Does anything in this study confirm that personalized treatment or any cancer treatment is moving the needle? The minor decrease in overall cancer rate seems to

Does anything in this study confirm that personalized treatment or any cancer treatment is moving the needle? The minor decrease in overall cancer rate seems to be driven by fewer diagnoses rather than increased survival, at least for lung cancer, which is the single biggest change. Skin cancer death rate is lower and that does coincide with the one major technological advancement against cancer that has happened in decades: immune checkpoint inhibitors. Immune checkpoint inhibitors are not very personalized. In general personalized corresponds to a focus on cancer genetics and has had an extremely disappointing outcome (helps a few percent of people a lot or helps more just a little) compared to what was hoped for.