Rates continue to decline.
Between 2010 and 2014, death rates decreased for 11 of the 16 most common types of cancer in men and for 13 of the 18 most common types of cancer in women, including lung, colorectal, female breast, and prostate cancers, according to the latest Annual Report to the Nation on the Status of Cancer, 1975-2014. Meanwhile, death rates increased for cancers of the liver, pancreas, and brain in men and for liver and uterine cancer in women. The report finds overall cancer incidence rates, or rates of new cancers, decreased in men but stabilized in women during the period 1999-2013.
Compared to cases diagnosed in 1975-1977, 5-year survival for cancers diagnosed in 2006-2012 increased significantly for all but 2 types of cancer: cervix and uterus. The greatest absolute increases in survival (25% or greater) were seen in prostate and kidney cancers as well as non-Hodgkin lymphoma, myeloma, and leukemia.
Cancers with the lowest 5-year relative survival for cases diagnosed in 2006-2012 were pancreas (8.5%), liver (18.1%), lung (18.7%), esophagus (20.5%), stomach (31.1%) and brain (35%); those with the highest were prostate (99.3%), thyroid (98.3%), melanoma (93.2%) and female breast (90.8%).
The Report to the Nation is released each year in a collaborative effort by the American Cancer Society; the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI), both parts of the Department of Health and Human Services; and the North American Association of Central Cancer Registries (NAACCR).
“While trends in death rates are the most commonly used measure to assess progress against cancer, survival trends are also an important measure to evaluate progress in improvement of cancer outcomes,” Ahmedin Jemal, DVM, PhD, of the American Cancer Society and lead author of the study said in a press release. “We last included a special section on cancer survival in 2004, and as we found then, survival improved over time for almost all cancers at every stage of diagnosis. But survival remains very low for some types of cancer and for most types of cancers diagnosed at an advanced stage.”
The authors also stated that more attention and resources are needed to identify major risk factors for common cancers, such as colorectal, breast, and prostate, as are concerted efforts to understand the increasing incidence trends in uterine, female breast, and pancreatic cancer.
Jemal A, Ward EM, Johnson CJ, et al. Annual Report to the Nation on the Status of Cancer, 1975—2014, Featuring Survival. J Natl Cancer Inst. 2017;109(9): djx030.