| 1. |
- Eliasson, Mats, et al.
(författare)
-
Improved survival in both men and women with diabetes between 1980 and 2004--a cohort study in Sweden.
- 2008
-
Ingår i: Cardiovascular Diabetology. - : Springer Science and Business Media LLC. - 1475-2840. ; 7, s. 32-
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In Sweden, diabetes prevalence is increasing in spite of unchanged incidence, indicating improved survival. In recent US studies mortality in diabetic subjects has decreased over three decades, but only in men. Our aim was to study mortality over time in diabetic subjects. METHODS: The annual Swedish Living Conditions Survey from 1980 to 2004 has been record-linked to the Cause of Death Register in order to study trends in mortality risk for those reporting diabetes as a chronic illness. Survival and the relative mortality risk within 5 years of follow-up have been calculated for a random sample of men and women aged 40-84 years with (n = 3,589) and without diabetes (n = 85,685) for the period 1980 to 2004. Poisson regression models were used. RESULTS: The age-adjusted mortality risk relative to non-diabetics within 5 years of follow-up for men was doubled during all periods. The relative risk for women was initially about 2.5, with a substantial drop in mortality in 1995-1999 to 1.45 although it increased to 1.90 in the last period. Using models that took into consideration the presence of heart disease, hypertension, daily smoking, and socio-economic status at the initial interview did not change the relative mortality risk. The age-adjusted 10-year observed survival rate for men with diabetes increased from 41.4% 1980-1984 to 51.5% in 1995-1999. The observed survival for women increased from 43.7% to 61.0%. CONCLUSION: Survival rates have improved in subjects with diabetes since the early 1980s, more so in women than in men, thereby decreasing the gap to non-diabetic women.
|
|
| 2. |
- Barlow, Lotti, et al.
(författare)
-
The completeness of the Swedish Cancer Register : a sample survey for year 1998
- 2009
-
Ingår i: Acta Oncologica. - : Informa UK Limited. - 0284-186X .- 1651-226X. ; 48:1, s. 27-33
-
Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The Swedish Cancer Register (SCR) is used extensively for monitoring cancer incidence and survival and for research purposes. Completeness and reliability of cancer registration are thus of great importance for all types of use of the cancer register. The aim of the study was to estimate the overall coverage of malignant cancer cases in 1998 and to reveal possible reasons behind non-reporting. METHODS: We selected all malignant cancer cases in the Hospital Discharge Register (HDR) from 1998 and compared these records to those reported to the SCR. There were 43,761 discharges for 42,010 individuals of whom 3,429 individuals were not recorded in the SCR. From these 3 429 records we randomly selected 202 patients for review of their medical records to determine whether they should have been registered on the SCR as incident cases in 1998. RESULTS: About half of the 202 cases (93 malignant and 8 benign) should have been reported, which translates into an additional 1 579 malignant cases (95% CI 1 349-1 808), or 3.7% of the cases reported in 1998. The crude incidence rate for males and females combined would increase from 493 per 100,000 to 511 (95% CI 508-514) if these cases were taken into account. CONCLUSION: The overall completeness of the SCR is high and comparable to other high quality registers in Northern Europe. For most uses in epidemiological or public health surveillance, the underreporting will be without major impact. However, for specific research questions our findings have implications, as the degree of underreporting is site specific, increases with age, and does not seem to be random, as diagnoses without histology or cytology verification are overrepresented. An annual comparison of the SCR against the HDR could point to hospitals, geographic areas or specific diagnoses where organizational and administrative changes should be introduced to improve reporting.
|
|
| 3. |
- Klint, Åsa, et al.
(författare)
-
Rapportering till Cancerregistret kan förbättras
- 2009
-
Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 106:11, s. 752-3
-
Tidskriftsartikel (refereegranskat)abstract
- En studie som nyligen publicerades i Acta Oncologica pekar på brister i rapporteringen till Cancerregistret. Studien visar att fall av exempelvis hjärntumörer, lymfom och leukemier inte rapporteras till Cancerregistret i samma utsträckning som bröstcancer och urologiska cancerformer. Underrapporteringen varierar med bland annat typ av vårdinrättning och patientens kön och ålder. Artikeln identifierar problemområden som behöver åtgärdas för att förbättra täckningsgraden i Cancerregistret. Detaljer om uppgiftsskyldigheten till Cancerregistret finns i Socialstyrelsens föreskrift SOSFS 2006:15 (M).
|
|
