Global surveillance of cancer survival
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1 Global surveillance of cancer survival Claudia Allemani Helena Carreira Rhea Harewood Devon Spika Xiao-Si Wang Finian Bannon Jane Ahn Loraine Marrett Donna Turner Thomas C Tucker Hannah K Weir CONCORD Working Group North American Association of Central Cancer Registries Ottawa, Canada, 25 June 2014 Global surveillance of cancer survival Participants 279 cancer registries 67 countries Long-term trends, 10 common cancers Patients diagnosed Follow-up to 2009 or later Stomach, colon, rectum, liver, lung, breast (women), cervix, ovary, prostate, leukaemia 1
2 Cancer registries: downloads to April 2014 Mar 2012 Jun Sep Dec Mar Jun 2013 Sep Dec Mar 2014 Jun Cancer registries, data sets, quality control Registered Submitted Data sets Checked Africa America C+S America N Asia Europe ,138 1,138 Oceania ,513 2,513 2
3 World 279 registries, 67 countries North America Canada 3
4 North America USA Quality control for CONCORD 1. Protocol adherence Is each variable correctly coded? d? 2. Exclusions Is each tumour record logically coherent? 3. Editorial Are the distributions in the data plausible? 4
5 Quality control for CONCORD Not eligible Incomplete data Behaviour in situ (2) benign (0), uncertain if benign or malignant (1) metastatic, not primary site (6 or 9) morphology (e.g. lymphoma in breast) Age out of range (adults: <15 or >99 years) Quality control for CONCORD Excluded Vital status unknown Sex unknown Sex-site error Site-morphology inconsistency Age-site inconsistency Age-morphology inconsistency Age-site-morphology inconsistency Duplicate registration Synchronous tumour Death-certificate-only (DCO) Zero survival Multiple primary tumour 5
6 Site-morphology inconsistencies Cholangiocarcinoma in sites other than intrahepatic bile duct * Morphology typically restricted to this anatomic site; invasive behaviour may be coded under ICD-O-3 matrix Rule F Summary of exclusions Canada CONCORD-2 data quality control (phase 2 ), by calendar period of incidence: Canada All periods Records Patients % Records Patients % Records Patients % Records Patients % Total submitted 409, , , , , , ,400,290 1,392, Incomplete data ,781 1, In situ neoplasm 19,667 18, ,075 19, ,271 21, ,013 59, Benign or uncertain behaviour 1,668 1, ,540 1, ,719 1, ,927 4, Metastatic from another primary site Kaposi sarcoma < < < <0.1 Haematopoietic morphology ,657 1, Age at diagnosis <15 or 100+ years Not eligible 21, , , , Patients who are eligible for survival analysis 385, , , ,324, Vital status unknown Sex unknown < < <0.1 Sex-site error Site-morphology mismatch 2,794 2, ,083 2, ,502 1, ,379 6, Age-site mismatch < < < <0.1 Age-morphology mismatch < < < <0.1 Age-site-morphology mismatch < < < <0.1 Invalid date(s) or date sequence Death certificate only 6,191 6, ,429 7, ,446 8, ,066 21, Autopsy only ,385 1, Duplicate registration Synchronous tumours Multiple primary same site , , Total exclusions 9, , , , Patients included in analyses 376, , , ,294,
7 Cancer patients submitted and included Submitted Included Africa 23,933 12,711 America C+S 453, ,052 America N 12,421,143 11,282,731 Asia 3,610,382 3,284,658 Europe 11,448,866, 10,061,976, Oceania 930, ,924 28,887,550 25,829,052 Life tables: data and methods 279 registries (6,614 life tables) Data received Method No. Smoothed mortality rates by single year of age (complete) Raw mortality rates by single year of age (complete) Raw mortality rates by age group (abridged) Death and population data by single year of age (complete) Death and population data by age group (abridged) Linear interpolation if necessary Relational model (Ewbank) Relational model (Ewbank) Flexible Poisson model Flexible Poisson model No reliable data available Abridged UN Population Division life table - Elandt-Johnson method 25 7
8 Life expectancy at birth (years), 1997 and 2007: CONCORD populations by sex (and race) 47 countries 158 registries Life expectancy at birth, earliest and latest years: CONCORD populations by sex (and race) 67 countries 279 registries 8
9 Claudia Allemani Jane Ahn Audrey Bonaventure Finian Bannon Helena Carreira Rhea Harewood Thank you... Devon Spika Xiao-Si Wang Yuki Alencar Tanisha Lewis Natalia Sanz All the cancer registries CONCORD Steering Committee members NAACCR, SEER and NPCR Funding agencies for CONCORD Canadian Partnership Against Cancer (Toronto) Cancer Focus Northern Ireland (Belfast) Cancer Institute New South Wales (Sydney) Cancer Research UK (London) Centers for Disease Control and Prevention (Atlanta) Children with Cancer UK (London) Swiss Cancer Research foundation (Bern) Swiss Re (London) University of Kentucky (Lexington) 9
10 08 July
Published in: Lancet. Document Version: Publisher's PDF, also known as Version of record
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