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 2017–2021, 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.
-
Target age group (50–74 years)
75% 5-year relative survival (2017–2021)
-
All ages
72% 5-year relative survival (2017–2021)
In the period 2017–2021, 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, 2017-2021
This line chart depicts the 5-year relative survival from bowel cancer for males, females and persons. It shows that between 2017 and 2021, 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 | n.p. | n.p. | n.p. |
| 5–9 | n.p. | n.p. | n.p. |
| 10–14 | 92.8 | 98.5 | 96.2 |
| 15–19 | 95.8 | 100.1 | 98.4 |
| 20–24 | 94.7 | 96.9 | 96 |
| 25–29 | 78.1 | 80 | 79.2 |
| 30–34 | 78.3 | 81.6 | 80 |
| 35–39 | 76.4 | 77.6 | 77.1 |
| 40–44 | 77.2 | 79.8 | 78.5 |
| 45–49 | 74 | 76.6 | 75.2 |
| 50–54 | 77.2 | 80.4 | 78.6 |
| 55–59 | 73.5 | 77.6 | 75.3 |
| 60–64 | 74.6 | 76.9 | 75.6 |
| 65–69 | 73.4 | 75.5 | 74.2 |
| 70–74 | 74.5 | 75.2 | 74.8 |
| 75–79 | 66.8 | 70.3 | 68.4 |
| 80–84 | 63.8 | 68.4 | 66.1 |
| 85+ | 53.1 | 56.6 | 55.2 |
Source: Table A2.1.
Between the periods 1987–1991 and 2017–2021, the 5-year relative survival rate from bowel cancer for people aged 50–74 at diagnosis rose from 54% to 75% (Figure 2.4).
Figure 2.4: Trend in 5-year relative survival from bowel cancer, people aged 50–74 at diagnosis, Australia, 1987–1991 to 2017–2021
This line chart depicts the 5-year relative survival trend for the period 1987–1991 to 2017–2021 for people aged 50–74 at the time of their bowel cancer diagnosis. It shows that the 5-year relative survival rate increased from 54% to 75% over this period.
| Years | 5-year relative survival |
|---|---|
| 1987–1991 | 53.8% |
| 1992–1996 | 58.2% |
| 1997–2001 | 62% |
| 2002–2006 | 67.2% |
| 2007–2011 | 70.8% |
| 2012–2016 | 74% |
| 2017–2021 | 75.3% |
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, 2017–2021
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 64% 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 | 91.2% | |
| 2 | 85.4% | |
| 3 | 81% | |
| 4 | 77.9% | |
| 5 | 75.3% | 75.3% |
| 6 | 73.4% | 80.6% |
| 7 | 71.9% | 84.3% |
| 8 | 70.9% | 87.5% |
| 9 | 69.9% | 89.7% |
| 10 | 69.3% | 92% |
| 11 | 68.6% | 93.4% |
| 12 | 68% | 94.6% |
| 13 | 67.6% | 95.3% |
| 14 | 67% | 95.8% |
| 15 | 66.3% | 95.6% |
| 16 | 65.9% | 96% |
| 17 | 65.4% | 96.1% |
| 18 | 64.7% | 95.7% |
| 19 | 64.1% | 95.7% |
| 20 | 63.7% | 96.1% |
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.