2138109 Cancer Statistics 2010-2019

Summary

The requester asked for annual cancer incidence, mortality, prevalence, and survival statistics for the Isle of Man from 2010 to 2019, split by gender. The authority responded that the specific incidence data requested is not held, though they provided a mortality report containing total death figures and cancer-related statistics for 2018 and 2019.

Key Facts

• The requested cancer incidence data has not been released since 2005.
• The authority provided mortality statistics for 2018 and 2019 instead of the full 2010-2019 range.
• In 2018, there were 919 registered deaths, with 457 males and 462 females.
• In 2019, there were 840 registered deaths, with 419 males and 421 females.
• Cancer and circulatory diseases combined accounted for 55% of all deaths in both 2018 and 2019.

Data Disclosed

• 2010-2019
• 2018
• 2019
• 919 registered deaths
• 457 males
• 462 females
• 840 registered deaths
• 419 males
• 421 females
• 75 years
• 81 years
• 77 years
• 1055.2 per 100,000
• 975.2
• 964.6 per 100,000
• 918.0
• 55%
• 43.5%
• 44.3%
• 10%
• 8.6%
• 1.1%
• 2005
• 2006
• 2015
• 2017
• 836

Original Request

Please could I request the cancer statistics for incidence, mortality, prevalence and survival for each individual year, not grouped years, from 2010 to 2019, split by men and women. E.g. in 2010, n1 men were diagnosed with cancer, n2 men died from cancer, etc. repeated for women per year too. If you could copy how Scotland, Wales and England provide this data, that would be perfect. I do not require an age breakdown, or a location breakdown such as men aged16-64 living in the Douglas area or electoral wards. That being said, can I ask if this data is available by the IOM regions? The incidence data hasn't been released since 2005. The mortality data is always the total of men and women, I require separate numbers for men and for women.

Data Tables (39)

Full Response Text

Mortality Report 2018 & 2019

Public Health Directorate

Cabinet Office

November 2021

2

3 Executive Summary

2018

2019 919 registered deaths 457 males and 462 females

840 registered deaths 419 males and 421 females Average age at death was 75 years for males and 81 years for females

Average age at death was 77 years for males and 81 years for females Age-standardised mortality rate (ASMR) for the Isle of Man was 1055.2 per 100,000 population. This was higher than the rate for England (975.2).

Age-standardised mortality rate (ASMR) for the Isle of Man was 964.6 per 100,000 population. This was slightly higher than the rate
for England (918.0) Cancer and diseases of the circulatory system were the most common causes of death, and combined accounted for 55% of all deaths registered during 2018.

Cancer and diseases of the circulatory system were the most common causes of death, and combined accounted for 55% of all deaths registered during 2019. 43.5% of deaths registered had died in their usual place of residence.

44.3% of deaths registered had died in their usual place of residence. Number of deaths increased 10% compared to previous year
(836 in 2017)

Number of deaths decreased 8.6% compared to previous year
(919 in 2018)

The trend in number of annual deaths has increased by 1.1% over the last 10 years. Average age of death for males has increased from 73 years (2015) to 77 years (2019) Average age of death for females has remained at 81 years since 2015. ASMR trend has remained largely stable since 2006.

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5 Contents Executive Summary ..................................................................................................... 3 1. Introduction ........................................................................................................... 7 2. Life Expectancy ...................................................................................................... 8 2.1 Life expectancy at birth ................................................................................ 8 3. Total deaths ......................................................................................................... 10 4. Average age at death ............................................................................................ 13 5. Age-standardised mortality rates ............................................................................ 17 5.1 Comparison to England ................................................................................ 20 6. Main causes of death ............................................................................................. 23 6.1 Cancer ....................................................................................................... 30 6.2 Circulatory disease ...................................................................................... 33 6.3 Respiratory disease ..................................................................................... 33 6.4 Mental and behavioural disorders ................................................................. 34 6.5 Working age deaths (aged 16 – 64) .............................................................. 34 6.6 Deaths aged 75 and over ............................................................................. 36 7. Place of death ........................................................................................................ 37 7.1 Working age ............................................................................................... 37 7.2 Aged 75 and over ........................................................................................ 38 8. About the data ....................................................................................................... 39 8.1 Background notes ....................................................................................... 39 8.2 Comparisons ............................................................................................... 39 8.3 Methods ..................................................................................................... 39 8.4 Data quality and accuracy ............................................................................ 40 References ................................................................................................................ 41 Glossary of terms ....................................................................................................... 42 Acronyms and abbreviations ........................................................................................ 42

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7 1. Introduction

The aim of this report is to provide an overview of mortality rates from 2006-2019, with analysis of top causes of death and their trends for residents of the Isle of Man.

