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    Cancer Mortality Is Declining, And The Public Doesn’t Know It
    By News Staff | August 13th 2009 01:00 AM | 6 comments | Print | E-mail | Track Comments
    Cancer impacts millions of lives for the worse every year. Despite this difficult reality, it appears that we are becoming increasing successful in our efforts to stem the tide of patients who fall victim as time goes on.

    According to a recently published report in the journal Cancer Research, cancer mortality rates have been steadily dropping over the last three decades.

    “Our efforts against cancer, including prevention, early detection and better treatment, have resulted in profound gains, but thesegains are often unappreciated by the public due to the way the data are usually reported," said Eric Kort, M.D., one of the study’s authors and former research scientist at Van Andel Research Institute (VARI) in Grand Rapids, Mich.

    So what’s wrong with how these “profound gains” are reported? The problem, according to Kort, is that Cancer mortality rates are typically reported as composite age-adjusted rates. And while those have slightly declined since the 1990s, they tend to emphasize the outcomes of elderly Americans, whose mortality rates are obviously much higher than those among younger patients.

    To account for the potential bias of the age-adjusted rates, Kort took a different approach with his research. By stratifying cancer mortality rates by age, he found that every group of individuals has seen a drop in cancer mortality since 1925.   Unsurprisingly, it was the youngest groups that saw the biggest decline at 25.9 percent, and these tend to be the individuals who are overlooked by traditional mortality statistics.

    Also contributing to the public’s ignorance of the improvements in our efforts against cancer are the World Health Organization’s statistics on cancer incidence rates and mortality proportions. These rates are increasing as the years go on and are usually the only numbers that the public hears about. While they are accurate, Kort and other researchers point out that they can be  misleading if not taken in context.

    While both heart disease and cancer have been declining, heart disease mortality rates have been declining much more rapidly. And while it's true that cancer incidence ratescontinue to grow, the decreased mortality across all age groups shows the effect of improved screening and treatment.

    In particular, “we're able to do amazing things with leukemia and lymphoma that used to be a death sentence but now we are curing many of these cancers," Richard Severson, Ph.D., a cancer epidemiologist at Wayne State University, pointed out.

    Though our ability to prevent and treat cancer still has a long way to go, we’ve taken tremendous steps in the right direction and had a positive impact on cancer mortality. Hopefully with more research which accounts for often overlooked factors the public can be made aware as well. 

    Article: Eric J. Kort, Nigel Paneth, and George F. Vande Woude,'The Decline in U.S. Cancer Mortality in People Born since 1925',Eric J. Kort, Nigel Paneth, and George F. Vande Woude, Cancer Res 2009 69: 6500-6505. doi: 10.1158/0008-5472.CAN-09-0357

    Comments

    dorigo
    Hi, thank you for this article which raises optimism on the issue. I have to mention that on my browser this displays funnily, with a lot of html tags preceding the text. Maybe st to fix ?
    Cheers,
    T.
    Hank
    Mine too.   That happens if someone tries to write in Word and then copies html from that right into our editor without switching to plain text.

    Oddly, it has some 600 readers yet no one mentioned it before.
    This was a very poorly written article. As the parent of a child who died of cancer, the research I did was very eye-opening. The games played with the statistics create very misleading conclusions. Cancer cure rates for people under 40 are DISMAL. Also, people under 40 are getting ALOT more cancer. My daughter's cancer, osteosarcoma, has increased FORTY PERCENT in the last ten years, and remains just as deadly. She was part of a cancer cluster in Pittsburgh PA Allegheny County in 2001. When These clusters happen, it is usually an environmental contaminant that causes it. The supposed increase in survival that is touted comes from the years gained by earlier detection, not an increase in survival.

    marla
    This year alone, more than 219,000 Americans will be diagnosed with lung cancer; more than 159,000 will die from it and some of those may be people who have never smoked. Studies to date have shown that exposure to secondhand smoke in adulthood has detrimental health effects, but data are limited on one's risk of developing lung cancer when exposed as a child.
    i hope our scientists able to get the discovery for the better treatment of cancer,

    Your information is very good to readers.

    addition:

    cancer treatment with natural medicine is also not inferior to medical treatment. people in Indonesia use the herbs for the cancer treatment, because the herbs are safer than medical treatment from side effects and the cost is not too expensive. they use plant as "rodent tuber", "crown god tea" mixed with green tea and tea parasite. this is for people who are afraid of chemotherapy. I hope this info is useful for all.
    These are quite good news. It´s no surprise, that public doesn´t get to know it. I´m talking of pharma lobby and such things.

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