1. Lung Cancer in Lewisham
Catherine Mbema

2. Epidemiology Incidence Mortality Survival
Lewisham has significantly higher incidence of lung Ca than London or England average
Mortality
23% of Ca deaths (all ages) in Lewisham were due to lung/bronchus Ca
Lewisham has higher mortality rate for lung cancer in comparison to England but similar to neighbours
Survival
35.8% 1 year survival from lung cancer in Lewisham (2014), although has been improving over last 6 years (31.4% in 2008)
Epidemiology

3. Prevention Smoking Public Awareness – early signs and symptoms
Smoking prevalence in Lewisham (21.2% vs 15.2% for London)
Higher in high risk groups (MH, LTCs)
Smoking cessation services
Public Awareness – early signs and symptoms
PHE Be Clear On Cancer campaign
No current screening programme for Lung Ca
Prevention

4. Early Detection and Diagnosis
Lewisham diagnoses Lung cancer at stage 4 more often compared to London or England
Only 1/6 (17%) of lung cancers are diagnosed at stage 1 or 2
Approximately 40% of lung cancer cases diagnosed at A&E
Worse than for other cancer sites (Breast – 4%, Bowel – 25%)
Worse than England and London averages for A&E diagnoses
Early Detection and Diagnosis

5. Difference in life expectancy of about 6 years between most and least affluent in Lewisham
Approximately 20% of that is thought to be due to cancer, with around 60% of this cancer mortality difference in men being due to lung cancer (i.e. 12% of the total difference in life expectancy)
Inequalities in smoking thought to be a driving factor
Inequalities