Survival
Information on survival indicates cancer prognosis and the effectiveness of treatment available. Survival in this report refers to ‘relative survival’ which is the probability of being alive for a given amount of time after diagnosis compared with the general population, and reflects the impact of a cancer diagnosis. Survival of less than 100% suggests that those with bowel cancer have a lower chance of surviving for at least 5 years after diagnosis than the general population.
In the period 2016–2020, Australians aged 50–74 who were diagnosed with bowel cancer had a 75% chance of surviving for 5 years compared with their counterparts in the general population.
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Target age group (50–74 years)
75% 5-year relative survival (2016–2020)
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All ages
71% 5-year relative survival (2016–2020)
In the period 2016–2020, 5-year relative survival was lower for people aged 70 and over than for younger people (Figure 2.3).
Figure 2.3: Five-year survival from bowel cancer, by age group and sex, Australia, 2016-2020
This line chart depicts the 5-year relative survival from bowel cancer for males, females and persons. It shows that between 2016 and 2020, 5-year relative survival was highest for people aged 24 and under (over 95%), stable between ages 25 and 74 (approximately 76%) and decreased for people aged of 75 and over.
| Age group (years) | Males | Females | Persons |
|---|---|---|---|
| 0–4 | |||
| 5–9 | |||
| 10–14 | 91.6 | 98.5 | 96 |
| 15–19 | 96.8 | 99.4 | 98.4 |
| 20–24 | 91.2 | 97.8 | 95.1 |
| 25–29 | 75.4 | 78.6 | 77.2 |
| 30–34 | 75.8 | 80.8 | 78.3 |
| 35–39 | 77.6 | 80 | 78.9 |
| 40–44 | 76.6 | 78.4 | 77.5 |
| 45–49 | 73.2 | 75.4 | 74.3 |
| 50–54 | 76.3 | 78.9 | 77.4 |
| 55–59 | 73.4 | 78.2 | 75.4 |
| 60–64 | 74.6 | 76.1 | 75.2 |
| 65–69 | 72.6 | 75.6 | 73.9 |
| 70–74 | 74 | 74.8 | 74.4 |
| 75–79 | 66.9 | 69.6 | 68.1 |
| 80–84 | 64.1 | 68.4 | 66.3 |
| 85+ | 52.7 | 57.6 | 55.6 |
Source: Table A2.1.
Between the periods 1986–1990 and 2016–2020, the 5-year relative survival rate from bowel cancer for people aged 50–74 at diagnosis rose from 53% to 75% (Figure 2.4).
Figure 2.4: Trend in 5-year relative survival from bowel cancer, people aged 50–74 at diagnosis, Australia, 1986–1990 to 2016–2020
This line chart depicts the 5-year relative survival trend for the period 1986–1990 to 2016–2020 for people aged 50–74 at the time of their bowel cancer diagnosis. It shows that the 5-year relative survival rate increased from 53% to 75% over this period.
| Years | 5-year relative survival (%) |
|---|---|
| 1986–1990 | 53 |
| 1991–1995 | 57.4 |
| 1996–2000 | 61 |
| 2001–2005 | 66.4 |
| 2006–2010 | 69.8 |
| 2011–2015 | 73.6 |
| 2016–2020 | 74.9 |
Source: Table A2.2
Relative survival shows the probability of survival at diagnosis. Conditional relative survival estimates show the probability of surviving a given number of years, provided that an individual has already survived a specified amount of time after diagnosis.
While Australians aged 50–74 who were diagnosed with bowel cancer had a 75% chance of surviving for 5 years compared with their counterparts in the general population, among those who had already survived 5 years, the chance of surviving for at least another 5 years (5-year conditional relative survival) was 92% (Figure 2.5).
Figure 2.5: Relative survival at diagnosis and 5-year conditional relative survival from bowel cancer, people aged 50–74 at diagnosis, Australia, 2016–2020
This line chart shows the relative survival at diagnosis and 5-year conditional relative survival from bowel cancer for those aged 50–74 at the time of their diagnosis. Years since diagnosis are plotted on the x-axis. The figure shows that the relative survival at diagnosis decreased from 91% at 1 year after diagnosis to 75% at 5 years after diagnosis, then decreased slowly to 63% at 20 years after diagnosis. However, once an individual has survived the initial 5 years after diagnosis, the chance of conditionally surviving another 5 years was 92%.
| Years after diagnosis | Relative survival after diagnosis | 5-year conditional relative survival |
|---|---|---|
| 0 | ||
| 1 | 91.1 | |
| 2 | 85 | |
| 3 | 80.5 | |
| 4 | 77.4 | |
| 5 | 74.9 | 74.9 |
| 6 | 73 | 80.2 |
| 7 | 71.6 | 84.1 |
| 8 | 70.6 | 87.7 |
| 9 | 69.6 | 89.9 |
| 10 | 69.1 | 92.2 |
| 11 | 68.3 | 93.5 |
| 12 | 67.7 | 94.6 |
| 13 | 67.2 | 95.2 |
| 14 | 66.5 | 95.6 |
| 15 | 65.9 | 95.5 |
| 16 | 65.5 | 96 |
| 17 | 65 | 96 |
| 18 | 64.3 | 95.7 |
| 19 | 63.9 | 96 |
| 20 | 63.3 | 96 |
Conditional relative survival estimates show the probability of surviving bowel cancer for a given number of years provided an individual has already survived a specified amount of time after diagnosis.
Source: Table A2.3.