Update on the Belgian Cancer Registry, breast cancer data... Belgian Breast Meeting 3-4/10/2008 Liesbet Van Eycken

3/10/2008 BBM, Diegem Overview Introduction, history of the BCR Breast Cancer Incidence - Mortality –Europe –Belgium –Flanders

3/10/2008 BBM, Diegem History cancer registration in Belgium Obligatory health insurance ‘social disease’ 1994 AKR/LIKAR 1983 NKR-RNC 2002 CIV IACR Flemish Network 2005: -STOP NCR 2003 “KB MOC - KB normen onco basiszorg en progr”

3/10/2008 BBM, Diegem Belgian Cancer Registry Founded 1/7/2005 –Collaboration between physicians, autorities and health insurances 12/2006: Health Law, art. 39: ‘Kankerregister- Registre du Cancer’ –Autorisation to use the national number –Description of data transfer and pathways Clinical pathway (moc – non moc) Pathology and Hematology pathway Cancer Plan March 2008 –All cancers MOC –Data manager funding in the hospital –...

3/10/2008 BBM, Diegem Actual Data sources Belgian Cancer Registry Hospitals: Oncol Care MOC – non-MOC Pathology labs Health Insurances Belgian Cancer Registry Haematology

3/10/2008 BBM, Diegem CANCER IN EUROPE, new cancer cases –53% males –47% females cancer deaths –56% males –44% females Ferlay J et al, Ann Onc 2007, doi: /annonc/mdl498

3/10/2008 BBM, Diegem Cancer incidence and mortality, estimates 2006 EUROPE Incidence (n) –Total: –Breast: –Colorectal: –Lung: –Prostate: Mortality (n) –Total: –Lung: –Colorectal: –Breast: –Stomach: Ferlay J et al, Ann Onc 2007, doi: /annonc/mdl498

3/10/2008 BBM, Diegem 2004, Breast Cancer, Belgium: new cases

3/10/2008 BBM, Diegem Breast Cancer, 2004 Belgium Flemish Region Walloon region Brussels region %33%10%

3/10/2008 BBM, Diegem

Breast cancer, 2004, Age specific incidence

3/10/2008 BBM, Diegem Reasons? Methodology? –Check (Wall-Bxl) Administrative procedures? Prevalent cases? Result check: >3.000 cases: change of 2,2% ! Influence screening programs (timing)? Risk factors? Next years?...

3/10/2008 BBM, Diegem

Breast Cancer: evolution of age stand. incidence rates Flemish Region

3/10/2008 BBM, Diegem

Flemish Region, Breast Cancer: evolution of incidence and mortality per age category <50 y50-69y70+

3/10/2008 BBM, Diegem Breast cancer mortality, Flemish Region, years: breast cancer is the most important cause of death

3/10/2008 BBM, Diegem Flemish Region, breast cancer: 5y relative survival per stage

3/10/2008 BBM, Diegem Breast Cancer, all ages, flemish region: stage distribution

3/10/2008 BBM, Diegem Breast Cancer, years, flemish region: stage distribution

3/10/2008 BBM, Diegem Europe: 5-year relative survival, Eurocare-4 F. Berrino et al. 2007

3/10/2008 BBM, Diegem Europe, breast cancer: 5-year relative survival, Eurocare-4 F. Berrino et al. 2007

3/10/2008 BBM, Diegem 5 year relative survival, all cancers, TNEH

3/10/2008 BBM, Diegem Conclusion Breast Cancer –High incidence in Belgium –Differences in incidence in the Belgian regions Further investigations! TNM evolution? –Mortality decreasing over time –Survival data comparable with the European results Up to a cancer registry for Belgium with useful data for health care workers, autorities, research, etc...

3/10/2008 BBM, Diegem Thank you! And... Thank you Cancer Registry team!