Although we look at data from individual years it is important to remember that our relatively small numbers may cause annual fluctuations. Therefore, any annual changes should be considered in the context of wider mortality trends. Due to this, some of the data is represented as 3-year averages.

8 2. Life Expectancy

2.1 Life expectancy at birth

Life expectancy at birth for men in the Isle of Man is 79.2 years and for women it is 82.9 years. This is assuming that mortality rates remain the same as they were in 2017-2019.

This compares to, and is statistically similar to, the England life expectancy at birth of 79.8 years for men and 83.4 years for women (2017-2019).[1] Figure 1 shows that life expectancy at birth for men in the Isle of Man has generally been statistically similar to that of men in England. Similarly Figure 2 shows that the life expectancy at birth for women in the Isle of Man has consistently been statistically similar to the life expectancy at birth for women in England. This is shown by the fact that the blue trend line for the England rate falls between the black confidence interval markers.

75.0 76.0 77.0 78.0 79.0 80.0 81.0 82.0 Age in years Isle of Man Males England Males Figure 1: 3 Year Rolling Life Expectancy at Birth Males, IOM/England Comparison, 2006-2019

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80.0 80.5 81.0 81.5 82.0 82.5 83.0 83.5 84.0 84.5 Age in years Isle of Man Females England Females Figure 2: 3 Year Rolling Life Expectancy at Birth Females, IOM/England Comparison, 2006-2019

10 3. Total deaths

In 2018 there were a total of 919 deaths registered on the Isle of Man. This total represents an increase of 10% compared to the previous year (836 in 2017).

In 2019 there were a total of 840 deaths registered on the Isle of Man. This total represents a decrease of 8.6% compared to the previous year. This highlights the fluctuation in death registrations by year and supports the use of 3 year rolling rates for the calculation of mortality statistics for a smaller population.

Figure 3 shows the total annual deaths since 2006.

The trend of annual number of deaths continues to increase, and has increased by 1.1% over the last 10 years.

The number of deaths is affected by the size and age structure of the population. As people are generally living longer, the population is increasing both in size and age over time, as such the number of deaths per year is expected to continue to rise.

Lowest 2006: 763 Highest 2018: 919 0 100 200 300 400 500 600 700 800 900 1000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 No. of deaths Figure 3: Annual number of deaths registered on the Isle of Man, 2006-2019

11 Death registrations in England and Wales consistently show that more female deaths are registered per year than male deaths.[2][3] However this is not the case for the Isle of Man. Figure 4 shows that it fluctuates with 2007 having 85 more registrations of female deaths than males, to 2011 having 57 more male registrations than females. In recent years (2016 – 2019) the number of male and female death registrations per year has been very similar or the same.

The age and sex breakdown of the 2018 and 2019 deaths is presented in Figures 5 and 6.

In 2018, the general trend in each age group up to 65 years of age is that the number of male and female deaths is roughly the same. There were a greater number of deaths in males between 65 and 80 years of age. In contrast there were a greater number of deaths in females in the over 80 age groups, due to there being more females aged over 80 (driven by greater life expectancy).

0 50 100 150 200 250 300 350 400 450 500 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 No. of deaths Male Female Figure 4: Annual number of deaths registered in the Isle of Man by sex, 2006-2019

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In 2019, the general trend in each age group up to 80 years of age is that the number of male deaths is greater than the number of deaths in females. In contrast there were a greater number of deaths in females in the over 80 age groups, due to there being more females aged over 80 (driven by greater life expectancy).

0 20 40 60 80 100 120 140 160 180 Number of deaths Age 2018 Total 2018 Male 2018 Female 0 20 40 60 80 100 120 140 160 Number of deaths Age 2019 Total 2019 Male 2019 Female Figure 5: Registered deaths in the Isle of Man by age and sex, 2018 Figure 6: Registered deaths in the Isle of Man by age and sex, 2019

13 4. Average age at death

In 2019, the average age at death of males was 77 years, 4 years below that of females which was 81 years. Figure 7 shows that over the past 5 years, the average age at death for males has been increasing from 73 years in 2015 to 77 years in 2019, however for females since 2015 the average age at death has remained 81 years.

72 77 79 81 66 68 70 72 74 76 78 80 82 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Age in years Male Female Figure 7: Average age of deaths registered in the Isle of Man by sex, 2006-2019

14 Figure 8 shows that in both sexes, the proportion of those dying over the age of 90 years has increased in the last 10 years, as would be expected with the trend of increasing life expectancy.

