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Sökning: WFRF:(Marrett L) > (2011) > Cancer survival in ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004508naa a2200565 4500
001oai:DiVA.org:uu-160076
003SwePub
008111014s2011 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:121949999
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1600762 URI
024a https://doi.org/10.1016/S0140-6736(10)62231-32 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1219499992 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Coleman, M P4 aut
2451 0a Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995-2007 (the International Cancer Benchmarking Partnership) :b an analysis of population-based cancer registry data
264 1c 2011
338 a print2 rdacarrier
500 a Fredrik Wärnberg (Institutionen för kirurgiska vetenskaper, Endokrinkirurgi, Endocrine Surgery, Uppsala University Hospital) contributed the study.
520 a BACKGROUND: Cancer survival is a key measure of the effectiveness of health-care systems. Persistent regional and international differences in survival represent many avoidable deaths. Differences in survival have prompted or guided cancer control strategies. This is the first study in a programme to investigate international survival disparities, with the aim of informing health policy to raise standards and reduce inequalities in survival. METHODS: Data from population-based cancer registries in 12 jurisdictions in six countries were provided for 2·4 million adults diagnosed with primary colorectal, lung, breast (women), or ovarian cancer during 1995-2007, with follow-up to Dec 31, 2007. Data quality control and analyses were done centrally with a common protocol, overseen by external experts. We estimated 1-year and 5-year relative survival, constructing 252 complete life tables to control for background mortality by age, sex, and calendar year. We report age-specific and age-standardised relative survival at 1 and 5 years, and 5-year survival conditional on survival to the first anniversary of diagnosis. We also examined incidence and mortality trends during 1985-2005. FINDINGS: Relative survival improved during 1995-2007 for all four cancers in all jurisdictions. Survival was persistently higher in Australia, Canada, and Sweden, intermediate in Norway, and lower in Denmark, England, Northern Ireland, and Wales, particularly in the first year after diagnosis and for patients aged 65 years and older. International differences narrowed at all ages for breast cancer, from about 9% to 5% at 1 year and from about 14% to 8% at 5 years, but less or not at all for the other cancers. For colorectal cancer, the international range narrowed only for patients aged 65 years and older, by 2-6% at 1 year and by 2-3% at 5 years. INTERPRETATION: Up-to-date survival trends show increases but persistent differences between countries. Trends in cancer incidence and mortality are broadly consistent with these trends in survival. Data quality and changes in classification are not likely explanations. The patterns are consistent with later diagnosis or differences in treatment, particularly in Denmark and the UK, and in patients aged 65 years and older. FUNDING: Department of Health, England; and Cancer Research UK.
700a Forman, D4 aut
700a Bryant, H4 aut
700a Butler, J4 aut
700a Rachet, B4 aut
700a Maringe, C4 aut
700a Nur, U4 aut
700a Tracey, E4 aut
700a Coory, M4 aut
700a Hatcher, J4 aut
700a McGahan, C E4 aut
700a Turner, D4 aut
700a Marrett, Lu Karolinska Institutet4 aut
700a Gjerstorff, M L4 aut
700a Johannesen, T B4 aut
700a Adolfsson, Ju Karolinska Institutet4 aut
700a Lambe, M4 aut
700a Lawrence, G4 aut
700a Meechan, D4 aut
700a Morris, E J4 aut
700a Middleton, R4 aut
700a Steward, J4 aut
700a Richards, M A4 aut
710a Karolinska Institutet4 org
773t The Lancetg 377:9760, s. 127-138q 377:9760<127-138x 0140-6736x 1474-547X
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-160076
8564 8u https://doi.org/10.1016/S0140-6736(10)62231-3
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:121949999

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