Author of

• 11929

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  P2.22 - Poster Session 2 - Epidemiology, Etiology (ID 167)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Prevention & Epidemiology
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/29/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 11939

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    P2.22-010 - The Incidence, Treatment and Survival of Lung Cancer in a Regional Australian Cancer Centre from 2006 to 2011. (ID 2564)

    09:30 - 09:30  |  Author(s): A. Jones
    • Abstract

    Background
    According to a Lung cancer report by The Australian Institute of Health and Welfare, between 2003 and 2007 the highest number of lung cancer diagnosed in New South Wales. The incidence of in lung Cancer in NSW was 59 per 100 000 population, the second highest in Australia. This report also found that the incidence of lung cancer was higher in those living in outer regional, remote and very remote area compared to males living in major cities and inner regional areasAccording to a Lung cancer report by The Australian Institute of Health and Welfare, between 2003 and 2007 the highest number of lung cancer diagnosed in New South Wales. The incidence of in lung Cancer in NSW was 59 per 100 000 population, the second highest in Australia. This report also found that the incidence of lung cancer was higher in those living in outer regional, remote and very remote area compared to males living in major cities and inner regional areas

    Methods
    Retrospective and descriptive study.

    Results
    In this study a total of 1245 new cases were included. Mean age at diagnosis was 70 years and 67% were men. 63 % of the cases were from the Illawarra region. The age adjusted incidence of lung cancer in Illawarra region was 70.7/100,000 and 42.5/100,000 for males and females respectively, which was not statistically different compared to the rest of Australia and the world. However, the age adjusted incidence for Shoalhaven region was 103/100,000 and 76.5/100, 000 for male and female respectively which was higher and statistically significant compared to Australian data (P = 0.0239 for NSW and 0.0369 for Australia). Non-Small Cell Lung Carcinoma comprise 73% and 70 % of cases in the Illawarra and Shoalhaven region respectively. The incidence of pleural Mesothelioma was similar to rest of the Australia. The proportion of sub types of lung cancers was not statistically different compared to national and world data. Only 11.2% of cases were diagnosed at early stage of the disease but surgical resection rate for early stage lung cancer was similar to international data. More than 50% of the patients with NSCLC and more than 80% of patients with SCLC received some form of Chemotherapy. More than 80% of patients received radiotherapy at some point of their treatment cycle. 10% with stage IV disease did not receive treatment and 85% of patients of patients with late stage disease were referred to palliative care. Average mortality from lung cancer in Illawarra and Shoalhaven region was not statistically different to national data and international data. Only 42 % of cases were discussed in the Multi Disciplinary Team (MDT) Meeting.

    Conclusion
    This study confirms a higher incidence of thoracic malignancy in regional and rural Australia compared to metropolitan areas. A significantly higher percentage of lung cancer was diagnosed in late stage of disease compared to national and international data but outcomes were not statistically different. We also found that a significant proportion of the cases were not discussed in MDT meeting