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1 Bone and connective tissue cancer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±\HDUV $IWHUDGMXVWLQJIRUDJHERWKLQFLGHQFHDQGPRUWDOLW\UDWHVWHQGWREHVLPLODUDPRQJ0lRUL DQGQRQ0lRULZLWKWKHSRVVLEOHH[FHSWLRQRIPRUWDOLW\UDWHVIRUIHPDOHVDWOHDVWLQWKH PLG WR ODWH V 7KHUH LV OLWWOH HYLGHQFH IRU D GHSULYDWLRQ JUDGLHQW LQ LQFLGHQFH RU PRUWDOLW\ 7KH LQFLGHQFH UDWHV RI ERQH DQG FRQQHFWLYH WLVVXH FDQFHU DUH IRUHFDVW WR FRQWLQXH WR LQFUHDVHUHDFKLQJDQDJHVWDQGDUGLVHGUDWHRISHU&,±DPRQJPDOHVDQG SHU &, ± DPRQJ IHPDOHV E\ 7KH DJH VWDQGDUGLVHG PRUWDOLW\ UDWH LV IRUHFDVWWRFRQWLQXHLWVVORZGHFOLQHUHDFKLQJSHU&,±DPRQJPDOHVDQG SHU&,±DPRQJIHPDOHVE\ %HFDXVHRIGHPRJUDSKLFWUHQGVWKLVFRUUHVSRQGVWRLQFUHDVHVLQERWKUHJLVWUDWLRQDQGGHDWK FRXQWVZKLFKDUHSURMHFWHGWRUHDFKUHJLVWUDWLRQV&,±DQGGHDWKV&,± IRUPDOHVDQGUHJLVWUDWLRQV&,±DQGGHDWKV&,±IRUIHPDOHVE\ WKHHQGRIWKHIRUHFDVWLQJSHULRG Chapter 10: Bone and connective tissue cancer 101

2 Figure 10.1 Historical trends in age specific rates, bone and connective tissue cancer, males (a) Male incidence rates, perspective plot (b) Male incidence rates, contour plot Rate Z 10 0D[LPXPUDWH SHU (c) Male mortality rates, perspective plot (d) Male mortality rates, contour plot Rate Z D[LPXPUDWH SHU OHDVHUHIHUWR&KDSWHUIRULQWHUSUHWDWLRQRIFKDUWV 102 Cancer in New Zealand: Trends and Projections

3 Figure 10.2 Historical trends in age specific rates, bone and connective tissue cancer, females (a) Female incidence rates, perspective plot (b) Female incidence rates, contour plot Rate 15 Z D[LPXPUDWH SHU (c) Female mortality rates, perspective plot (d) Female mortality rates, contour plot Rate Z 0D[LPXPUDWH SHU Chapter 10: Bone and connective tissue cancer 103

4 Figure /97, bone and connective tissue cancer, males (a) Male incidence, by ethnicity (b) Male incidence, by deprivation Ethnic group (c) Male mortality, by ethnicity NZDep96 quintile (d) Male mortality, by deprivation Ethnic group NZDep96 quintile (WKQLFJURXSNH\ VROH0lRUL WRWDO0lRUL QRQ0lRUL 104 Cancer in New Zealand: Trends and Projections

5 Figure /97, bone and connective tissue cancer, females (a) Female incidence, by ethnicity (b) Female incidence, by deprivation Ethnic group (c) Female mortality, by ethnicity NZDep96 quintile (d) Female mortality, by deprivation Ethnic group NZDep96 quintile (WKQLFJURXSNH\ VROH0lRUL WRWDO0lRUL QRQ0lRUL Chapter 10: Bone and connective tissue cancer 105

6 Figure 10.5 Trends and projections of life cycle stage specific rates, bone and connective tissue cancer (a) Male incidence rates (b) Male mortality rates (c) Female incidence rates (d) Female mortality rates H\ ±\HDUV ±\HDUV ±\HDUV ±\HDUV \HDUVDQGDERYH 106 Cancer in New Zealand: Trends and Projections

7 Figure 10.6 Trends and projections of age standardised rates, bone and connective tissue cancer (a) Male incidence rates (b) Male mortality rates (c) Female incidence rates (d) Female mortality rates H\ 2EVHUYHG ² )LWWHGDQGSURMHFWHG 0LQLPXPDQGPD[LPXPHVWLPDWHV %D\HVLDQFUHGLEOHLQWHUYDO Chapter 10: Bone and connective tissue cancer 107

8 Figure 10.7 Drivers of change in the cancer burden, bone and connective tissue cancer (a) Male registrations (b) Male deaths Count Count (c) Female registrations (d) Female deaths Count Count H\ 5LVNHIIHFW 3RSXODWLRQVL]HHIIHFW 3RSXODWLRQDJHLQJHIIHFW Cancer in New Zealand: Trends and Projections

9 Table 10.1 Key results, bone and connective tissue cancer Males,QFLGHQFH 0RUWDOLW\ &, FKDQJH &, FKDQJH $JHVWDQGDUGLVHGRUDJHVSHFLILFUDWHSHU ± ± 1XPEHURIFDVHV ± ± Females,QFLGHQFH 0RUWDOLW\ &, FKDQJH &, FKDQJH $JHVWDQGDUGLVHGRUDJHVSHFLILFUDWHSHU ± ± 1XPEHURIFDVHV ± ± &, %D\HVLDQFUHGLEOHLQWHUYDO 3HUFHQWDJHFKDQJHRPLWWHGZKHQHVWLPDWHLVQRWUREXVWEHFDXVHRIVPDOOQXPEHUV Chapter 10: Bone and connective tissue cancer 109

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