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U.S. cancer death rate has dropped by a third since 1991

wsj.com

51–60 of 120 posts

Re: U.S. cancer death rate has dropped by a third since 1991

#51
post #38

Did it improve or did people stop getting diagnosed because it is too damn expensive?

Screening is more widespread and so is general awareness for symptoms. This leads to earlier diagnosis which generally has a better outlook than later stages. Then there's also general progress in terms of surgical procedures as well as medication for treatment

Re: U.S. cancer death rate has dropped by a third since 1991

#53
post #41

This is great progress. Important to note this is not an average effect across all cancers. Some cancers still have terrible outcomes eg pancreatic cancer, GBM, small cell lung cancer, stomach and esophageal cancer, certain types of breast cancer. Advanced colorectal cancer also not great. The other aspect of this is that death can often be replaced with multiple years of a highly medicalised and sallow existence whi…

Prostate cancer is one that men should be especially familiar with. My dad was diagnosed years ago after his PCP ignored escalating PSA levels. Although he's a "survivor" of Stage 4 his life is a shell of what it was, and has expressed a number of times he wishes he was dead. When I spoke to the oncologist after his diagnosis I remember this adage specifically: "If you did an autopsy on every man that dies over 40, you'd find the beginnings of prostate cancer in all of them. It's a question of when, not if."

I say this to highlight three things:

- Physicians routinely ignore things they shouldn't. Be your own advocate and research the things your doctor tells you, especially the things they believe are just worth watching.

- There is little to no awareness in the public over prostate cancer.

- Surviving isn't always a good metric. In my dad's case, surviving was a promise for a slow and miserable death.

Re: U.S. cancer death rate has dropped by a third since 1991

#54
post #41

This is great progress. Important to note this is not an average effect across all cancers. Some cancers still have terrible outcomes eg pancreatic cancer, GBM, small cell lung cancer, stomach and esophageal cancer, certain types of breast cancer. Advanced colorectal cancer also not great. The other aspect of this is that death can often be replaced with multiple years of a highly medicalised and sallow existence whi…

Isn't pancreatic cancer in particular usually very far advanced before it's detected?

Re: U.S. cancer death rate has dropped by a third since 1991

#57

Is this "cancer deaths per person per year", or "cancer deaths per detected cancer"?

Yes it is a theoretical mess. The article manages to conflate in the same sentence:

> The decline in smoking rates in the U.S., better early detection and innovative treatments including immunotherapy drugs have driven a drop in death rates since 1991

which mixes all meanings together (smoke → cases ; detection → fatality ...). So it's just "decreased number of deaths".

(Well, on the other hand, it makes sense that more factors impact such "final" result.)

From the CDC:

> In the past 20 years, from 2001 to 2020, cancer death rates went down 27%, from 196.5 to 144.1 deaths per 100,000 population

https://www.cdc.gov/cancer/dcpc/research/update-on-cancer-de...

Re: U.S. cancer death rate has dropped by a third since 1991

#58
post #41

This is great progress. Important to note this is not an average effect across all cancers. Some cancers still have terrible outcomes eg pancreatic cancer, GBM, small cell lung cancer, stomach and esophageal cancer, certain types of breast cancer. Advanced colorectal cancer also not great. The other aspect of this is that death can often be replaced with multiple years of a highly medicalised and sallow existence whi…

Isn't pancreatic cancer in particular usually very far advanced before it's detected?

In general the worst cancers are the ones that are difficult to detect early enough before they metastasize. As the article says, this death rate has dropped mostly because of preventative care and early screening.

Re: U.S. cancer death rate has dropped by a third since 1991

#59
post #53
post #41

This is great progress. Important to note this is not an average effect across all cancers. Some cancers still have terrible outcomes eg pancreatic cancer, GBM, small cell lung cancer, stomach and esophageal cancer, certain types of breast cancer. Advanced colorectal cancer also not great. The other aspect of this is that death can often be replaced with multiple years of a highly medicalised and sallow existence whi…

Prostate cancer is one that men should be especially familiar with. My dad was diagnosed years ago after his PCP ignored escalating PSA levels. Although he's a "survivor" of Stage 4 his life is a shell of what it was, and has expressed a number of times he wishes he was dead. When I spoke to the oncologist after his diagnosis I remember this adage specifically: "If you did an autopsy on every man that dies over 40, y…

Knowing something must be checked, while your primary refuses to check it, what is one's recourse in the US?

Re: U.S. cancer death rate has dropped by a third since 1991

#60
post #53

Earlier quoted context omitted.

Prostate cancer is one that men should be especially familiar with. My dad was diagnosed years ago after his PCP ignored escalating PSA levels. Although he's a "survivor" of Stage 4 his life is a shell of what it was, and has expressed a number of times he wishes he was dead. When I spoke to the oncologist after his diagnosis I remember this adage specifically: "If you did an autopsy on every man that dies over 40, y…

Knowing something must be checked, while your primary refuses to check it, what is one's recourse in the US?

I've never met a doctor who refused to check something if I asked for it. If yours does, can you switch?
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