英国のガン5年生存率/英国医療事情

 最近改善されたとはいうものの、依然として、英国でのガン5年生存率は欧州平均より低いままだ。肺・乳・前立腺・大腸がんの生存率は東欧を除いて低い水準にある。
 この結果は保健医療政策の効果の指標であり、改善が必要だ。政府がいかにNHSを有効に機能するよう対策をとるかにかかっている。「診断の遅れ」「アクセスの保証」対策が重要。 2000年に「NHS Cancer Plan」が立ち上がり、専門スタッフと設備を増やし、診断と治療の遅れに取り組むことが約束された
 早期の診断が充分なされておらず、患者が最適な治療にアクセスできるよう保証する必要がある。

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M. P. Coleman, G. Gatta, A. Verdecchia, J. Estève, M. Sant, H. Storm, C. Allemani, L. Ciccolallo, M. Santaquilani, F. Berrino, and the EUROCARE Working Group. EUROCARE-3 summary: cancer survival in Europe at the end of the 20th century. Ann Oncol 14: v128-v149. [PDF]
http://annonc.oxfordjournals.org/cgi/reprint/14/suppl_5/v128

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Last Updated: Tuesday, 21 August 2007, 00:27 GMT 01:27 UK
UK 'lags behind' on cancer deaths
http://news.bbc.co.uk/2/hi/health/6955545.stm
5-YEAR SURVIVAL RATES FOR ALL CANCERS
画像

Cancer survival in the UK is still below the European average, despite recent improvements, a report says.
Survival rates in lung, breast, prostate and colorectal cancer were lower in the UK compared with everywhere except eastern Europe.
The Eurocare studies of 23 countries looked at the outcome of 2.7m new cases between 1995 and 1999.
Government cancer "tsar" Mike Richards said poor results in the UK had been due to delays spotting the disease.
The studies, published in the Lancet Oncology journal, are the largest international projects to compare the survival of patients from 11 different cancers.
See the main results
They reveal wide differences in death rates from both rare and common types of cancer.

Our concerns illustrate the considerable challenges that now face the UK government if it is to make the NHS work efficiently and effectively
Editorial, Lancet Oncology

The best performers are Nordic countries such as Sweden and Norway and central European countries.
Ranked just beneath them are south European countries, and lower still is the UK, followed by Eastern European countries.
While death rates have fallen in the UK, they have also fallen in the rest of Europe.
Some eastern European countries almost matched the UK's performance despite spending less than a third of the UK's health budget per head of population.
Overall, for men Sweden had the best survival rates with 60% of cancer patients alive five years after diagnosis, compared to between 40% and 50% among the UK countries.
For women, Sweden and Iceland were top on 62% with Wales, England and Northern Ireland just below the European average of 56%, while Scotland was among the worse on 48%
Delayed diagnosis
An editorial in the Lancet Oncology questioned whether the NHS Cancer Plan, launched to tackle poor survival rates in the UK, was working.
"Eurocare is an important indicator of oncology provision in Europe, giving insight into healthcare effectiveness and the improvements needed.
"Our concerns illustrate the considerable challenges that now face the UK government if it is to make the NHS work efficiently and effectively."
Professor Richards conceded that while some of the data from European countries could be flawed, this was unlikely to account for all of the differences between countries.
"The findings show that many more lives could be saved if the outcomes in all countries were brought up to the standards of the best countries."
He added: "The poor results from the UK were attributable mainly to patients having more advanced disease at diagnosis than patients in other European countries."
'Must ensure access'
The NHS Cancer Plan was launched in 2000, and promised an increase in specialist staff and equipment to tackle the delays in diagnosing and treating cancer.
Strict targets on the waiting times for scans and appointments were set.
Professor Richard Sullivan, Cancer Research UK's director of clinical programmes, said the figures showed the plan was beginning to make a difference.
But he added: "Cancer is still not being diagnosed early enough in all cases. And we need to ensure that patients have access to the best surgery, radiotherapy and other treatments.
"This study shows that cancer is certainly not a 'ticked box'. We need a sustained effort to beat the disease."
5-YEAR SURVIVAL RATES FOR ALL CANCERS
Bar charts showing survival rates for cancers among men and women across Europe
Countries grouped then ordered by total national expenditure on health

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UK childhood cancer survival falling behind rest of EU?
http://www.thelancet.com/journals/lanonc/current
Studies have shown that survival of British children with cancer is lower than survival of children in Europe. In a Keynote Comment, Alan Craft and Kathy Pritchard-Jones discuss the reasons why survival rates in the UK lag behind Europe and how this problem can be solved......

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