0% 20% 40% 60% 80% 100% 2019 2018 2014 2010 Percentage of deaths Males 0-49 50-69 70-79 80-89 90+ 0% 20% 40% 60% 80% 100% 2019 2018 2014 2010 Percentage of deaths Females 0-49 50-69 70-79 80-89 90+ Figure 8: Proportion of deaths by age over the last 10 years

15 Of the 919 total recorded deaths in 2018, 67.0% were aged 75 and over. Of the total deaths of those aged 75 and over, 268 (43.5%) were male and 348 (56.5%) were female.

Of the 840 total recorded deaths in 2019, 67.5% were aged 75 and over. Of the total deaths of those aged 75 and over, 256 (45.5%) were male and 307 (54.5%) were female. This is shown in Figure 9.

When we look at deaths aged 75 and over, over time we can see that, despite the expected annual fluctuations, the rate on-Island has not significantly changed over time. This similar rate over time is also seen when looking at deaths aged 75 and over by male and female. This is detailed in Table 1.

0 50 100 150 200 250 300 350 400 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Number of deaths Male Female Lowest male 2012: 228 Highest male 2011: 280 Highest female 2018: 348 Lowest female 2013: 266 Figure 9: Registered deaths in the Isle of Man aged 75 and over by sex, 2006-2019

16 Table 1: Deaths of those aged 75 and over, comparisons, 2010-2019

Year Male Female Total 2010 235 319 554 2011 280 295 575 2012 228 298 526 2013 250 266 516 2014 232 306 538 2015 228 331 559 2016 259 327 586 2017 245 326 571 2018 268 348 616 2019 256 307 563

Of the 919 total recorded deaths in 2018, 40.2% were aged 85 and over. Of the total deaths of those aged 85 and over, 135 (36.6%) were male and 234 (63.4%) were female.

Of the 840 total recorded deaths in 2019, 40.3% were aged 85 and over. Of the total deaths of those aged 85 and over, 136 (40.1%) were male and 203 (59.9%) were female.

17 5. Age-standardised mortality rates

Age-standardised mortality rates (ASMRs) account for population size and age structure. As such they are a more reliable measure for tracking trends in mortality than looking at the numbers of deaths per year. In 2018, the all-cause ASMR for males was 1228.6 per 100,000 population compared to a rate of 904.4 deaths per 100,000 population for females. In 2019, the all-cause ASMR for males was 1135.9 per 100,000 population and 834.0 deaths per 100,000 per population for females (Table 2). This is similar to that of England and Wales, with an ASMR of 1111.0 for males and 831.4 for females in 2018, and an ASMR of 1071.2 for males and 792.8 for females in 2019. In 2018, Jersey had lower rates for both males (1040.0) and females (750.0). Likewise, in 2019, Jersey also had much lower rates for both males (982.0) and females (696.0).[4][5]

Table 2: Age-standardised mortality rate, comparisons, 2018 and 2019

Area 2018 2019 Male Female Male Female Isle of Man 1,228.6 904.4 1,135.9 834.0 England 1,111.0 831.4 1,071.2 792.8 Jersey 1,040.0 750.0 982.0 696.0

Fluctuations in deaths in individual years explain the fluctuation in ASMRs per year. Therefore it is better to look at 3 year rolling ASMRs to get a better idea of developing trends in mortality rates.

18 Figure 10 shows that since 2006, all-cause mortality has largely remained stable. The greatest fluctuations in rates are seen in males, but all rates have plateaued in the rolling rates since 2016.

When we look at ASMR for males and females over time we see that for the Island, our rates are not significantly changing (Tables 3 and 4, Figures 11 and 12).

Table 3: Age standardised mortality rate, males, 2008-2019

Year Rate 95% Confidence Interval Lower Limit Upper Limit 2008 1,200.4 1,083.6 1,317.1 2014 1,162.9 1,045.5 1,280.3 2018 1,228.6 1,116.0 1,341.3 2019 1,135.9 1,027.1 1,244.7

0.0 200.0 400.0 600.0 800.0 1000.0 1200.0 1400.0 ASMR - deaths per 100,000 Persons Male Female Figure 10: 3 year rolling all-cause age-standardised mortality rates, 2006-2019

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Table 4: Age standardised mortality rate, females, 2008-2019

Year Rate 95% Confidence Interval Lower Limit Upper Limit 2008 916.3 829.4 1,003.2 2014 899.3 814.0 984.5 2018 904.4 821.9 986.9 2019 834.0 754.3 913.6

400 600 800 1000 1200 1400 1600 2008 2014 2018 2019 Rate per 100,000 population Year of death registration Figure 11: Age standardised mortality rates, males, 2008-2019

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5.1 Comparison to England

The Office for National Statistics (ONS) pro

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