Cancer Survival: An International Comparison of Outcomes

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Report Type	Reports and Testimonies
Report Date	March 7, 1994
Report No.	PEMD-94-5
Subject	Colon cancer Comparative analysis Foreign governments Health statistics Health surveys Patient care services Quality of care NCI Surveillance, Epidemiology, and End Results Program Ontario (Canada) Cancer research Cancer Attrition rates

Summary:

In comparing U.S. and Canadian survival rates for lung cancer, colon cancer, Hodgkin's disease, and breast cancer, GAO found that breast cancer patients lived longer after diagnosis in the United States than in Canada. The outcomes were mixed for the other types of cancer studied. Nine to 10 years after cancer was detected, the survival rates for U.S. patients were indistinguishable from (in the cases of cases of colon cancer and Hodgkin's disease) or lower (in the case of lung cancer) than survival rates in Canada. One possible interpretation of these findings is that quality of care for breast cancer patients is better in the United States than in Canada and that for the three other cancers it is about the same. Other interpretations focus on differences in detection.

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Cancer Survival: An International Comparison of Outcomes