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Projected estimates of cancer in Canada in 2024
Darren R Brenner1, Jennifer Gillis2, Alain A Demers2
1Departments of Oncology and Community Health Sciences (Brenner), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surveillance, Canadian Cancer Society (Gillis), Vancouver, BC; Centre for Surveillance and Applied Research (Demers), Public Health Agency of Canada; Centre for Population Health Data (Ellison, Billette, Zhang, Liu), Statistics Canada, Ottawa, Ont.; Population Oncology, BC Cancer (Woods), Vancouver, BC; Department of Surgery (Finley), McMaster University and St. Joseph's Health Care Centre, Hamilton, Ont.; System Performance & Analytics (Fitzgerald), Canadian Partnership Against Cancer, Toronto, Ont.; Nova Scotia Health Cancer Care Program (Saint-Jacques), Halifax, NS; Cancer Advanced Analytics (Shack), Cancer Care Alberta, Calgary, Alta; Department of Community Health Sciences (Turner), Max Rady College of Medicine, University of Manitoba; Paul Albrechtsen Research Institute (Turner), CancerCare Manitoba, Winnipeg, Man. Darren.Brenner@ucalgary.ca.
Background:
Cancer surveillance data are essential to help understand where gaps exist and progress is being made in cancer control. We sought to summarize the expected impact of cancer in Canada in 2024, with projections of new cancer cases and deaths from cancer by sex and province or territory for all ages combined.
Methods:
We obtained data on new cancer cases (i.e., incidence, 1984-2019) and deaths from cancer (i.e., mortality, 1984-2020) from the Canadian Cancer Registry and Canadian Vital Statistics Death Database, respectively. We projected cancer incidence and mortality counts and rates to 2024 for 23 types of cancer, overall, by sex, and by province or territory. We calculated age-standardized rates using data from the 2011 Canadian standard population.
Results:
In 2024, the number of new cancer cases and deaths from cancer are expected to reach 247 100 and 88 100, respectively. The age-standardized incidence rate (ASIR) and mortality rate (ASMR) are projected to decrease slightly from previous years for both males and females, with higher rates among males (ASIR 562.2 per 100 000 and ASMR 209.6 per 100 000 among males; ASIR 495.9 per 100 000 and ASMR 152.8 per 100 000 among females). The ASIRs and ASMRs of several common cancers are projected to continue to decrease (i.e., lung, colorectal, and prostate cancer), while those of several others are projected to increase (i.e., liver and intrahepatic bile duct cancer, kidney cancer, melanoma, and non-Hodgkin lymphoma).
Interpretation:
Although the overall incidence of cancer and associated mortality are declining, new cases and deaths in Canada are expected to increase in 2024, largely because of the growing and aging population. Efforts in prevention, screening, and treatment have reduced the impact of some cancers, but these short-term projections highlight the potential effect of cancer on people and health care systems in Canada.
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