Bone sarcoma statistics

Cases

New cases of bone sarcoma, 2014, UK

Deaths

Deaths from bone sarcoma, 2014, UK

Survival

Survive bone sarcoma for 10 or more years, 2009-2013, England

 

Prevention

Preventable cases of bone sarcoma, UK

  • There were around 580 new cases of bone sarcoma in the UK in 2014, that’s around 2 cases diagnosed every day.
  • Bone sarcoma accounts for less than 1% of all new cases in the UK (2014).
  • In males, there were around 310 cases of bone sarcoma diagnosed in the UK in 2014.
  • In females, there were around 270 cases of bone sarcoma diagnosed in the UK in 2014.
  • More than half (53%) of bone cancer cases in the UK each year are diagnosed in people aged 45 and over (2012-2014).
  • Incidence rates for bone sarcoma in the UK are highest in people aged 85+ (2012-2014).
  • Since the early 1990s, bone sarcoma incidence rates have increased by more than a tenth (14%) in the UK. This includes stable rates in males and an increase in females.
  • Over the last decade, bone sarcoma incidence rates have remained stable in the UK, for males and females separately and for both sexes combined.
  • Most bone sarcomas occur in the lower limbs.
  • Incidence rates for bone sarcoma are projected to fall by 5% in the UK between 2014 and 2035, to 1 case per 100,000 people by 2035.
  • 1 in 1,140 men and 1 in 1,660 women will be diagnosed with bone sarcoma during their lifetime.
  • Bone sarcoma in England is not associated with deprivation.

See more in-depth bone sarcoma incidence statistics

  • There were around 360 bone sarcoma deaths in the UK in 2014, that’s around 1 death every day.
  • Bone sarcoma accounts for less than 1% of all cancer deaths in the UK (2014).
  • In males in the UK, bone sarcoma is the 19th most common cause of cancer death, with around 200 deaths in 2014.
  • In females in the UK, there were around 160 bone sarcoma deaths in 2014.
  • More than half (53%) of bone sarcoma deaths in the UK each year are in people aged 60 and over (2012-2014).
  • Mortality rates for bone sarcoma in the UK are highest in people aged 90+ (2012-2014).
  • Since the early 1970s, bone sarcoma mortality rates have decreased by more than three-fifths (62%) in the UK. The decrease is similar in males (65%) and females (60%).
  • Over the last decade, bone sarcoma mortality rates have remained stable in the UK, for males and females combined and separately.
  • Mortality rates for bone sarcoma are projected to fall by 23% in the UK between 2014 and 2035, to 1 death per 100,000 people by 2035.
  • Bone sarcoma in England is not associated with deprivation.

See more in-depth bone sarcoma mortality statistics

  • More than half (55%) of people diagnosed with bone sarcoma in England survive their disease for ten years or more (2009-2013).
  • More than 6 in 10 (62%) people diagnosed with bone sarcoma in England survive their disease for five years or more (2009-2013).
  • More than 8 in 10 (83%) people diagnosed with bone sarcoma in England survive their disease for one year or more (2009-2013).
  • Bone sarcoma 10-year survival in England is similar in men and women (2009-2013).
  • Bone sarcoma five-year survival in England in males is highest for those diagnosed at 50-59 years old and in females is highest for those diagnosed at 15-49 years old (2009-2013).
  • More than 7 in 10 people in England diagnosed with bone sarcoma aged 50-59 survive their disease for five years or more, compared with around 4 in 10 people diagnosed aged 70-89 (2009-2013).
  • Five-year relative survival for bone sarcoma in men is similar to the European average in England and Northern Ireland but below the European average in Scotland
  • Five-year relative survival for bone sarcoma in women is similar to the European average in England, Wales and Northern Ireland but below the European average in Scotland.

See more in-depth bone sarcoma survival statistics

  • A person’s risk of developing cancer depends on many factors, including age, genetics, and exposure to risk factors (including some potentially avoidable lifestyle factors).
  • Less than 1% of bone sarcoma cases each year in the UK are linked to major lifestyle and other risk factors.
  • Evidence on bone sarcoma risk factors is limited, mainly because this cancer is relatively rare and comprises many subtypes.
  • Some forms of ionising radiation cause bone sarcoma.
  • Previous cancer treatment, larger body size, and certain medical conditions may relate to higher bone sarcoma risk.

See more in-depth bone sarcoma risk factors

  • ‘Two-week wait’ standards are met by all countries, ‘31-day wait’ is met by all but Northern Ireland and Wales, and ’62 day wait’ is not met by any country for sarcoma.
  • 9 in 10 patients had a ‘very good’ or ‘excellent’ patient experience.
  • Around 8 in 10 patients are given the name of their Clinical Nurse Specialist.

See more in-depth bone sarcoma diagnosis and treatment statistics

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The latest statistics available for bone sarcoma in the UK are; incidence 2014, mortality 2014, and survival 2009-2013. 

The ICD codes for bone sarcoma are ICD-10 C40-C41.

European Age-Standardised Rates were calculated using the 1976 European Standard Population (ESP) unless otherwise stated as calculated with ESP2013. ASRs calculated with ESP2013 are not comparable with ASRs calculated with ESP1976.

Lifetime risk estimates were calculated using incidence, mortality, population and all-cause mortality data for 2010-2012 due to the small number of cases.

Survival statistics give an overall picture of survival and (unless otherwise stated) include all adults (15-99) diagnosed, at all ages, stages and co-morbidities. The survival time experienced by an individual patient may be much higher or lower, depending on specific patient and tumour characteristics.

Overall, the evidence on bone sarcoma risk factors is limited, mainly because of the relative rarity and diversity of this group of cancers. Studies which group together different morphological subtypes of bone sarcoma may be confounded if those subtypes have differing aetiologies. Where available, evidence from studies which define bone sarcomas by tumour morphology are cited; if studies define by ICD-9 or ICD-10 anatomical site only this is noted.

Meta-analyses and systematic reviews are cited where available, as they provide the best overview of all available research and most take study quality into account. Individual case-control and cohort studies are reported where such aggregated data are lacking.

Cancer waiting times statistics are for patients who entered the health care system within financial year 2014-15. Bone sarcoma is part of the group 'Sarcoma' for cancer waiting times data. Codes vary per country but broadly include: bone and articular cartilage, Kaposi sarcoma, retroperitoneum and peritoneum, other connective and soft tissue, secondary cancers of retroperitoneum and peritoneum, secondary cancers of bone and bone marrow.

Patient Experience data is for adult patients in England with a primary diagnosis of cancer, who were in active treatment between September and November 2013 and who completed a survey in 2014.

Deprivation gradient statistics were calculated using incidence data for three time periods: 1996-2000, 2001-2005 and 2006-2010 and for mortality for two time periods: 2002-2006 and 2007-2011. The 1997-2001 mortality data were only used for the all cancers combined group as this time period includes the change in coding from ICD-9 to ICD-10. The deprivation quintiles were calculated using the Income domain scores from the Index of Multiple Deprivation (IMD) from the following years: 2004, 2007 and 2010. Full details on the data and methodology can be found in the Cancer by Deprivation in England NCIN report.

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Acknowledgements

We would like to acknowledge the essential work of the cancer registries in the United Kingdom and Ireland Association of Cancer Registries, without which there would be no data.

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