

11

11

11

10

10

Cervix

4

4

4

3

3

3

3

3

3

3

2

Pancreas

7

7

7

7

7

7

7

7

7

7

8

Uterus

3

3

3

3

3

3

3

3

3

3

4

Leukaemia

4

4

4

4

5

4

4

4

4

4

4

Oesophagus

5

5

5

5

5

5

5

5

5

5

5

Bladder

3

3

3

3

3

3

3

3

3

3

3

Brain

4

4

4

4

4

4

4

4

4

4

4

Non Hodgkin's lymphoma

5

5

5

5

5

5

5

5

5

4

4

Myeloma

3

3

3

3

3

3

3

3

3

2

2

Kidney

3

3

3

3

3

3

3

3

3

3

3

Lip, mouth and pharynx

1

1

2

2

1

2

2

2

1

2

1

Melanoma

2

2

2

2

2

2

2

2

2

2

2

Hogkin's disease

0

0

0

0

0

0

0

0

0

0

0

Larynx

1

0

0

0

0

0

0

0

0

0

0

1 Cause of death for cancers was defined using the International Classification of Diseases, Eighth Revision (ICD-8) for 1971 to 1978, Ninth Revision (ICD-9) for 1979 to 2000 and Tenth Revision (ICD-10) for codes 2001 to 2005. See the following table for specific.

ICD 8

ICD 9

ICD 10

All cancers

140-205

140-208

C00-C97

Bladder

188

188

C67

Brain

191

191

C71

Breast

174

174

C50

Cervix

180

180

C53

Colorectal

153-154

153-154

C18-21

Hogkin's disease

201

201

C81

Kidney

189

189

C64-66, C68

Larynx

161

161

C32

Leukaemia

204-207

204-208

C91-C95 xC91.4

Lip, mouth and pharynx

140-149

140-149

C00-C14

Lung

162

162

C33-C34

Melanoma

172

172

C43

Myeloma

203

203

C88, C90

Non Hodgkin's lymphoma

200, 202

200, 202

C82-C85, C91.4, C96

Oesophagus

150

150

C15

Ovary

183

183

C56-C57

Pancreas

157

157

C25

Prostate

185

185

C61

Stomach

151

151

C16

Testis

186

186

C62

Uterus

182

182

C54-C55