Updating long-term childhood cancer survival trend with period and mixed analysis: Good news from population-based estimates in Italy

被引:10
作者
Zuccolo, Luisa [1 ]
Dama, Elisa
Maule, Milena Maria
Pastore, Guido
Merletti, Franco
Magnani, Corrado
机构
[1] S Giovanni Hosp, CPO Piemonte, CeRMS, Canc Epidemiol Unit,Childhood Canc Registry Piedm, Turin, Italy
[2] Univ Turin, Turin, Italy
[3] Univ Bristol, Dept Social Med, Bristol, Avon, England
[4] Univ Piemonte Orientale, Dept Med Sci, Div Pediat, Novara, Italy
[5] S Giovanni Hosp, CPO Piemonte, Unit Med Stat & Epidemiol, Turin, Italy
关键词
childhood neoplasms; leukaemia; central nervous system neoplasms; survival analysis; cancer registries; population-based studies; statistical methods;
D O I
10.1016/j.ejca.2005.08.046
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
An empirical evaluation of long-term period survival analysis was performed using data from the Childhood Cancer Registry of Piedmont, Italy. The aim was to update survival time trends and provide 25-year projections for children currently diagnosed with cancer. The observed survival experiences up to 15 years after diagnosis of five quinquennial cohorts (cohort analysis) were compared to the corresponding estimates obtained by period analysis. The two methods generally produced very similar findings, although period analysis estimates were slightly lower than those obtained from cohort analysis. We then used mixed analysis to assess time trends in long-term. survival. This showed that the probability of surviving 25 years after a cancer in childhood has more than doubled compared to cohort analysis estimates from patients diagnosed more than 25 years ago (73% vs. 32%), providing further evidence of an ongoing improvement in prognosis. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1135 / 1142
页数:8
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