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Cancer Trends Progress Report – 2007 Update

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Survival
Life After Cancer

Five-year survival rates have improved for all sites combined.

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Cancer Survival

Advances in the ways cancer is diagnosed and treated have increased the number of people who live disease-free for long periods of time. This report looks at trends in 5-year survival rates for cancer, the time period traditionally associated with good prognosis. However, some people will have a recurrence of their cancer after 5 years.

In 2004 nearly 10.8 million Americans were alive who had been diagnosed with cancer. Of these, 2.4 million were diagnosed with female breast cancer, 2 million were diagnosed with prostate cancer, and 1.1 million were diagnosed with colorectal cancer. Approximately 628,339 (6 percent of the 10.8 million) Americans diagnosed with cancer were longer-term survivors diagnosed at least 29 years earlier.

Read more in the Methodology for Characterizing Trends appendix

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Measure

Five-year relative cancer survival rate: The proportion of patients surviving cancer 5 years after diagnosis calculated in the absence of other causes of death.  It is a ratio expressed as a percent, of the proportion of observed survivors in a cohort of cancer patients to the proportion of expected survivors. This report shows survival rates for cancers of the prostate, female breast, colon/rectum, lung, and for all cancers combined.

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Period – 1975–1999 (year diagnosed)

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Trends – Mostly rising

All cancer sites combined: Generally rising since 1975 except stable during 1992–1995

Prostate: Generally rising since 1975 except stable during 1992–1995

Female breast: Rising since 1975

Colorectal: Generally rising since 1975 except for non-significant change during 1990–1995

Lung and bronchus: Significant slight rise since 1987

Among these four cancers, five-year survival rates are highest for prostate and female breast cancers and lowest for lung cancer.

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Most Recent Estimates

For adults diagnosed with cancer (all sites) in 1999, 66 percent had survived their cancer for at least 5 years.

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Healthy People 2010 Targets

Increase to 70 percent the proportion of cancer survivors who are living 5 years or longer after diagnosis.

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Groups at High Risk for Limited Survival

Late stage at diagnosis is associated with limited survival. This association supports the need for continued development of early detection and stage-appropriate treatment strategies, as well as expanded efforts to ensure that all Americans have equal access to these life-saving interventions.

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Key Issues

Improved survival rates result from both early detection and better treatments. It is difficult to separate out the contribution of each factor.

Despite the positive trends in 5-year survival for three of the most common cancers, lung cancer survival rates remain low.

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Additional Information on Cancer Survival

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National Cancer InstituteDepartment of Health and Human ServicesNational Institutes of HealthUSA.gov