The future burden of cancer in England: incidence and numbers of new patients in 2020

We estimated the future cancer incidence rates and the future numbers of cancer cases in England up to 2020 using cancer registration data for 1974–2003, and the official population projections from ONS up to 2023. Data were analysed using an age-period-cohort model as developed for the Nordic countries. We predict that for all cancers combined there will be relatively little change in age-standardised incidence rates in 2020. The number of new cancer cases per year in England is, however, predicted to increase by 33%, from 224 000 in 2001 to 299 000 cases in 2020. This increase is mainly due to the anticipated effects of population growth and ageing; cancer patients in 2020 will be older than today's cancer population.

[1]  T. Holford.  Trends in cancer incidence and mortality , 1995, Cancer Causes & Control.

[2]  C Osmond,et al.  Using age, period and cohort models to estimate future mortality rates. , 1985, International journal of epidemiology.

[3]  H. Møller,et al.  Recent trends in prostate cancer incidence and mortality in southeast England. , 2003, European urology.

[4]  A. Andersen,et al.  Trends in cancer incidence in the Nordic countries. A collaborative study of the five Nordic Cancer Registries. , 1986, Acta pathologica, microbiologica, et immunologica Scandinavica. Supplement.

[5]  D Clayton,et al.  Models for temporal variation in cancer rates. II: Age-period-cohort models. , 1987, Statistics in medicine.

[6]  A. Adelstein.  Studies on medical and population subjects. , 1976 .

[7]  D Clayton,et al.  Models for temporal variation in cancer rates. I: Age-period and age-cohort models. , 1987, Statistics in medicine.

[8]  H M Rosenberg,et al.  Annual report to the nation on the status of cancer (1973 through 1998), featuring cancers with recent increasing trends. , 2001, Journal of the National Cancer Institute.

[9]  Robert A Haward,et al.  The Calman-Hine report: a personal retrospective on the UK's first comprehensive policy on cancer services. , 2006, The Lancet. Oncology.

[10]  D. Parkin,et al.  The evolution of the population-based cancer registry , 2006, Nature Reviews Cancer.

[11]  Bruce K Armstrong,et al.  Lung cancer rate predictions using generalized additive models. , 2005, Biostatistics.

[12]  H O Dickinson,et al.  Cancer trends in England and Wales , 2000, BMJ : British Medical Journal.

[13]  Bjørn Møller,et al.  Prediction of cancer incidence in the Nordic countries: empirical comparison of different approaches , 2003, Statistics in medicine.

[14]  Ahmedin Jemal,et al.  Annual Report to the Nation on the status of cancer, 1973–1999, featuring implications of age and aging on U.S. cancer burden , 2002, Cancer.

[15]  D. Machin.  Trends in Cancer Incidence and Mortality , 1995, British Journal of Cancer.

[16]  Bjørn Møller,et al.  Prediction of cancer incidence in the Nordic countries up to the year 2020. , 2002, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation.

[17]  W. Ershler,et al.  Cancer and ageing: a nexus at several levels , 2005, Nature Reviews Cancer.

[18]  F. Bray,et al.  Predicting the future burden of cancer , 2006, Nature Reviews Cancer.