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Together we can end bowel cancer as we know it
Bowel cancer in NSW: The facts
Be informed • Take action • Save lives
Together we can end bowel cancer as we know it
Bowel cancer is common
Many people don’t realise the full extent of its impact
One in
people in NSW
will be diagnosed
by the age of 85
1 in 10 men, and
1 in 14 women will be diagnosed
Note: Risk of being diagnosed with bowel cancer by the age of 85, based on NSW incidence 2010.
*Ferlay J, Soerjomataram I, Ervik M et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. 2013 [cited 2015 May 06].
Note: Incidence has been age-standardised to the Australian 2001 standard population.
Sources: NSW Cancer Registry and NSW Secure Analytics for Population Health Research and Intelligence.
Australia and New Zealand have the highest incidence of
bowel cancer in the world*
Bowel cancer incidence in NSW
has remained high for the last 2 to 3 decades
Together we can end bowel cancer as we know it
of all cancer deaths
in NSW
In 2010,
bowel cancer
accounted for
13%
Many people die of bowel cancer
Bowel cancer is the second biggest cancer killer in Australia and NSW after lung cancer.
Bowel cancer kills more people in NSW
than prostate cancer, breast cancer or melanoma
Source: NSW Cancer Registry
Together we can end bowel cancer as we know it
The outlook for bowel cancer is best
when it is diagnosed at an early stage
The good news is that 5-year survival is 89% in
localised disease
Compared with 16% in distant disease.
89%
localised
16%
distant
VS
Note: Survival by extent of disease is based on 5-year net survival of NSW cases diagnosed 2005-2009 and followed up to 2013.
Sources: NSW Cancer Registry and National Death Index Australia.
Together we can end bowel cancer as we know it
Screening leads to lower bowel cancer mortality
through early detection
Bowel cancer, distribution of stage at diagnosis in
unscreened vs. screened scenario
Notes: Unknown stage is not shown.
Source: Ananda SS, McLaughlin SJ, Chen F et al. Initial impact of Australia’s National Bowel Cancer Screening Program. Med J Aust 2009; 191:378-81.
Stage I Stage II Stage III
Diagnosed through
screening (screened)
Not diagnosed through
screening (unscreened)
Stage at diagnosis
Percentageofcases
14%
40%
31%
25%
24%
25%
15%
3%
• Bowel cancer screening by faecal
occult blood testing can detect
more cancers at an earlier stage,
when treatment is more effective
and less invasive, and mortality is
lower.
• Screening can even prevent bowel
cancer by detecting pre-cancerous
lesions.
Stage IV
Together we can end bowel cancer as we know it
Screening participation rates for bowel cancer
need to increase for more people to benefit
Currently only 33% of eligible people in NSW
take part in bowel cancer screening
If bowel screening participation rates
increased to 60% in NSW
and across Australia, up to
lives could be saved from
bowel cancer over the next 40 years.*
90,000
Cancer screening, screening participation rates,
by screening type, NSW, 2012-2014
* Cenin DR, St John J, Slevin T et al. Optimising the expansion of the National Bowel Cancer Screening Program. Med J Aust 2014;201:456-61.Notes:
• Bowel screening participation rate is based on the proportion of the eligible population invited to the National Bowel Cancer Screening
Program from July 2013 to June 2014, who returned a completed faecal occult blood test (FOBT).
• Breast screening participation rate is based on the number of women aged 50-69 who live in NSW and are screened in NSW from July 2012
to June 2014.
• Cervical screening participation rate is based on NSW women aged 20-69 who are screened from July 2012 to July 2014.
Sources: National Bowel Cancer Screening Program; BreastScreen NSW; NSW Pap Test Register; Epidemiology and Surveillance Branch, NSW Ministry of Health.
Together we can end bowel cancer as we know it
Prevention
Reduce the risk of bowel cancer
Obesity is linked to
increased risk of
bowel cancer.
Staying physically
active and lean can
lower your risk.
Physical activity
Smoking increases the
risk of bowel cancer.
The following services
are available for more
information and support
on how to quit.
Quit smoking
Several dietary factors
are linked to bowel
cancer risk.
Increased risk
Red meat
Processed meat
Excessive alcohol
Decreased risk
Dietary fibre
Healthy diet
Together we can end bowel cancer as we know it
NSW delivers world’s best outcomes for bowel cancer
It is important to seek treatment once diagnosed...
with radiotherapy
and surgery
While surgery is the mainstay of curative treatment
for bowel cancer, adjuvant therapy can further
improve outcomes for suitable patients
Survival from bowel cancer in NSW is better
than comparative countries
with radiotherapy
and surgery
with only
surgery
vs 5%
Cancer returns within 10 years of treatment
11% of rectal
cancer
cases
of rectal
cancer
cases
Bowel cancer, 5-year relative survival, in selected countries,
diagnosed 2005-2007
Note: Relative survival was estimated using the period method for cases diagnosed 2005-2007 and followed up to 2007, and has been
age-standardised to the International Cancer Survival Standard Weights.
Source: Coleman MP, Forman D, Bryant H et al. Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995–2007
(the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data. Lancet 2011; 377:127-38.
Note: Based on a sample of international patients.
Source: van Gijn W, Marijnen CA, Nagtegaal ID et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal
cancer: 12-year follow-up of the multicentre, randomised controlled TME trial. Lancet Oncol 2011;12:575-82.

