Oral cancer mortality statistics

Deaths

Deaths from oral cancer, 2014, UK

 

Proportion of all deaths

Percentage oral cancer is of total cancer deaths, 2014, UK

 

Age

Peak rate of oral cancer deaths, 2012-2014, UK

 

Trend over time

Oral cancer mortality rates have changed differently for each sex since the early 1970s, UK

 

Oral cancer is the 18th most common cause of cancer death in the UK (2014), accounting for 1% of all cancer deaths.[1-3] In males, it is the 14th most common cause of cancer death in the UK (2% of all male cancer deaths), whilst it is the 18th most common cause of cancer death in females in the UK (1% of all female cancer deaths).

In 2014, there were 2,386 oral cancer deaths in the UK: 1,613 (68%) in males and 773 (32%) in females, giving a male:female ratio of around 21:10.[1-3] The crude mortality rate Open a glossary item shows that there are 5 oral cancer deaths for every 100,000 males in the UK, and 2 for every 100,000 females.

The European age-standardised mortality rates Open a glossary item (AS rates) are significantly higher in Scotland and Northern Ireland compared with England and Wales for males only. For females, the rate is significantly higher in Scotland compared with England.[1-3] Rates do not differ significantly between the other constituent countries of the UK for either sex.

Oral Cancer (C00-C06, C09-C10, C12-C14), Number of Deaths, Crude and European Age-Standardised (AS) Mortality Rates per 100,000 Population, UK, 2014

England Wales Scotland Northern Ireland UK
Male Deaths 1,296 70 188 59 1,613
Crude Rate 4.8 4.6 7.2 6.5 5.1
AS Rate 5.6 4.8 8.1 8.4 5.9
AS Rate - 95% LCL 5.3 3.7 6.9 6.3 5.6
AS Rate - 95% UCL 5.9 5.9 9.2 10.6 6.1
Female Deaths 614 47 89 23 773
Crude Rate 2.2 3.0 3.2 2.5 2.4
AS Rate 2.2 2.8 3.2 2.8 2.4
AS Rate - 95% LCL 2.1 2.0 2.5 1.7 2.2
AS Rate - 95% UCL 2.4 3.6 3.9 4.0 2.5
Persons Deaths 1,910 117 277 82 2,386
Crude Rate 3.5 3.8 5.2 4.5 3.7
AS Rate 3.9 3.8 5.5 5.4 4.0
AS Rate - 95% LCL 3.7 3.1 4.8 4.2 3.9
AS Rate - 95% UCL 4.0 4.5 6.1 6.5 4.2

95% LCL and 95% UCL are the 95% lower and upper confidence limits Open a glossary item around the AS rate Open a glossary item

Oral cancer (C02-C04 and C06) mortality rates throughout England shows vary significantly between health boundaries for both males and females, with the highest rates being in Northern England and the lowest rates in parts of Southern England.[4]

References

  1. Data were provided by the Office for National Statistics on request, November 2015. Similar data can be found here: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregistrationsummarytables/previousReleases
  2. Data were provided by Information Services Division (ISD) Scotland on request, November 2015. Similar data can be found here: http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/vital-events-reference-tables
  3. Data were provided by the Northern Ireland Statistics and Research Agency on request, November 2015. Similar data can be found here: http://www.nisra.gov.uk/demography/default.asp2.htm
  4. Oxford Cancer Intelligence Unit. Profile of Head and Neck Cancers in England. London: NCIN ; 2010.
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Oral cancer mortality is strongly related to age, with the highest mortality rates being in older males and females. In the UK in 2012-2014, on average each year almost half (45%) of deaths were in people aged 70 and over.[1-3]

For males, age-specific mortality rates rise sharply from around age 40-44, peak in the 70-74 age group, and subsequently drop until rising again from ages 80-84 to 90+. For females, age-specific mortality rates rise gradually from around age 40-44 and then more sharply from around age 65-69 with the highest rates in the 90+ age group. Mortality rates are significantly higher for males than for females in those aged between 40-44 and 85-89 and this gap is widest at the ages of 65-69, when the male:female ratio of age-specific rates (to account for the different proportions of males to females in each age group) is around 32:10.[1-3]

Oral Cancer (C00-C06, C09-C10, C12-C14), Average Number of Deaths per Year and Age-Specific Mortality Rates, UK, 2012-2014

For most cancer types, mortality by age largely reflects incidence and survival by age, e.g. typically, higher incidence and lower survival in older people results in higher mortality in older people.

References

  1. Data were provided by the Office for National Statistics on request, November 2015. Similar data can be found here: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregistrationsummarytables/previousReleases.
  2. Data were provided by the Information Services Division (ISD) Scotland on request, November 2015. Similar data can be found here: http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/vital-events-reference-tables.
  3. Data were provided by the Northern Ireland Statistics and Research Agency on request, November 2015.Similar data can be found here: http://www.nisra.gov.uk/demography/default.asp2.htm.
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Oral cancer mortality rates have remained stable overall in the UK since the early 1970s.[1-3] This includes a decrease for males and stable rates for females.

For males, European age-standardised Open a glossary item (AS) mortality rates have increased by 9% and 10% in males and females, respectively.

