Cancer in Far North Queensland

 

   

The CCQ region of Far North Queensland covers nearly a quarter of Queensland (22% or 387,000 km2), including the most northern and north-west areas of the state. In 2019 it had a population of 294,332, which was 5.8% of Queensland’s total population.
 

The major population centres are Cairns, Innisfail and Tully, while Cooktown and Weipa are important tourist and industrial centres in the region. The majority of Queensland’s discrete Indigenous communities, for example Bamaga, are located in Far North Queensland.The nearest radiation treatment centre for cancer patients in Far North Queensland is Cairns. There is also a radiotherapy facility located in Townsville.

   

Region Characteristics (2019 data unless otherwise specified) Far North Queensland Queensland
Percent of population who…
… are female 50.0% 50.6%
… are aged 50 years and over 24.7% 22.7%
… are Indigenous (2016) 18.1% 4.6%
… speak another language at home 14.8% 12.1%
… live in remote areas 11.6% 2.0%
… live within 2 hours drive of radiation treatment 84.3% 89.5%
… live more than 6 hours drive from radiation treatment 11.3% 1.8%
… live in disadvantaged areas 29.9% 17.7%
… live in affluent areas 8.1% 18.8%
All Cancers* Far North Queensland Male Female Persons
Number of new cases per year 1080 733 1813
Chance of diagnosis by age 80* 1 in 2.0 1 in 2.7 1 in 2.3
Median age at diagnosis 67 yrs 64 yrs 66 yrs
Five-year relative survival 65% 71% 68%
Number of deaths per year 341 213 555
Percent deaths before age 80 74% 71% 72%
1 Persons data may not equal sum of males and females due to rounding.
2 Cancers with a lifetime risk above 1 in 5 the value provided to one decimal point.

The 10 most common cancers diagnosed in Far North Queensland by sex, 2015 - 2019

Five-year relative survival in Far North Queensland by type of cancer and sex, 2015 - 2019

Note: Relative survival calculated using the period method, for persons aged 0-89 years at diagnosis. Data are for “at risk” cases in the period 2015-2019

Facts about the most common cancers in Far North Queensland

Colorectal Cancer Male Female Persons
Number of new cases per year 97 79 176
Chance of diagnosis by age 80* 1 in 18 1 in 22 1 in 20
Median age at diagnosis 69 yrs 70 yrs 69 yrs
Five-year relative survival 62% 71% 66%
Number of deaths per year 39 24 63
Percent deaths before age 80 69% 55% 63%
Lung Cancer Male Female Persons
Number of new cases per year 111 68 179
Chance of diagnosis by age 80* 1 in 14 1 in 22 1 in 17
Median age at diagnosis 69 yrs 68 yrs 68 yrs
Five-year relative survival 15% 24% 18%
Number of deaths per year 79 41 120
Percent deaths before age 80 80% 79% 79%
Melanoma Male Female Persons
Number of new cases per year 140 79 219
Chance of diagnosis by age 80* 1 in 12 1 in 21 1 in 15
Median age at diagnosis 66 yrs 60 yrs 64 yrs
Five-year relative survival 91% 97% 93%
Number of deaths per year 11 6 17
Percent deaths before age 80 72% 68% 71%
Female Breast Cancer Male Female Persons
Number of new cases per year . . . . . . 204 . . . . . .
Chance of diagnosis by age 80* . . . . . . 1 in 8 . . . . . .
Median age at diagnosis . . . . . . 61 yrs . . . . . .
Five-year relative survival . . . . . . 89% . . . . . .
Number of deaths per year . . . . . . 32 . . . . . .
Percent deaths before age 80 . . . . . . 77% . . . . . .
Prostate Cancer Male Female Persons
Number of new cases per year 302 . . . . . . . . . . . .
Chance of diagnosis by age 80* 1 in 5 . . . . . . . . . . . .
Median age at diagnosis 68 yrs . . . . . . . . . . . .
Five-year relative survival 89% . . . . . . . . . . . .
Number of deaths per year 42 . . . . . . . . . . . .
Percent deaths before age 80 55% . . . . . . . . . . . .