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Bowel Cancer in NSW: The facts

  • 1. Together we can end bowel cancer as we know it Bowel cancer in NSW: The facts Be informed • Take action • Save lives
  • 2. Together we can end bowel cancer as we know it Bowel cancer is common Many people don’t realise the full extent of its impact One in people in NSW will be diagnosed by the age of 85 1 in 10 men, and 1 in 14 women will be diagnosed Note: Risk of being diagnosed with bowel cancer by the age of 85, based on NSW incidence 2010. *Ferlay J, Soerjomataram I, Ervik M et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. 2013 [cited 2015 May 06]. Note: Incidence has been age-standardised to the Australian 2001 standard population. Sources: NSW Cancer Registry and NSW Secure Analytics for Population Health Research and Intelligence. Australia and New Zealand have the highest incidence of bowel cancer in the world* Bowel cancer incidence in NSW has remained high for the last 2 to 3 decades
  • 3. Together we can end bowel cancer as we know it of all cancer deaths in NSW In 2010, bowel cancer accounted for 13% Many people die of bowel cancer Bowel cancer is the second biggest cancer killer in Australia and NSW after lung cancer. Bowel cancer kills more people in NSW than prostate cancer, breast cancer or melanoma Source: NSW Cancer Registry
  • 4. Together we can end bowel cancer as we know it The outlook for bowel cancer is best when it is diagnosed at an early stage The good news is that 5-year survival is 89% in localised disease Compared with 16% in distant disease. 89% localised 16% distant VS Note: Survival by extent of disease is based on 5-year net survival of NSW cases diagnosed 2005-2009 and followed up to 2013. Sources: NSW Cancer Registry and National Death Index Australia.
  • 5. Together we can end bowel cancer as we know it Screening leads to lower bowel cancer mortality through early detection Bowel cancer, distribution of stage at diagnosis in unscreened vs. screened scenario Notes: Unknown stage is not shown. Source: Ananda SS, McLaughlin SJ, Chen F et al. Initial impact of Australia’s National Bowel Cancer Screening Program. Med J Aust 2009; 191:378-81. Stage I Stage II Stage III Diagnosed through screening (screened) Not diagnosed through screening (unscreened) Stage at diagnosis Percentageofcases 14% 40% 31% 25% 24% 25% 15% 3% • Bowel cancer screening by faecal occult blood testing can detect more cancers at an earlier stage, when treatment is more effective and less invasive, and mortality is lower. • Screening can even prevent bowel cancer by detecting pre-cancerous lesions. Stage IV
  • 6. Together we can end bowel cancer as we know it Screening participation rates for bowel cancer need to increase for more people to benefit Currently only 33% of eligible people in NSW take part in bowel cancer screening If bowel screening participation rates increased to 60% in NSW and across Australia, up to lives could be saved from bowel cancer over the next 40 years.* 90,000 Cancer screening, screening participation rates, by screening type, NSW, 2012-2014 * Cenin DR, St John J, Slevin T et al. Optimising the expansion of the National Bowel Cancer Screening Program. Med J Aust 2014;201:456-61.Notes: • Bowel screening participation rate is based on the proportion of the eligible population invited to the National Bowel Cancer Screening Program from July 2013 to June 2014, who returned a completed faecal occult blood test (FOBT). • Breast screening participation rate is based on the number of women aged 50-69 who live in NSW and are screened in NSW from July 2012 to June 2014. • Cervical screening participation rate is based on NSW women aged 20-69 who are screened from July 2012 to July 2014. Sources: National Bowel Cancer Screening Program; BreastScreen NSW; NSW Pap Test Register; Epidemiology and Surveillance Branch, NSW Ministry of Health.
  • 7. Together we can end bowel cancer as we know it Prevention Reduce the risk of bowel cancer Obesity is linked to increased risk of bowel cancer. Staying physically active and lean can lower your risk. Physical activity Smoking increases the risk of bowel cancer. The following services are available for more information and support on how to quit. Quit smoking Several dietary factors are linked to bowel cancer risk. Increased risk Red meat Processed meat Excessive alcohol Decreased risk Dietary fibre Healthy diet
  • 8. Together we can end bowel cancer as we know it NSW delivers world’s best outcomes for bowel cancer It is important to seek treatment once diagnosed... with radiotherapy and surgery While surgery is the mainstay of curative treatment for bowel cancer, adjuvant therapy can further improve outcomes for suitable patients Survival from bowel cancer in NSW is better than comparative countries with radiotherapy and surgery with only surgery vs 5% Cancer returns within 10 years of treatment 11% of rectal cancer cases of rectal cancer cases Bowel cancer, 5-year relative survival, in selected countries, diagnosed 2005-2007 Note: Relative survival was estimated using the period method for cases diagnosed 2005-2007 and followed up to 2007, and has been age-standardised to the International Cancer Survival Standard Weights. Source: Coleman MP, Forman D, Bryant H et al. Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995–2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data. Lancet 2011; 377:127-38. Note: Based on a sample of international patients. Source: van Gijn W, Marijnen CA, Nagtegaal ID et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12-year follow-up of the multicentre, randomised controlled TME trial. Lancet Oncol 2011;12:575-82.