Cancer Mapping: Initial Regional and Departmental Estimates of Incidence and Mortality for 24 Cancers in France

What are the regional and departmental differences? What are the most common cancers by region? Behind the broad national trends lie disparities that can sometimes be significant across France. That is why the French network of cancer registries (Francim network), the Biostatistics and Bioinformatics Department of the Hospices Civils de Lyon, the National Cancer Institute, and Santé publique France are publishing, for the first time, incidence and mortality estimates at the regional and departmental levels for 24 types of cancer in France.

This new set of indicators provides an overview of trends in cancer incidence and mortality across the 13 metropolitan regions and 3 overseas regions (Guadeloupe, French Guiana, and Martinique) for the period 2007–2016. These data, published in the form of 16 regional and departmental summaries, provide a comprehensive overview of cancer across all departments in these regions.

Key points:

  • This study has, for the first time, provided regional and departmental incidence estimates for cancers of the stomach, liver, pancreas, kidney, central nervous system, Hodgkin’s lymphoma, and for the category “all cancers.”

  • Incidence and mortality data for 14 cancer sites, published between 2015 and 2016 at the departmental level, have been updated (Men: Lip-mouth-pharynx, esophagus, colon-rectum, larynx, lung, prostate, testis, thyroid, non-Hodgkin’s lymphoma; Women: Lip-mouth-pharynx, colon-rectum, lung, breast, cervix, uterine body, ovary, bladder, thyroid)

  • Each of the 16 reports includes a summary page of the report’s main findings

This study was conducted to meet the needs of the Regional Health Agencies (ARS) regarding epidemiological surveillance data on cancers. Particular attention was paid to interpreting the geographic disparities of each indicator (incidence and mortality) so that the ARSs have operational information tailored to their own region, enabling them to develop public health strategies at the local level (prevention, screening, or healthcare provision). These data will be very useful for hospitals and clinicians who need to adapt healthcare provision to health needs.

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