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Annals of Oncology Advance Access published online on April 22, 2005

Annals of Oncology, doi:10.1093/annonc/mdi186
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© 2005 European Society for Medical Oncology
Received November 11, 2004
Accepted January 12, 2005

Original article

Long-term survival of cancer patients in Germany achieved by the beginning of the third millenium

H. Brenner 1*, C. Stegmaier 2, and H. Ziegler 2

1 German Centre for Research on Ageing, Heidelberg, Germany;
2 Saarland Cancer Registry, Saarbrücken, Germany

* To whom correspondence should be addressed.
H. Brenner, E-mail: Brenner{at}dzfa.uni-heidelberg.de


   Abstract

Background: Over the last decades, long-term survival rates have substantially increased for many forms of cancer. However, these improvements have often been detected with substantial delay by traditional methods of survival analyses.

Patients and methods: Using data of the population-based Saarland Cancer Registry, 5- and 10-year relative survival rates were derived for patients with 24 common forms of cancer in Saarland/Germany for the years 2000-2002 by period analysis and compared with conventional cohort estimates of 5- and 10-year relative survival rates pertaining to patients diagnosed in 1990-1992.

Results: For many forms of cancer, the 2000-2002 period survival estimates were substantially higher than the corresponding estimates for the cohorts of patients diagnosed in 1990-1992. For example, 10-year relative survival rates achieved in 2000-2002 were close to 100% for patients with testis and thyroid cancer, >85% for patients with melanomas of the skin, ~80% for patients with endometrial cancer and prostate cancer, close to 70% for patients with breast cancer and kidney cancer, and close to 60% for patients with colon cancer and lymphomas.

Conclusions: Survival expectations of patients diagnosed with cancer at the beginning of the third millenium are substantially higher than previously available survival statistics have suggested.

Keywords: cancer registries; period analysis; prognosis; survival analysis.
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