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5% of Americans are Cancer Survivors - and They're Living Longer

Slashdot
4 months 1 week ago
"The U.S. is currently home to more than 18 million cancer survivors," reports the Wall Street Journal, "over 5% of the total population" (including those who are living with the disease). Their article tells the story of Gwen Orilio, who was diagnosed with stage-four lung cancer at age 31. Ten years later she's still alive — and she still has metastatic cancer... Keeping her going is a string of new treatments that don't cure the disease but can buy months — even years — of time, with the hope that once one drug stops working a new one will come along. Orilio started on chemotherapy, and then switched to a new treatment, and then another, and another, and another... A small but growing population is living longer with incurable or advanced cancer, navigating the rest of their lives with a disease increasingly akin to a chronic illness. The trend, which started in breast cancer, has expanded to patients with melanoma, kidney cancer, lung cancer and others. The new drugs can add years to a life, even for some diagnoses like Orilio's that were once swift death sentences. They also put people in a state of limbo, living on a knife's edge waiting for the next scan to say a drug has stopped working and doctors need to find a new one. The wide range of survival times has made it more difficult for cancer doctors to predict how much time a patient might have left. For most, the options eventually run out.... More than 690,000 people were projected to be living with stage-four or metastatic disease of the six most common cancers — melanoma, breast, bladder, colorectal, prostate or lung cancer — in 2025, according to a 2022 report from the National Cancer Institute. That's an increase from 623,000 in 2018 and a significant rise since 1990, the report found... Nearly 30% of survivors diagnosed with metastatic melanoma and 20% of those diagnosed with metastatic colorectal or breast cancer had been living with their disease for a decade or more, the NCI paper estimated... Even for lung cancer, the biggest U.S. cancer killer, the five-year relative survival rate for advanced disease has inched up, from 3.7% for patients diagnosed in 2004 to 9.2% for patients diagnosed in 2017, federal data show. The overall lung cancer survival rate has risen by 26% in the past five years, according to the American Lung Association, as declining cigarette use, screening and new drugs have driven down deaths. The expanding number of therapies that target a cancer's mutations or boost the immune system are improving the outlook for several cancers. In breast cancer, treatment for metastatic disease accounted for 29% of the drop in deaths between 1975 and 2019, according to one 2024 estimate, with screening and treatment for early-stage disease accounting for the rest. The number of American cancer survivors (or those living with cancer) is expected to grow to 26 million by 2040," the article points out.

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