Dickman P W, Hakulinen T, Luostarinen T, Pukkala E, Sankila R, Söderman B, Teppo L
Finnish Cancer Registry, Helsinki.
Acta Oncol. 1999;38 Suppl 12:1-103. doi: 10.1080/028418699432996.
The study of survival of cancer patients is essential for monitoring the effectiveness of cancer control. The previous monograph describing cancer patient survival in Finland was published by the Finnish Cancer Registry in 1981 and covered patients diagnosed in 1953-1974. This new supplement assesses cancer patient survival up to the year 1995.
The study includes over 560000 tumours registered at the Finnish Cancer Registry with a date of diagnosis between 1955 and 1994. Patients were followed up to the end of 1995. Trends in relative survival rates are studied over four 10-year diagnostic periods from 1955 to 1994. In addition, detailed results are presented for patients diagnosed during 1985-1994, including relative survival rates tabulated by stage, sex, and age. Additional sections describe differences in cancer patient survival according to social class and region of residence and a comparison of cancer patient survival in Finland to other European countries.
Patient survival improved over time for almost all anatomical sites. The main exception is in cancer of the cervix uteri, where patient survival has decreased slightly from 1965-1974 to 1985-1994 due to the selective prevention of less aggressive tumours through cytologic screening. Very few differences in patient survival are observed between males and females. A substantial improvement in survival can be seen for childhood cancers.
The increasing survival rates reflect improvements that have taken place in various areas of cancer control, from health education and early diagnosis to treatment and aftercare. This study provides valuable reference information for both clinicians and health administrators, as well as a baseline for more detailed studies of patient survival for individual anatomical sites.
癌症患者生存率的研究对于监测癌症控制效果至关重要。芬兰癌症登记处曾于1981年出版过一部描述芬兰癌症患者生存率的专著，涵盖了1953年至1974年诊断的患者。本新补编评估了截至1995年的癌症患者生存率。
该研究纳入了芬兰癌症登记处登记的超过560000例肿瘤病例，诊断日期在1955年至1994年之间。对患者随访至1995年底。研究了1955年至1994年四个10年诊断期内相对生存率的趋势。此外，还给出了1985年至1994年诊断患者的详细结果，包括按分期、性别和年龄列出的相对生存率。其他部分描述了根据社会阶层和居住地区划分的癌症患者生存率差异，以及芬兰癌症患者生存率与其他欧洲国家的比较。
几乎所有解剖部位的患者生存率都随时间有所提高。主要例外是子宫颈癌，由于通过细胞学筛查选择性预防了侵袭性较小的肿瘤，从1965 - 1974年到1985 - 1994年患者生存率略有下降。男性和女性之间观察到的患者生存率差异非常小。儿童癌症的生存率有显著提高。
生存率的提高反映了癌症控制各个领域所取得的进步，从健康教育、早期诊断到治疗和后续护理。本研究为临床医生和卫生管理人员提供了有价值的参考信息，也为针对各个解剖部位患者生存率的更详细研究提供了基线。
