Publication, Part of Case-mix Adjusted Percentage of Cancers Diagnosed at Stages 1 and 2 in England
Case-mix adjusted percentage of cancers diagnosed at stages 1 and 2 by sub-ICB in England, 2021
Official statistics
Unadjusted percentage of cancers diagnosed at stages 1 and 2 by cancer site/group and deprivation, 2021
Cancer site/group
Table 1 lists the unadjusted percentage of cancers diagnosed at stages 1 and 2 by cancer site/group in 2021. Of the cancer sites/groups listed, the percentage of cases diagnosed at stages 1 and 2 ranged from 19% (oesophagus including cardia and gastroesophageal junction) to 90% (testis).
The percentage of cancers diagnosed at stages 1 and 2 may vary by cancer site/group for several reasons. These reasons include: patient awareness and recognition of symptoms, the ease of diagnosis of the symptoms by healthcare practitioners (cancers with non-specific symptoms can be harder to diagnose), and how fast the cancer spreads and develops
Table 1. Unadjusted percentage of cancers diagnosed at stages 1 and 2 by cancer site/group (2021)
Cancer site/group |
Number of cancers diagnosed at stages 1 and 2 |
Total number of cancers diagnosed with a valid stage |
Percentage diagnosed at stages 1 and 2 (%) |
Testis |
1,507 |
1,668 |
90 |
Melanoma of skin |
11,901 |
13,737 |
87 |
Breast |
35,288 |
41,567 |
85 |
Uterus |
5,482 |
6,974 |
79 |
Bladder |
4,894 |
6,739 |
73 |
Kidney, except renal pelvis |
4,306 |
7,503 |
57 |
Oropharynx, base of tongue, tonsil, soft palate, and uvula |
1,942 |
3,671 |
53 |
Larynx including anterior surface of epiglottis |
864 |
1,651 |
52 |
Prostate |
17,340 |
34,570 |
50 |
Colon |
11,392 |
23,994 |
47 |
Hodgkin lymphoma |
681 |
1,503 |
45 |
Rectum and rectosigmoid junction |
4,831 |
11,246 |
43 |
Oral cavity, hard palate and lip (inner aspect) |
1,146 |
2,806 |
41 |
Ovary, fallopian tube and primary peritoneal carcinomas |
1,916 |
5,012 |
38 |
Lung |
10,901 |
35,082 |
31 |
Non-Hodgkin lymphoma |
2,216 |
8,084 |
27 |
Pancreas |
1,742 |
6,930 |
25 |
Oesophagus including cardia and gastroesophageal junction |
1,432 |
7,362 |
19 |
Deprivation
All stageable cancer site/groups are included within this section; this includes the 18 cancer sites/groups in Table 1 plus other stageable cancer sites defined according to the United Kingdom and Ireland Association of Cancer Registries (UKIACR). The denominator is the total number of cancers diagnosed with a valid stage.
Table 2 shows that the unadjusted percentage of cancers diagnosed at stages 1 and 2 varies by deprivation quintile for England. In 2021, the percentage of cancers diagnosed at stages 1 and 2 in the 20% most deprived areas of England is 8 percentage points lower than for those in the 20% least deprived areas (49% versus 57%), this is significantly lower.
Table 2. Unadjusted percentage of cancers diagnosed at stages 1 and 2 by deprivation (2021)
Deprivation Quintile |
Number of cancers diagnosed at stages 1 and 2 |
Total number of cancers diagnosed with a valid stage |
Percentage diagnosed at stages 1 and 2 (%) |
5 – least deprived |
30,072 |
52,902 |
57 |
4 |
29,400 |
52,800 |
56 |
3 |
27,567 |
50,715 |
54 |
2 |
23,531 |
44,965 |
52 |
1 – most deprived |
21,055 |
42,826 |
49 |
Cancer site/group and deprivation
Table 3 shows that of the 18 cancer sites/groups investigated, 8 had a significantly lower percentage of cancers diagnosed at stages 1 and 2 in the 20% most deprived areas compared to those in the 20% least deprived areas and 9 cancer sites/groups had no significant difference. The only cancer site/group to have a higher proportion of cancers diagnosed at stages 1 and 2 in the 20% most deprived areas compared to those in the 20% least deprived areas was Ovarian cancer. The denominator is the total number of cancers diagnosed with a valid stage.
Table 3. Unadjusted percentage of cancers diagnosed at stages 1 and 2 by cancer site/group and deprivation (2021)
Cancer site/group |
Percentage of cancers diagnosed at stages 1 and 2 in most deprived quintile |
Percentage of cancers diagnosed at stages 1 and 2 in least deprived quintile |
Statistically significant difference? |
Bladder |
71 |
73 |
No |
Breast |
82 |
86 |
Yes |
Colon |
45 |
48 |
Yes |
Hodgkin lymphoma |
43 |
41 |
No |
Kidney, except renal pelvis |
60 |
57 |
No |
Larynx including anterior surface of epiglottis |
48 |
56 |
No |
Lung |
31 |
32 |
No |
Melanoma of skin |
85 |
88 |
Yes |
Non-Hodgkin lymphoma |
26 |
28 |
No |
Oesophagus including cardia and gastroesophageal junction |
17 |
21 |
Yes |
Oral cavity, hard palate and lip (inner aspect) |
39 |
49 |
Yes |
Oropharynx, base of tongue, tonsil, soft palate and uvula |
45 |
56 |
Yes |
Ovary, fallopian tube and primary peritoneal carcinomas |
43 |
36 |
Yes |
Pancreas |
24 |
25 |
No |
Prostate |
47 |
52 |
Yes |
Rectum and rectosigmoid junction |
39 |
43 |
Yes |
Testis |
89 |
90 |
No |
Uterus |
78 |
79 |
No |
Last edited: 14 December 2023 9:47 am