Over the last decade in the UK (between 2003-2005 and 2012-2014), oral cancer AS mortality rates have increased by 21% for males and females combined, with a similar increase in males (20%) and females (19%).[1-3]

Oral Cancer (C00-C06, C09-C10, C12-C14), European Age-Standardised Mortality Rates, UK, 1971-2014

For most cancer types, mortality trends largely reflect incidence and survival trends, e.g. increased incidence without sufficient survival improvement results in increased mortality.

Oral cancer mortality rates have increased overall in males aged between 25-49 and 60-69 in the UK since the early 1970s, but have decreased in males aged 70-79 and 80+.[1-3] The largest increase has been in males aged 50-59, with rates increasing by 92% between 1971-1973 and 2010-2012. The largest decrease has been in males aged 80+, with rates decreasing by 62% in the same time period.

Oral Cancer (C00-C06, C09-C10, C12-C14), European Age-Standardised Mortality Rates, by Age, Males, UK, 1971-2014

Oral cancer mortality rates have remained stable overall in females in all of the broad adult age groups in the UK since the early 1970s.[1-3]

Oral Cancer (C00-C06, C09-C10, C12-C14), European Age-Standardised Mortality Rates, by Age, Females, UK, 1971-2014

References

  1. Data were provided by the Office for National Statistics on request, November 2015. Similar data can be found here: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregistrationsummarytables/previousReleases
  2. Data were provided by the Information Services Division (ISD) Scotland on request, November 2015. Similar data can be found here: http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/vital-events-reference-tables.
  3. Data were provided by the Northern Ireland Statistics and Research Agency on request, November 2015. Similar data can be found here: http://www.nisra.gov.uk/demography/default.asp2.htm
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Incidence by deprivation is provided for oral cavity cancer (C02-C04 and C06) and oropharyngeal cancer (C01 and C09-C10) separately.

There is evidence for an association between oral cavity cancer mortality and deprivation for both males and females in England (the association is stronger for males).[1] England-wide data for 2007-2011 show European age-standardised Open a glossary item mortality rates are 218% higher for males living in the most deprived areas compared with the least deprived, and 59% higher for females.[1]

Oral Cavity Cancer (C02-C04, C06), European Age-Standardised Mortality Rates by Deprivation Quintile, England, 2007-2011

The estimated deprivation gradient in oral cavity cancer mortalityliving in the most and least deprived areas in England has not changed in the period 2002-2011.[1] It has been estimated that there would have been around 220 fewer cancer deaths each year in England during 2007-2011 if all people experienced the same mortality rates as the least deprived.[1]

There is evidence for a strong association between oropharyngeal cancer mortality and deprivation for both males and females in England.[1] England-wide data for 2007-2011 show European age-standardised mortality rates are 272% higher for males living in the most deprived areas compared with the least deprived, and 257% higher for females.[1]

Oropharyngeal Cancer (C01, C09-C10), European Age-Standardised Mortality Rates by Deprivation Quintile, England, 2007-2011

The estimated deprivation gradient in oropharyngeal cancer mortality between people living in the most and least deprived areas in England has not changed in the period 2002-2011.[1] It has been estimated that there would have been around 190 fewer cancer deaths each year in England during 2007-2011 if all people experienced the same mortality rates as the least deprived.[1]

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Lip and oral cavity cancer (C00-C08) is the 18th most common cause of cancer death in Europe, with around 23,600 deaths from lip and oral cavity cancer in 2012 (1% of the total). There were around 17,900 deaths from other pharyngeal cancer (C09-C10 & C12-C14) in Europe in 2012, accounting for 1% of total cancer deaths. In Europe (2012), the highest World age-standardised Open a glossary item mortality rates for lip and oral cavity cancer are in Hungary for both men and women; the lowest rates are in Luxembourg for both men and women. UK lip and oral cavity mortality rates are estimated to be the 11th lowest in males in Europe, and 20th highest in females. Mortality rates for other pharyngeal cancer are the highest in Hungary for both men and women; the lowest rates are in Cyprus for men and Cyprus, Iceland, Malta and Montenegro for women. UK other pharyngeal cancer mortality rates are estimated to be the 9th lowest in males in Europe, and 19th highest in females.[1] These data are broadly in line with Europe-specific data available elsewhere.[2]

Lip and oral cavity cancer (C00-C08) is the 15th most common cause of cancer death worldwide, with more than 145,000 deaths from lip and oral cavity cancer in 2012 (2% of the total). Other pharyngeal cancer (C09-C10 & C12-C14) is the 18th most common cause of cancer death worldwide, with around 96,100 deaths from other pharyngeal cancer in 2012 (1% of the total). Lip and oral cavity cancer mortality rates are highest in Melanesia and lowest in Central America, while other pharyngeal cancer mortality rates are highest in South Central Asia and lowest in Western Africa, but this partly reflects varying data quality worldwide.[1]

References

  1. Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from:http://globocan.iarc.fr, accessed December 2013.
  2. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al.Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012. European Journal of Cancer (2013) 49, 1374-1403.
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Cancer Statistics Explained

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