The development of staging data for use in the microsimulation of lung cancer

Lung cancer incidence rates by cell type and stage were required for a lung cancer microstimulation submodel developed at Statistics Canada. Lung cancer incidence rates not disaggregated by stage were calculated for different histological cell types using Canada's National Cancer Incidence Reporting System data. In the absence of national lung cancer staging information, staging data from the province of Alberta were collected and rates of occurrence were calculated for different stages of lung cancer at time of diagnosis. Imputation procedures were used to maximize the amount of usable staging data. The Alberta stage rates were combined with the Canadian incidence rates to obtain estimates needed by the microsimulation submodel of the annual probability of an individual of a particular sex and age being diagnosed with lung cancer of each cell type at each stage. This project, although highly specialized, illustrates the need for more extensive and standardized staging data for cancer in Canada.