More details on the top 10 cancers diagnosed in Far North Queensland

Persons
Incidence (a)
Mortality (a)
Type of cancer Average no. per year Annual rate (per 100,000 (b) Five-year relative survival (%) (c) Average no. per year Annual rate (per 100,000) (b)
All invasive cancers 1813 560 [548,571] 68 [66,69] 555 176 [170,183]
Prostate cancer 302 n.a. 89 [86,91] 42 n.a.
Melanoma 219 69 [65,73] 93 [91,95] 17 6 [4,7]
Female breast cancer 204 n.a. 89 [87,91] 32 n.a.
Lung cancer 179 54 [51,58] 18 [15,21] 120 37 [34,40]
Colorectal cancer 176 56 [52,60] 66 [62,69] 63 21 [18,23]
Kidney cancer 50 15 [13,17] 73 [66,79] ** **
Non-Hodgkin lymphoma 46 14 [12,16] 77 [70,83] ** **
Thyroid cancer 41 13 [12,15] 96 [92,99] ** **
Pancreatic cancer 39 12 [11,14] 8 [4,12] 35 11 [10,13]
Bladder cancer 34 11 [9,12] 53 [44,62] 11 4 [3,5]
Males
Incidence (a)
Mortality (a)
Type of cancer Average no. per year Annual rate (per 100,000 (b) Five-year relative survival (%) (c) Average no. per year Annual rate (per 100,000) (b)
All invasive cancers 1080 656 [638,674] 65 [63,66] 341 220 [209,231]
Prostate cancer 302 172 [163,181] 89 [86,91] 42 29 [25,34]
Melanoma 140 87 [81,94] 91 [88,94] 11 8 [6,10]
Lung cancer 111 67 [62,73] 15 [11,18] 79 49 [44,54]
Colorectal cancer 97 61 [56,67] 62 [57,67] 39 26 [22,30]
Kidney cancer 33 20 [17,24] 73 [64,80] 8 5 [4,7]
Bladder cancer 28 17 [15,21] 54 [44,64] 8 5 [4,7]
Non-Hodgkin lymphoma 27 16 [14,20] 73 [63,81] 8 5 [3,7]
Pancreatic cancer 22 14 [11,17] 9 [5,16] 19 12 [10,15]
Liver cancer 22 13 [10,15] 14 [8,22] 15 9 [7,11]
Oesophageal cancer 18 11 [8,13] 21 [12,31] 12 7 [5,9]
Females
Incidence (a)
Mortality (a)
Type of cancer Average no. per year Annual rate (per 100,000 (b) Five-year relative survival (%) (c) Average no. per year Annual rate (per 100,000) (b)
All invasive cancers 733 460 [445,475] 71 [70,73] 213 134 [126,142]
Breast cancer 204 127 [119,135] 89 [87,91] 32 20 [17,24]
Colorectal cancer 79 50 [45,56] 71 [66,76] 24 15 [13,18]
Melanoma 79 51 [46,56] 97 [94,99] 6 4 [3,5]
Lung cancer 68 42 [37,47] 24 [19,30] 41 25 [22,29]
Uterine cancer 34 20 [17,23] 79 [72,85] 6 4 [2,5]
Thyroid cancer 27 17 [15,21] 98 [92,100] ** **
Non-Hodgkin lymphoma 19 12 [9,14] 83 [72,90] ** **
Ovarian cancer 17 11 [9,14] 44 [33,55] 11 7 [5,9]
Pancreatic cancer 17 11 [9,14] 5 [2,12] 16 11 [8,13]
Kidney cancer 17 10 [8,13] 74 [61,83] ** **
Note:
n.a. = not applicable (rates for persons not applicable for sex-specific cancers)

** Incidence or mortality counts that averaged less than five per year (and the corresponding rates) have been suppressed to protect confidentiality. Counts and rates for persons have also been suppressed when necessary
a Incidence and mortality data are averaged over the 5 year period from 2015-2019.
b Incidence and mortality rates have been directly age-standardised to the 2001 Australian Standard population, with 95% confidence intervals shown in brackets.
c Five-year relative survival calculated using the period method, for persons aged 0-89 years at diagnosis, with 95% confidence intervals shown in brackets. Estimates are for “at risk” cases in the period 2015-2019
d Persons data may not equal the sum of males and females due to rounding

             

Methodology

1. All cancer data are sourced from the Queensland Cancer Register. The access and use of these data for reporting purposes is subject to strict confidentiality and privacy constraints.
2. Census and population data were obtained from the Australian Bureau of Statistics.
3. Population death data used in relative survival calculations were obtained from the Australian Coordinating Registry of Births, Deaths and Marriages.
4. All calculations were performed using Stata v16.1.
5. Trend lines for incidence numbers have been smoothed using the ‘Lowess’ method.
6. Remote areas are defined by the Remoteness Areas 2016 classification (combines Remote and Very Remote).
7. Travelling times to radiation treatment are calculated using spatial and road network software, and are approximate based on the shortest road distances at the recommended speed limits.
8. ‘Affluent areas’ are the 20% of most advantaged Statistical Areas 2 (SA2s) and ‘Disadvantaged areas’ are the 20% of most disadvantaged SA2s as defined by the 2016 SEIFA Index of Advantage and Disadvantage obtained from the Australian Bureau of Statistics.
9. Relative survival compares overall survival among those diagnosed with cancer to the expected survival of the general population, taking into account age, sex and year of diagnosis.

 

Disclaimer: The information in this publication should not be used as a substitute for advice from a properly qualified medical professional who can advise you about your own individual medical needs. It is not intended to constitute medical advice and is provided for general information purposes only. Information on cancer, including the diagnosis, treatment and prevention of cancer, is constantly being updated and revised by medical professionals and the research community. Cancer Council Queensland does not warrant that the information in this publication is correct, up to date or complete nor that it is suitable for any particular purpose. Your use of the information in this publication is at your own risk. To the fullest extent permitted by law, Cancer Council Queensland does not accept any liability for any reliance placed on information that is not correct, complete or up to date, or that is not suited to the purpose for which it was relied upon. If any warranty or guarantee cannot by law be excluded, then, to the extent permitted by law, Cancer Council Queensland’s liability for such warranty or guarantee is limited, at Cancer Council Queensland’s option, to supplying the information or materials again or paying the cost of having the information or materials supplied again.