Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England
<p><strong>Background:</strong> The National Health Service (NHS) cancer plan for England was published in 2000, with the aim of improving the survival of patients with cancer. By contrast, a formal cancer strategy was not implemented in Wales until late 2006. National data on canc...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
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Elsevier
2009
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| _version_ | 1826278360477597696 |
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| author | Rachet, B Maringe, C Nur, U Quaresma, M Shah, A Woods, L Ellis, L Walters, S Forman, D Steward, J Coleman, M |
| author_facet | Rachet, B Maringe, C Nur, U Quaresma, M Shah, A Woods, L Ellis, L Walters, S Forman, D Steward, J Coleman, M |
| author_sort | Rachet, B |
| collection | OXFORD |
| description | <p><strong>Background:</strong> The National Health Service (NHS) cancer plan for England was published in 2000, with the aim of improving the survival of patients with cancer. By contrast, a formal cancer strategy was not implemented in Wales until late 2006. National data on cancer patient survival in England and Wales up to 2007 thus off er the opportunity for a fi rst formal assessment of the cancer plan in England, by comparing survival trends in England with those in Wales before, during, and after the implementation of the plan.</p> <p><strong>Methods:</strong> We analysed population-based survival in 2·2 million adults diagnosed with one of 21 common cancers in England and Wales during 1996–2006 and followed up to Dec 31, 2007. We defi ned three calendar periods: 1996–2000 (before the cancer plan), 2001–03 (initialisation), and 2004–06 (implementation). We estimated year-onyear trends in 1-year relative survival for patients diagnosed during each period, and changes in those trends between successive periods in England and separately in Wales. Changes between successive periods in mean survival up to 5 years after diagnosis were analysed by country and by government offi ce region of England. Life tables for single year of age, sex, calendar year, deprivation category, and government offi ce region were used to control for background mortality in all analyses.</p> <p><strong>Findings:</strong> 1-year survival in England and Wales improved for most cancers in men and women diagnosed during 1996–2006 and followed until 2007, although not all trends were signifi cant. Annual trends were generally higher in Wales than in England during 1996–2000 and 2001–03, but higher in England than in Wales during 2004–06. 1-year survival for patients diagnosed in 2006 was over 60% for 12 of 17 cancers in men and 13 of 18 cancers in women. Diff erences in 3-year survival trends between England and Wales were less marked than the diff erences in 1-year survival. North–South diff erences in survival trends for the four most common cancers were not striking, but the North West region and Wales showed the smallest improvements during 2001–03 and 2004–06.</p> <p><strong>Interpretation:</strong> The fi ndings indicate slightly faster improvement in 1-year survival in England than in Wales during 2004–06, whereas the opposite was true during 2001–03. This reversal of survival trends in 2001–03 and 2004–06 between England and Wales is much less obvious for 3-year survival. These diff erent patterns of survival suggest some benefi cial eff ect of the NHS cancer plan for England, although the data do not so far provide a defi nitive assessment of the eff ectiveness of the plan.</p> |
| first_indexed | 2024-03-06T23:42:46Z |
| format | Journal article |
| id | oxford-uuid:6fe10733-e4a0-47c4-8866-4949b1361e64 |
| institution | University of Oxford |
| last_indexed | 2024-03-06T23:42:46Z |
| publishDate | 2009 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:6fe10733-e4a0-47c4-8866-4949b1361e642022-03-26T19:33:33ZPopulation-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for EnglandJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6fe10733-e4a0-47c4-8866-4949b1361e64Symplectic Elements at OxfordElsevier2009Rachet, BMaringe, CNur, UQuaresma, MShah, AWoods, LEllis, LWalters, SForman, DSteward, JColeman, M<p><strong>Background:</strong> The National Health Service (NHS) cancer plan for England was published in 2000, with the aim of improving the survival of patients with cancer. By contrast, a formal cancer strategy was not implemented in Wales until late 2006. National data on cancer patient survival in England and Wales up to 2007 thus off er the opportunity for a fi rst formal assessment of the cancer plan in England, by comparing survival trends in England with those in Wales before, during, and after the implementation of the plan.</p> <p><strong>Methods:</strong> We analysed population-based survival in 2·2 million adults diagnosed with one of 21 common cancers in England and Wales during 1996–2006 and followed up to Dec 31, 2007. We defi ned three calendar periods: 1996–2000 (before the cancer plan), 2001–03 (initialisation), and 2004–06 (implementation). We estimated year-onyear trends in 1-year relative survival for patients diagnosed during each period, and changes in those trends between successive periods in England and separately in Wales. Changes between successive periods in mean survival up to 5 years after diagnosis were analysed by country and by government offi ce region of England. Life tables for single year of age, sex, calendar year, deprivation category, and government offi ce region were used to control for background mortality in all analyses.</p> <p><strong>Findings:</strong> 1-year survival in England and Wales improved for most cancers in men and women diagnosed during 1996–2006 and followed until 2007, although not all trends were signifi cant. Annual trends were generally higher in Wales than in England during 1996–2000 and 2001–03, but higher in England than in Wales during 2004–06. 1-year survival for patients diagnosed in 2006 was over 60% for 12 of 17 cancers in men and 13 of 18 cancers in women. Diff erences in 3-year survival trends between England and Wales were less marked than the diff erences in 1-year survival. North–South diff erences in survival trends for the four most common cancers were not striking, but the North West region and Wales showed the smallest improvements during 2001–03 and 2004–06.</p> <p><strong>Interpretation:</strong> The fi ndings indicate slightly faster improvement in 1-year survival in England than in Wales during 2004–06, whereas the opposite was true during 2001–03. This reversal of survival trends in 2001–03 and 2004–06 between England and Wales is much less obvious for 3-year survival. These diff erent patterns of survival suggest some benefi cial eff ect of the NHS cancer plan for England, although the data do not so far provide a defi nitive assessment of the eff ectiveness of the plan.</p> |
| spellingShingle | Rachet, B Maringe, C Nur, U Quaresma, M Shah, A Woods, L Ellis, L Walters, S Forman, D Steward, J Coleman, M Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title | Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title_full | Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title_fullStr | Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title_full_unstemmed | Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title_short | Population-based cancer survival trends in England and Wales up to 2007: an assessment of the NHS cancer plan for England |
| title_sort | population based cancer survival trends in england and wales up to 2007 an assessment of the nhs cancer plan for england |
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