1. Lung Cancer in Wales January 2015
Lung cancer survival and survival by stage
This is the second publication in our series on lung cancer in Wales
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2. Lung cancer in Wales
This is the second report in our series of lung cancer in Wales.
The report details population trends of survival and stage at diagnosis up to and including 2012
Lung Cancer in Wales

3. Using these slides
These slides accompany the Lung Cancer in Wales report.
These slides are a resource to demonstrate findings from the Lung Cancer in Wales report.
The presentation can be used as a whole or as individual slides.
Please acknowledge the work of the Welsh Cancer Intelligence and Surveillance Unit when using these slides.
Lung Cancer in Wales

4. Index Lung Cancer in Wales
Slides : Lung cancer survival in Wales and the rest of Europe
Slides : Lung cancer survival trends in Wales
Slides : How is area deprivation related to survival
Slides : Survival in different lung cancer types
Slides : Variation in lung cancer survival by stage of diagnosis
Slide 27: Health board populations and lung cancer survival
Slides 28-32: Lung cancer Mortality in Wales
Lung Cancer in Wales

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Lung Cancer in Wales

6. Acknowledgements Project team
Dr Dyfed Wyn Huws, Dr Ceri White, Rebecca Thomas, Tamsin Long, Ciaràn Slyne, Julie Howe, Helen Crowther
Acknowledgements
A special thanks to the Welsh Cancer Registration team without whom the data used within this report would not be produced.
Thanks to the following people for their help with this publication: Professor Kate Brain, Dr Clare Elliot, Dr Judith Greenacre, Dr Ciaràn Humphreys, Professor Richard Neal, Isabel Puscas, Hannah Thomas and Janet Warlow
Lung Cancer in Wales

7. Lung cancer survival in Wales and the rest of Europe
Figure 1: Kaplan-Meier survival curve for lung cancer in Wales
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

8. Lung cancer survival in Wales and the rest of Europe
Figure 2: Men’s one-year lung cancer survival in Wales is 28th lowest out of 29 European countries
Source: Eurocare
Lung Cancer in Wales

9. Lung cancer survival in Wales and the rest of Europe
Figure 3: Women’s one-year lung cancer survival in Wales is 28th lowest out of 29 European countries
Source: Eurocare
Lung Cancer in Wales

10. Lung cancer survival in Wales and the rest of Europe
Figure 4: Men’s five-year lung cancer survival in Wales is 28th lowest out of 29 European countries
Source: Eurocare
Lung Cancer in Wales

11. Lung cancer survival in Wales and the rest of Europe
Figure 5: Women’s five-year lung cancer survival in Wales is 28th lowest out of 29 European countries
Source: Eurocare
Lung Cancer in Wales

12. Lung cancer survival in Wales and the rest of Europe
Figure 6: Trends in survival for lung cancer in United Kingdom
Source: UKCIS 4.5b: April 2013 update
Lung Cancer in Wales

13. Lung cancer survival in Wales and the rest of Europe
Figure 7: Trends in survival for lung cancer in the United Kingdom
Source: UKCIS 4.5b: April 2013 update
Lung Cancer in Wales

14. Lung cancer survival trends in Wales
Figure 8: One- year lung cancer survival is increasing very slowly, but improvement is more in women than men
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

15. Lung cancer survival trends in Wales
Figure 9: Hardly any change in lung cancer in Wales between
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

16. Lung cancer survival trends in Wales
Figure 10: Rapidly decreasing year one-year survival with increasing age, but with small improvements in all age groups
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

17. Lung cancer survival trends in Wales
Figure 11: Little improvement in five-year lung cancer survival in all age groups
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

18. Lung cancer survival trends in Wales
Figure 12: One-year lung cancer survival is lower in men than women for all age groups
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

19. Lung cancer survival trends in Wales
Figure 13: Five-year survival is generally less in men across age-groups but differences are less than for one-year survival
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

20. How is area deprivation related to survival
Figure 14: Kaplan-Meier survival curve for lung cancer in Wales
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

21. How is area deprivation related to survival
Figure 15: The small gradient of decreasing one-year survival with increasing area deprivation in was almost gone by
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

22. How is area deprivation related to survival
Figure 16: Small variation in five-year survival between different levels of area deprivation has no clear gradient
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

23. Survival in different lung cancer types
Figure 17: One-year survival is higher in women than men for small cell and non-small cell lung cancer, the difference is greater for small cell, but women’s non-small cell survival is the most improved
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

24. Survival in different lung cancer types
Figure 18: Five-year survival for small cell and non-small cell lung cancer is very low but rose for small cell
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

25. Variation in lung cancer survival by stage of diagnosis
Figure 19: Earlier stage at diagnosis is shortly related to better one-year survival
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

26. Variation in lung cancer survival by stage of diagnosis
Figure 20: There is a steep gradient of worse survival as area deprivation increases for stage 1 lung cancer
Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry time period.
Lung Cancer in Wales

27. Health board populations and lung cancer survival
Figure 21: Residents of Cwm Taf health board have the highest stage 1 lung cancer one-year survival, residents of Cardiff and Vale have the lowest
Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry time period.
Lung Cancer in Wales

28. Lung cancer Mortality in Wales
Figure 22: In 2012 there were more deaths from lung cancer in Wales than for bowel and breast cancers combined
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

29. Lung cancer Mortality in Wales
Figure 23: Just as for incidence, the age-adjusted lung cancer mortality rate is falling in men and rising in women in Wales
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

30. Lung cancer Mortality in Wales
Figure 24: Wide variation in lung cancer mortality rate by health board population mirror the incidence rates (2012, EASR per 100,000)
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

31. Lung cancer Mortality in Wales
Figure 25: The highest local authority mortality rate in Merthyr Tydfil is almost 80 per cent higher than the lowest in Monmouthshire
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales

32. Lung cancer Mortality in Wales
Figure 26: The gap in lung cancer mortality rate between the least and most deprived areas of Wales has increased
Source: Welsh Cancer Intelligence and Surveillance Unit’s National Cancer Registry
Lung Cancer in Wales