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

2. 3/10/2008 BBM, Diegem Overview Introduction, history of the BCR Breast Cancer Incidence - Mortality –Europe –Belgium –Flanders

3. 3/10/2008 BBM, Diegem History cancer registration in Belgium 1950 1960 1970 1980 1990 2000 1955 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”

4. 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 –...

5. 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

6. 3/10/2008 BBM, Diegem CANCER IN EUROPE, 2006 3.191.600 new cancer cases –53% males –47% females 1.703.000 cancer deaths –56% males –44% females Ferlay J et al, Ann Onc 2007, doi:10.1093/annonc/mdl498

7. 3/10/2008 BBM, Diegem Cancer incidence and mortality, estimates 2006 EUROPE Incidence (n) –Total: 3.191.600 –Breast: 429.900 –Colorectal: 412.900 –Lung: 386.300 –Prostate: 346.000 Mortality (n) –Total: 1.703.000 –Lung: 334.800 –Colorectal: 207.000 –Breast: 131.900 –Stomach: 118.200 Ferlay J et al, Ann Onc 2007, doi:10.1093/annonc/mdl498

8. 3/10/2008 BBM, Diegem 2004, Breast Cancer, Belgium: 9.406 new cases

9. 3/10/2008 BBM, Diegem Breast Cancer, 2004 Belgium 9.406 Flemish Region 5.374 Walloon region 3.101 Brussels region 931 57%33%10%

10. 3/10/2008 BBM, Diegem

11. Breast cancer, 2004, Age specific incidence

12. 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?...

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

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

22. 3/10/2008 BBM, Diegem Breast cancer mortality, Flemish Region, 1994-2004 40-69 years: breast cancer is the most important cause of death

23. 3/10/2008 BBM, Diegem Flemish Region, breast cancer: 5y relative survival per stage

24. 3/10/2008 BBM, Diegem Breast Cancer, all ages, flemish region: stage distribution

25. 3/10/2008 BBM, Diegem Breast Cancer, 50-69 years, flemish region: stage distribution

26. 3/10/2008 BBM, Diegem Europe: 5-year relative survival, 1995-1999 Eurocare-4 F. Berrino et al. 2007

27. 3/10/2008 BBM, Diegem Europe, breast cancer: 5-year relative survival, 1995-1999 Eurocare-4 F. Berrino et al. 2007

28. 3/10/2008 BBM, Diegem 5 year relative survival, all cancers, 1995-1999 TNEH

29. 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...

30. 3/10/2008 BBM, Diegem Thank you! And... Thank you Cancer Registry team!