THe Rich PiCtuRE

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The rich picture on on people people at end at end of lifeof life Key facts and stats ‘People at end of life should be offered the choice to die where they want, and those who wish to die at home should be enabled to do so. Sadly, too many people end up dying in hospital, against their wishes, simply because the support is not available for them to stay in their own home.’ Adrienne Betteley, End of Life Care Programme Lead, Macmillan Cancer Support 18 Contents
Understanding the numbers, needs and experiences of people affected by cancer International and demographic In 2012, more males than females died in the comparisons UK as a result of cancer (76,604 females compared to 84,775 males). (3,4,5) How do mortality rates in the Ethnic background UK compare internationally? People from Asian and Mixed ethnic groups are 30%-60% less likely to get cancer than people In 2011, the age standardised mortality rate for from the White population. (21) People born in people with cancer (per 100,000 inhabitants) was Asian countries living in Europe, including the 167 in England, 173 in Wales, 172 in Northern UK, generally have lower cancer mortality rates Ireland, and 195 in Scotland. (N.b. rates for compared with native populations of European individual UK nations are created around the age countries, although some specific types of cancer profile of the 1976 European standard population, the may be more common in Asian compared to conventional standardisation used before 2013). (18) European people. (86) The risk of getting cancer in Black men is comparable to men from the White The age standardised mortality rate in 2010 for population. (21) people with cancer is higher in the UK (288 per 100,000 inhabitants) than the average for Europe People of Asian, Black and Mixed ethnicity, who are as a whole (270 per 100,000 inhabitants). The affected by cancer, are less likely to die in a hospice country with the lowest mortality rate for people or own residence than people from all other ethnic with cancer is Cyprus (197), with Hungary having groups. (93) the highest mortality rate (359). (N.b. rates for UK collectively, Europe and European nations created Although there is limited data on cancer survival by around the 2013 European standard population. ethnic groups, initial results analyses from studies The increase, compared to numbers in the previous suggest that Black and Asian women with breast paragraph, is due to the 2013 European standard cancer have poorer survival rates, which may be population being weighted more heavily towards explained by later presentation. (22) older ages where most deaths occur, rather than an increase in the actual number of deaths). (17) Age Deaths in England and Wales, from all causes, How do overall mortality rates steadily increase with age, with over half of deaths in (all causes) in the UK compare 2012 amongst those aged 80 or over. (3) internationally? 77% of all cancer deaths in the UK are amongst the The age standardised overall (all causes) mortality 65+ age group. (94) rate was lower in the UK (1,016 per 100,000 inhabitants) than the average for Europe as a whole Social background (1,056 per 100,000 inhabitants in 2010).(N.b. rates We know that the incidence and mortality of cancer for UK and Europe for all mortality causes created is higher in deprived groups compared with more around the 2013 European standard population). (17) affluent groups (21) . A large part of this is likely to be attributable to lifestyle factors, and especially the higher smoking rates in deprived groups. For some What are the major cancers, patients from socio-economically deprived demographic variations for groups tend to present symptoms later than others people at end of life? and thus tend to have more advanced disease and a worse prognosis, while the excess mortality Gender may also be linked to later presentation and later In 2012, there were slightly more deaths from all diagnosis in more deprived groups. (20) causes amongst females than males in the UK (295,677 compared to 273,347). (3) Key facts and stats 19 Contents
Page 1 and 2: THe Rich PiCtuRE Dorothy and Tony w
Page 3 and 4: Guidance on referencing this docume
Page 5 and 6: Contents Summary of people at end o
Page 7 and 8: Understanding the numbers, needs an
Page 11 and 12: Introduction to people at end of li
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THe Rich PiCtuRE

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