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Cancer in Australia 2019

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Cancer in Australia 2019 Cancer in Australia 2019 In 2019, the rate of new cancer cases in Australia is expected to reach 483 new cases per 100,000 people, while cancer-related deaths are expected to decrease to 159 per 100,000 people. From 1982 to 2019, thyroid cancer and liver cancer incidence rates increased more than for any other cancer. Although liver cancer survival has improved since 1982, with the increasing liver cancer incidence rate, liver cancer mortality rates also increased more than for any other cancer. aihw.gov.au Australasian Association of Cancer Registries Stronger evidence, better decisions, improved health and welfare Cancer in Australia 2019 The Australian Institute of Health and Welfare is a major national agency whose purpose is to create authoritative and accessible information and statistics that inform decisions and improve the health and welfare of all Australians. © Australian Institute of Health and Welfare 2019 This product, excluding the AIHW logo, Commonwealth Coat of Arms and any material owned by a third party or protected by a trademark, has been released under a Creative Commons BY 3.0 (CC BY 3.0) licence. Excluded material owned by third parties may include, for example, design and layout, images obtained under licence from third parties and signatures. We have made all reasonable efforts to identify and label material owned by third parties. You may distribute, remix and build upon this work. However, you must attribute the AIHW as the copyright holder of the work in compliance with our attribution policy available at www.aihw.gov.au/copyright/. The full terms and conditions of this licence are available at http://creativecommons.org/licenses/by/3.0/au/. A complete list of the Institute’s publications is available from the Institute’s website www.aihw.gov.au. ISBN 978-1-76054-498-0 (PDF) ISBN 978-1-76054-499-7 (Print) ISSN 2205-4855 (PDF) ISSN 1039-3307 (Print) DOI 10.25816/5ebcc7a7fa7e9 Suggested citation Australian Institute of Health and Welfare 2019. Cancer in Australia 2019. Cancer series no.119. Cat. no. CAN 123. Canberra: AIHW. Australian Institute of Health and Welfare Board Chair Mrs Louise Markus Chief Executive Officer Mr Barry Sandison Any enquiries relating to copyright or comments on this publication should be directed to: Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601 Tel: (02) 6244 1000 Email: [email protected] Published by the Australian Institute of Health and Welfare. Please note that there is the potential for minor revisions of data in this report. Please check the online version at www.aihw.gov.au for any amendment. ii Contents Summary ............................................................................................................................................. v Data at a glance ............................................................................................................................... vii Estimated incidence of cancer in 2019 (by sex) ................................................................................. vii Estimated mortality from cancer in 2019 (by sex) ............................................................................ viii Estimated cancer incidence and mortality in 2019 ............................................................................ ix 1 Introduction .................................................................................................................................. 1 1.1 Cancer ............................................................................................................................................2 1.2 Report overview .............................................................................................................................2 1.3 Data sources ..................................................................................................................................3 1.4 Data presentations .......................................................................................................................3 2 Risk factors for cancer ................................................................................................................. 5 2.1 Determining links between risk factors and cancer .................................................................6 2.2 Cancer risk factors in Australia ....................................................................................................8 3 Spotlight: cancer stage at diagnosis ....................................................................................... 19 3.1 Stage at diagnosis ........................................................................................................................20 4 Screening and early detection .................................................................................................. 25 4.1 Population-based cancer screening ..........................................................................................27 4.2 Medicare-subsidised surveillance, detection and monitoring tests ......................................30 5 Number of new cases ................................................................................................................ 37 5.1 All cancers combined ..................................................................................................................38 5.2 Most commonly diagnosed cancers..........................................................................................42 5.3 Rare and less common cancers, 2015 ......................................................................................47 5.4 Non-malignant tumours ............................................................................................................49 6 Treatment ................................................................................................................................... 59 6.1 Hospitalisations for all cancers combined ...............................................................................60 6.2 Hospitalisations for principal diagnosis of cancer ...................................................................63 6.3 Chemotherapy procedures ........................................................................................................65 6.4 Radiotherapy for cancer .............................................................................................................68 6.5 Hospitalisations for palliative care for cancer ..........................................................................70 7 Survival and survivorship after a cancer diagnosis ............................................................... 73 7.1 Survival ..........................................................................................................................................74 7.2 Conditional Survival .....................................................................................................................84 7.3 Survivorship population .............................................................................................................86 iii 8 Number of deaths ...................................................................................................................... 91 8.1 All cancers combined ..................................................................................................................92 8.2 Most common causes of death from cancer ...........................................................................96 8.3 Deaths from rare and less common cancers .........................................................................101 9 Key population groups ............................................................................................................. 103 9.1 Aboriginal and Torres Strait Islander people .........................................................................105 9.2 Remoteness area .......................................................................................................................108 9.3 Socioeconomic area ..................................................................................................................111 9.4 State and territory .....................................................................................................................113 Appendix A: Methodology for 2015 cancer incidence for NSW and cancer projections ........ 116 Appendix B: Cancer codes ............................................................................................................. 119 Appendix C: Data sources ............................................................................................................. 123 Appendix D: Cancer incidence, mortality and survival for all cancer groupings ................... 129 Appendix E: Definition of cancer-related hospitalisations ....................................................... 132 Appendix F: Statistical methods and technical notes ............................................................... 135 Appendix G: Enhancements and other events affecting data.................................................. 140 Appendix H: Classifications .......................................................................................................... 141 Glossary ........................................................................................................................................... 143 Acknowledgments ........................................................................................................................
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