Wednesday, January 22, 2020

Cancer mortality rates are falling, especially if you live in the U.S.

See Where You Want to Get Cancer. WSJ editorial. Excerpts:
"The five-year survival rate is now 98% for prostate cancer, 92% for melanoma and 90% for breast cancer. Between 2013 and 2017, the death rate for men with melanoma declined by a stunning 7.6% annually. Screening and treatment improvements also helped reduce the death rate for breast cancer by an average of 1.5% annually from 2008 to 2017."

"Breakthrough therapies that harness a victim’s immune system have also increased survival rates by multiples over traditional treatments such as chemotherapy. That’s especially true for cancers with low survival rates such as metastatic melanoma and lung cancer.

But the drugs require enormous investment and therefore aren’t cheap once they’re approved by the Food and Drug Administration. The United Kingdom’s National Institute for Health and Care Excellence has rejected immunotherapies because they were too expensive, though it has had to relent in some cases after patient protests.

Such government rationing and price controls on drugs are one major reason that countries with socialized medicine like the United Kingdom have lower cancer survival rates than the U.S. The age-adjusted cancer mortality rate is about 20% higher in the U.K and 10% higher in Canada and France than in the U.S. Survival rates for hard-to-treat cancers are also higher in the U.S. than in most countries with nationalized health systems.

According to a study in the journal Lancet last year, an individual diagnosed with pancreatic cancer between 2010 and 2014 had nearly twice the likelihood of surviving five years in the U.S. than in the U.K. The five-year survival rate for brain cancer in the U.S. is 36.5% compared to 27.2% in France and 26.3% in the U.K. For stomach cancer the five-year survival rate is 33.1% in the U.S. compared to 26.7% in France and 20.7% in the U.K."

" an individual diagnosed with pancreatic cancer between 2010 and 2014 had nearly twice the likelihood of surviving five years in the U.S. than in the U.K. The five-year survival rate for brain cancer in the U.S. is 36.5% compared to 27.2% in France and 26.3% in the U.K. For stomach cancer the five-year survival rate is 33.1% in the U.S. compared to 26.7% in France and 20.7% in the U.K."

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