Cancer Statistics

Cancer is the second leading cause of death (29%) and a major cause of hospitalisation (7%) in New Zealand.  There are about 18,500 new registrations of cancer each year and over a lifetime one in three New Zealanders will have some experience of cancer, either personally or through a relative or friend.

CCN Health Needs Assessment Report, January 2009

This report provides information on a range of cancer control data at a district and regional level to assist planners and providers of services to identify priority areas, thereby informing their annual and strategic planning. The following areas have been interpreted as important within the context of the CCN strategic planning process:

Inequalities

  • Ethnic inequalities exist within the CCN Region for cancer screening, cancer incidence, and cancer outcomes.
  • Inequalities exist between CCN DHBs for cancer screening, cancer incidence, cancer outcomes and cancer treatment.

Leading Cancers – Incidence

Table 1 :  Leading Female Cancers by Ethnicity for the CCN Region, 2001-2005 Combined


All Ethnicities

No.

%

Other

No.

%

Māori

No.

%

Pacific Peoples

No.

%

Breast

3,224

29

Breast

2,811

28

Breast

351

34

Breast

62

30

Colorectal

1,729

15

Colorectal

1,642

16

Lung

162

16

Uterus

24

12

Melanoma

1,247

11

Melanoma

1,226

12

Colorectal

68

7

Colorectal

19

9

Lung

888

8

Lung

716

7

Uterus

67

7

Ovary

11

5

Uterus

447

4

Uterus

356

4

Cervix

39

4

Lung

10

5

Source: NZ Cancer Registry. ICD10 codes used for specific cancer types are as follows: breast C50, colorectal C18 to C21, lung C33 to C34, melanoma C43, uterus C54 to C55, cervix C53, ovary C56.

Table 2 :  Leading Male Cancers by Ethnicity for the CCN Region, 2001-2005 Combined


All Ethnicities

No.

%

Other

No.

%

Māori

No.

%

Pacific Peoples

No.

%

Prostate

3,351

28

Prostate

3,153

29

Lung

179

22

Prostate

37

23

Colorectal

1,763

15

Colorectal

1,685

15

Prostate

161

20

Lung

23

14

Melanoma

1,264

11

Melanoma

1,252

11

Colorectal

66

8

Colorectal

12

7

Lung

1,255

11

Lung

1,053

10

Stomach

46

6

Liver

11

7

Bladder

483

4

Bladder

468

4

Testis

37

5

Stomach

8

5

Source: NZ Cancer Registry. ICD10 codes used for specific cancer types are as follows: prostate C61, colorectal C18 to C21, lung C33 to C34, melanoma C43, bladder C67, stomach C16, liver C22, testi

Leading Cancers - Mortality

Table 3 :  Leading Mortality Female Cancers by Ethnicity for the CCN Region, 2001-2005 Combined


All Ethnicities

No.

%

Other

No.

%

Māori

No.

%

Pacific Peoples

No.

%

Breast

907

18

Breast

768

18

Lung

171

31

Breast

20

22

Lung

789

16

Colorectal

719

16

Breast

119

22

Colorectal

11

12

Colorectal

767

15

Lung

609

14

Colorectal

37

7

Lung

9

10

Unspecified

296

6

Unspecified

265

6

Ovary

23

4

Stomach

6

7

Ovary

232

5

Ovary

204

5

Pancreas

22

4

Ovary

5

6

 

 

 

Pancreas

198

5

Stomach

22

4

Unspecified

5

6

Source: NZ Cancer Registry. ICD10 codes used for specific cancer types are as follows: breast C50, colorectal C18 to C21, lung C33 to C34, ovary C56, stomach C16, pancreas C25, unspecified site C80.

Table 4 :  Leading Mortality Male Cancers by Ethnicity for the CCN Region, 2001-2005 Combined


All Ethnicities

No.

%

Other

No.

%

Māori

No.

%

Pacific Peoples

No.

%

Lung

1,110

21

Lung

919

20

Lung

172

33

Lung

19

22

Prostate

788

15

Prostate

739

16

Stomach

44

9

Liver

11

13

Colorectal

722

14

Colorectal

677

15

Colorectal

43

8

Stomach

7

8

Unspecified

266

5

Unspecified

230

5

Prostate

43

8

Prostate

6

7

Stomach

235

4

Stomach

184

4

Unspecified

30

6

Unspecified

6

7

Pancreas

197

4

Melanoma

181

4

 

 

 

 

 

 

Melanoma

191

4

Pancreas

173

4

 

 

 

 

 

 

Source: NZ Cancer Registry. ICD10 codes used for specific cancer types are as follows: prostate C61, colorectal C18 to C21, lung C33 to C34, melanoma C43, stomach C16, liver C22, pancreas C25, unspecified site C80.

Prevention

  • Smoking rates are falling for all groups however the prevalence of daily smoking rates remains significant at 18% nationally. This figure ranges from 15% to 24% within the CCN region
  • Sun protection behaviours have increased significantly
  • Obesity rates in adults and children are 27% and 8% respectively
  • Risk factors, particularly smoking and obesity are more prevalent amongst Māori and those of high social deprivation

Screening

  • Within the CCN Region the majority of DHBs do not meet the coverage targets for breast and cervical screens
  • Inequalities exist within both screening programmes with lower coverage rates for Māori and Pacific women

Cancer Treatment

  • Avoidable hospitalisations for a number of cancers trended down in the region, however variations are seen across the region with Tairawhiti and Whanganui significantly higher than the NZ rate and Capital and Coast significantly lower than the NZ rate
  • For the years 2004/05, 2005/06, and 2006/07, the CCN Region had lower rates of chemotherapy but higher rates of radiotherapy than the other regions
  • Waiting times for radiotherapy in the CCN Region are longer than the Health Target criteria

Supportive care

  • No consistently captured data was available to inform the HNA report

Palliative Care

  • A comparison between the number of referrals currently being received by palliative care services/hospices in the CCN Region and the estimated number of people who would benefit from palliative care services (based on extrapolation of UK analysis) suggests that there is an unmet need within the region. This unmet need is largely driven by non cancer patients
  • It is anticipated that the new service specification being developed will address some of the issues around collection and standardisation of palliative care data

Future Projections

  • Nationally new cancer registrations are predicted to increase by 29% (or 2.6% per annum) between 2003-2013, driven by the aging population
  • The number of cancer deaths is forecast to increase by 12% (or 1.1% per annum) between 2004-2014, reflecting earlier and more effective medical and surgical treatment of cancer
  • Population growth projections for the CCN Region are a third of that predicted nationally so increases in the number of cancer registrations and cancer deaths for the region may not be as high as for New Zealand

Associated Documents

Last updated 13th September 2011

 

 

 

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