National Disease Registration Service: Staging data in England

Staging data in England

The flow diagram below illustrates how the data tabs within this staging output fit together. All registrations are used throughout this staging output, and the different categories of data are described here. The legend highlights which tab the flowchart boxes refer to.

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Percentage of stageable cancers diagnosed at stage 1 and 2 in England, by Cancer Alliance


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This page shows the percentage of all staged, stageable malignant cancers (excluding non-melanoma skin cancer) diagnosed at stages 1 and 2 in England in 2013-2019. Results are presented by Cancer Alliance and diagnosis quarter. The definitions are available in the information tab.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).

Plot

Selecting the 'Plot' tab displays a graph of the yearly rolling average of the percentage of cancers diagnosed at stages 1 and 2 out of all stageable cancers diagnosed at stages 1, 2, 3 and 4 This data is presented for each year and quarter. Either the calendar year or financial year can be selected for reporting. The financial year starts in April and ends in March i.e. FY2013-Q4 is Jan-Mar 2014.

The yearly rolling average is displayed at Cancer Alliance level. Select the Cancer Alliance of interest, or England, from the drop-down menu. The second drop-down box allows you to select another Cancer Alliance, or England, to display for comparison.

The tick box labelled 'Display data using financial years' shows the data by financial year and quarter, instead of by calendar year and quarter.

The tick box labelled 'Display Confidence Intervals' shows 95% confidence intervals with a thin dashed line.

Hover over the plot for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.


Table

The 'Table' tab displays a table of the number of cancers diagnosed at stages 1 and 2, the number of staged, stageable malignant cancers (stages 1, 2, 3 and 4) and yearly rolling average of the percentage of stageable cancers diagnosed at stage 1 and 2, with 95% confidence intervals. Select the Cancer Alliance of interest, or England, from the drop-down menu. Only data for one Cancer Alliance displays at a time.


Data

The 'Download the data' button downloads a CSV file of all data in this tab.


LCI - 95% Lower confidence intervals, UCI - 95% Upper confidence intervals

Case-mix adjusted (CMA) percentage of cancers diagnosed at stage 1 and 2 in England, by Clinical Commissioning Group (CCG)


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This page shows the case-mix adjusted percentage of cancers diagnosed at stage 1 and 2, for twenty-one malignant cancers in England in 2013-2018 by CCG. The case-mix adjustment is for cancer site, age at diagnosis, sex and deprivation. Technical details of the methodology used is available here and a further explanation is on the information tab.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).

Plot

Selecting the 'Plot' tab displays a graph of the case-mix adjusted percentage of cancers diagnosed at stage 1 and 2 out of all staged cancers for the twenty-one cancer sites. Select the CCG of interest from the drop-down menu. The graph displays case-mix adjusted percentages for 3-year periods combined by default. Select the tick box labelled 'Display 1-year data' to view 1-year period.

The points on the graph are RAG (Red Amber Green) rated by reliability score. Reliability indicates how robust the performance measure is. The possible range lies between 0 and 1, with values closer to 1 indicating higher reliability. Low reliability indicates that chance due to small numbers having an unduly high influence on the performance measure. Reliability above 0.7 is considered sufficient, therefore these values are coloured green.

The tick box labelled 'Display Confidence Intervals' shows 95% confidence intervals with a thin dashed line.

The tick box labelled 'Display data for England' displays a line for the case-mix adjusted percentage for England, as a comparator.

Hover over the plot for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.


Table

The 'Table' tab displays: the case-mix adjusted percentage of cancers diagnosed at stages 1 and 2, with corresponding 95% confidence intervals; the unadjusted percentage; the corresponding reliability score (with a RAG rated colour applied). Reliability indicates how robust the performance measure is. The case-mix adjusted percentage values with a corresponding reliability score less than 0.7 are marked *.

The table displays estimates for 3-year periods combined by default. Select the tick box 'Display 1-year data' to view 1-year period.

A second table containing data for England is displayed below. The CMA percentages for England do not have reliability scores. Select the tick box 'Remove data for England' to remove this table.


Data

The 'Download the data' button downloads a CSV file of the data in this tab.


CMA - Case-mix adjusted, LCI - 95% Lower confidence intervals, UCI - 95% Upper confidence intervals



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This page presents the percentage of cancers staged in each CCG, STP or CA by cancer site and year of diagnosis. The sites included in the case-mix adjusted percentage are presented separately, with the remaining sites included in the 75% ambition percentage included in 'Other'.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).

