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25 Jun 2008 : Column 392W—continued



25 Jun 2008 : Column 393W

25 Jun 2008 : Column 394W
Table 2: Number of deaths where breast cancer was the underlying cause of death, by sex and strategic health authority (SHA)( 1) , 1996 to 2006( 2)
SHA 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Male

England

63

66

73

62

68

77

79

64

53

78

59

North East

5

3

4

3

2

2

7

6

2

3

5

North West

6

7

7

12

7

10

8

7

6

6

9

Yorkshire and the Humber

5

9

9

9

6

7

7

5

8

5

6

East Midlands

4

7

5

7

3

15

12

4

7

10

7

West Midlands

9

4

12

8

13

10

9

8

3

13

9

East of England

6

10

9

4

7

5

8

9

6

8

4

London

6

8

8

9

4

11

9

9

5

11

9

South East Coast

5

7

9

4

9

6

8

1

6

9

2

South Central

6

2

1

3

7

4

7

8

3

7

2

South West

11

9

9

3

10

7

4

7

7

6

6

Female

England

11,471

11,255

11,025

10,803

10,631

10,860

10,795

10,501

10,288

10,297

10,243

North East

575

607

567

542

516

555

508

471

522

550

527

North West

1,595

1,548

1,480

1,538

1,455

1,539

1,497

1,418

1,374

1,385

1,394

Yorkshire and the Humber

1,204

1,067

1,005

1,052

1,017

1,050

1,043

1,009

1,040

956

1,004

East Midlands

1,006

987

917

900

893

984

908

912

891

929

918

West Midlands

1,322

1,271

1,193

1,213

1,137

1,100

1,187

1,149

1,143

1,090

1,102

East of England

1,225

1,263

1,363

1,192

1,241

1,229

1,278

1,241

1,150

1,224

1,202

London

1,440

1,436

1,336

1,322

1,335

1,332

1,306

1,296

1,235

1,182

1,155

South East Coast

1,014

972

1,017

1,008

983

1,027

1,041

986

983

1,009

1,025

South Central

802

823

912

862

813

817

798

798

788

776

746

South West

1,288

1,281

1,235

1,174

1,241

1,227

1,229

1,221

1,162

1,196

1,170

(1) Breast cancer was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 174 and 175 for the years 1996 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) code C50 for the years 2001 to 2006. The introduction of ICD-10 in 2001 had a significant effect on mortality rates for some diseases, causing a discontinuity in mortality trends for these causes of death. However ONS practice is not to adjust the historical numbers of deaths shown in PQ answers. More information on this issue can be found at www.statistics.gov.uk/icd10mortality. For female breast cancer the introduction of ICD-10 caused an increase of 2.7 per cent. in the number of deaths. An article specifically examining the changes for cancer trends was published in Health Statistics Quarterly 23*. This article also presents comparability ratios (the ratio of the number of deaths coded to a cause in ICD-10 to the number coded to the equivalent cause in ICD-9) for the most common cancer sites.
* Brock A, Griffiths C, Rooney C (2004) The effect of the introduction of ICD-10 on cancer mortality trends in England and Wales. Health Statistics Quarterly 23, 7-17
(2) Figures are for deaths registered in each calendar year.

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