Notes on the data: Premature mortality by selected cause - 0 to 74 years

Deaths from lung cancer, persons aged 0 to 74 years, 2013 to 2017

 

Policy context:  Lung cancer was the leading cause of cancer death in Australia at all ages in the years 2013 to 2017 and represents the fourth most commonly diagnosed cancer [1,2]. Over this period, there were 41,610 deaths from lung cancer, 24,869 males and 16,741 females at all ages [2]. While the incidence rate for lung cancer in men has been decreasing, there has been a marked increase in the incidence rate in females. Similarly, while the five-year relative survival from lung cancer has increased for both sexes, survival from this disease remains low, at 17% [3]. The different pattern of incidence rates in males and females reflect historical differences in the take-up of smoking.

In Australia, tobacco smoking is the largest single cause of lung cancer, responsible for about 90% of lung cancers in males and 65% in females. The risk of lung cancer among smokers is strongly related to duration of smoking and the number of cigarettes smoked [4]. Exposure to second-hand smoke (also known as passive smoking) is also a cause of lung cancer. Other potential causes include radon gas, exposure to industrial and chemical carcinogens, air pollution, family history of lung cancer and previous lung diseases [4].

Age-standardised mortality rates for lung cancer increased from 31.1 per 100,000 population in 1968 to 42.9 per 100,000 population 1989, after which they decreased to 29.5 per 100,000 in 2016 [5]. The trends for males and females differed: the rate for males increased sharply to 1981 and then declined relatively steadily to 2016, when it was 69.8% above the female rate (the smallest gap); the female rate increased steadily over most of this period, with just a very small decline in the latest years [5].

The data show that for 2013 to 2017, over half (54.6%) of all deaths from lung cancer were premature – details here.

References

  1. PHIDU, based on Cause of Death Unit Record Files supplied by the Australian Coordinating Registry and the Victorian Department of Justice, on behalf of the Registries of Births, Deaths and Marriages and the National Coronial Information System; 2013-2017.
  2. Australian Institute of Health and Welfare (AIHW). Lung cancer - an overview. (AIHW Cat. no. CAN 58.) Canberra: AIHW; 2011.
  3. Cancer Council Australia. Available from: https://www.cancer.org.au/about-cancer/types-of-cancer/lung-cancer.html; last accessed 9 November 2019.
  4. Australian Institute of Health and Welfare (AIHW) & Australasian Association of Cancer Registries (AACR). Cancer in Australia 2010: an overview. Cancer series no. 60. (AIHW Cat. no. CAN 56). Canberra: AIHW; 2010.
  5. Cancer mortality, National Cancer Control Indicators. Available from: https://ncci.canceraustralia.gov.au/outcomes/cancer-mortality/cancer-mortality
  6. ; last accessed 30 January 2020.
 

Notes:  International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) codes: C33, C34

For deaths data released since 2007, the ABS has applied a staged approach to the coding of cause of death which affects the number of records available for release at any date. In each release, the latest year’s data is preliminary, the second latest is revised and the data for the remaining years is final.For further information about the ABS revisions process see the following and related sites: http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/3303.0Explanatory+Notes12012.

 

Geography: Data available by Population Health Area, Local Government Area, Primary Health Network, quintile of socioeconomic disadvantage of area and Remoteness Area

Numerator:  Deaths from lung cancer at ages 0 to 74 years

 

Denominator:  Population aged 0 to 74 years

 

Detail of analysis:  Average annual indirectly age-standardised rate per 100,000 population (aged 0 to 74 years); and/or indirectly age-standardised ratio, based on the Australian standard.

 

Source:  Data compiled by PHIDU from deaths data based on the 2013 to 2017 Cause of Death Unit Record Files supplied by the Australian Coordinating Registry and the Victorian Department of Justice, on behalf of the Registries of Births, Deaths and Marriages and the National Coronial Information System. The population is the ABS Estimated Resident Population (ERP) for Australia, 30 June 2013 to 30 June 2017.

 

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