Geography type

Select the geography type in the first drop-down box (Clinical Commissioning Group (CCG), Sustainability and Transformation Partnership (STP), Cancer Alliance (CA) or England), and your CCG, STP or CA of interest in the second drop-down box.


Plot

Selecting the 'Plot' tab displays a stacked bar chart of the percentage of cancers diagnosed of all staged cancers by stage group and cancer site. Select the geography and year of interest from the drop-down boxes.

Percentage staged by year

Selecting the 'Percentage staged by year' tab displays a graph of the time trend of the percentage of staged cancers of all cancers diagnosed (i.e. stage 1, 2, 3 and 4 / stage 1, 2, 3, 4, missing stage and unstageable) between 2013 and 2018 in the geography selected. Select the cancer site of interest from the third drop-down box. The red line shows the percentage stage completeness for England.

The tick box labelled 'Display Confidence Intervals' shows 95% confidence intervals with a thin dashed line.

Percentage staged by site

Selecting the 'Percentage staged' tab displays a graph of the percentage of staged cancers of all cancers diagnosed (i.e. stage 1, 2, 3 and 4 / stage 1, 2, 3, 4, missing stage and unstageable) by site. Therefore, unknown stage is both unstageable and missing stage. Select the geography, and year of interest, from the drop-down boxes.


Hover over the plot for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.


Table

The table displays CCG data as a default. Select STP, CA or England as the geography of interest using the first two drop-down boxes. Select the year of interest from the third drop-down box. Only data for one CCG, STP or CA, and one year, displays at a time.

The 'Display totals' button displays the total number of cancers for each geography, year and stage to be viewed for the current selections. The totals are displayed as an additional row and column.


Data

The 'Download the data' button downloads a CSV file of the data in this tab. In the download, NA means 0.






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This page presents the percentage of cancers diagnosed by stage for each level of deprivation using the income domain of the IMD (Indices of Multiple Deprivation) by cancer site and year of diagnosis. Cancers with a known stage (stage 1 - 4) are included. The sites included in the case-mix adjusted percentage are presented separately, with the remaining sites included in the 75% ambition percentage included in 'Other'.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).

Plot

Select the 'Plot' tab to display a graph of the percentage of cancers diagnosed at each stage and deprivation. Select the cancer site and year of interest from the drop-down menus. Only data for one cancer site and one year displays at a time.

The 'Flip the graph' button displays a graph of deprivation within stage rather than stage within deprivation.


Time trend

Select the 'Time trend' tab to display a graph of the time trend for the percentage of cancers diagnosed at stage 1 and 2 out of all staged cancers, by deprivation. Select the cancer site from the drop-down menu. Only data for only one cancer site displays at a time.


Hover over the plots for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.

Table

The number of cancers diagnosed in each stage group by site, year and deprivation is displayed according to the drop-down selections of cancer site and year.

The 'Display totals' button displays the total number of cancers for each cancer site, year, deprivation and stage to be viewed for the current selections. The totals are displayed as an additional row and column.


Data

The 'Download the data' button downloads a CSV file of the data presented in this tab.



Completeness of registration and stage, 2001-2018


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This page presents the completeness of staging data between 2001 and 2018. All registered cancers are included, and information on their staging data is included. The cancers are categorised into: data quality issues, non-invasive but registrable, non-melanoma skin cancer, unstageable, malignant but missing stage and malignant staged. The definitions are available in the information tab.


How to use this graph

The bar graph shows the numbers of cancers diagnosed each year by the staging data categories.

Select the tick box 'Display 100% stacked bar chart' to display this data as a 100% stacked bar chart.

Hover over the plots for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.


Data

The 'Download the data' button downloads a CSV file of the data presented in this tab.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).
Download the summary



The summary make take a few moments to download before it appears.

Hover over the plots for information about the data points. To zoom in on or out of the graph, click the plus or minus symbols at the top or draw a box within the graph to zoom in on that area. Click on the cross ('Pan') symbol to move around the graph. Reset the axes using the house symbol. Remove a line by clicking on the legend, double click to isolate a line and click once more to remove these selections. Click on the camera symbol to save the plot as a PNG file.


This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Disease Registration Service, which is part of Public Health England (PHE).