Scientific Reports (Mar 2022)

Trends in colon and rectal cancer mortality in Australia from 1972 to 2015 and associated projections to 2040

  • Qingwei Luo,
  • Jie-Bin Lew,
  • Julia Steinberg,
  • Joachim Worthington,
  • Xue Qin Yu,
  • Michael Caruana,
  • Isabelle Soerjomataram,
  • Freddie Bray,
  • Sheena Lawrance,
  • Maria Arcorace,
  • Dianne L. O’Connell,
  • Karen Canfell,
  • Eleonora Feletto

DOI
https://doi.org/10.1038/s41598-022-07797-x
Journal volume & issue
Vol. 12, no. 1
pp. 1 – 11

Abstract

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Abstract Previously published sub-site Australian projections for colon and rectal cancers to 2035 using the World Health Organization’s mortality database sourced from the Australian Bureau of Statistics (ABS) predicted mortality rate decreases for colon cancer and increases for rectal cancer. There are complexities related to the interpretation of ABS’s Australian colon and rectal cancer mortality rates, which could lead to possible inaccuracies in mortality rates for these sub-sites. The largest Australian population-wide registry, New South Wales Cancer Registry (NSWCR), compares routinely-reported causes of death with the recorded medical history from multiple data sources. Therefore, this study used the NSWCR data to project mortality rates for colon and rectal cancers separately to 2040 in Australia. The mortality rates for colon cancer are projected to continuously decline over the period 2015–2040, from 7.0 to 4.7 per 100,000 males, and from 5.3 to 3.2 per 100,000 females. Similar decreasing trends in mortality rates for rectal cancer were projected over the period 2015–2040, from 4.9 to 3.7 per 100,000 males, and from 2.6 to 2.3 per 100,000 females. These projections provide benchmark estimates for the colorectal cancer burden in Australia against which the effectiveness of cancer control interventions can be measured.