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Cancer in the ACT Incidence and Mortality 2009

Cancer is a major cause of morbidity and mortality in the ACT and is recognised as a major contributor to the total burden of disease in Australia.

Cancer in the ACT, Incidence and Mortality 2009 is the sixth report of the ACT Cancer Registry. It provides an epidemiological review of cancer cases recorded in the ACT Cancer Registry over the period January 2002 to December 2006. In addition, the report provides an overview of trends of cancer incidence and mortality from 1985 to 2006. Cancer survival is reported in a separate publication.

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Download: Cancer in the ACT Incidence and Mortality 2009 - Health Series No.48 (PDF File - 2551k)

Incidence

During 2002-06, there were 6266 new cases of cancer diagnosed in residents of the ACT (average of 1253 new cases per year). Fifty-three per cent of these were diagnosed in males and 47 per cent were diagnosed in females. The overall crude rate was 406.3 per 100,000 population for males and 358.4 per 100,000 for females.

The most common cancers in males were prostate cancer, followed by colorectal cancer, melanoma of skin and lung cancer. The risk of a male being diagnosed with cancer before the age of 75 years was 1 in 3.

The most common cancers in females were female breast cancer, followed by colorectal cancer, melanoma of skin, and lung cancer. The risk of a female being diagnosed with cancer before the age of 75 years was 1 in 4.

Mortality

During 2002-06, 2018 ACT residents died of cancer (Table 3): 52 per cent of these deaths were in males and 48 per cent were in females. The overall crude mortality rate was 133.2 per 100,000 population for males and 113.2 per 100,000 population for females.

The most common cause of cancer related deaths in males was lung cancer (18.2% of all deaths), followed by colorectal cancer (14.9%), and prostate cancer (13.5%). The risk of a male dying from cancer before the age of 75 years was 1 in 9.

The most common cause of cancer related death in females was breast cancer (18.6% of all deaths), followed by colorectal cancer (13.5%), and lung cancer (12.6%). The risk of a female dying from cancer before the age of 75 years was 1 in 12.

Time trends

Although the number of new cancer cases and cancer deaths occurring each year has risen since 1985, age standardised incidence and mortality rates have remained relatively stable. This indicates that there were changes in the age structure of the population in the ACT over time rather than changes in the risk of cancer for any particular age group.

Over the period 1985 to 2006 there was an increase in the age standardised incidence rates of breast cancer in females, prostate cancer and non-Hodgkin's lymphoma in males. In the same period, there was a decrease in the age standardised incidence rate of lung cancer in males and cervical cancer in females.

Age standardised mortality rates for most cancers did not show a statistically significant change over time. However, there was an increase in the age standardised mortality rate of uterine cancer and a decrease in the age standardised mortality rate of both colorectal and lung cancer in males.

Prevalence

At the end of 2005, there was a total of 2311 males and 2242 females living in the ACT who had a diagnosis of cancer within the previous five years.

Prostate and female breast cancers were the most prevalent types of cancers in the ACT.




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