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1978 - 1994年意大利儿童癌症的生存趋势:来自意大利癌症登记处的首份报告

Survival trends of childhood cancer during the period 1978-1994 in Italy: a first report from the Italian cancer registries.

作者信息

Pannelli F, Mosciatti P, Felici L, Magnani C, Pascucci C, Pastore G

机构信息

Registro dei Tumori Infantili delle Marche, Dipartimento di scienze igienistiche e sanitarie-ambientali, Università degli studi di Camerino.

出版信息

Epidemiol Prev. 2001;25(3 Suppl):354-75.

Abstract

This article shows the survival trends of childhood cancers diagnosed from 1978 to 1994 in Italy. A first analysis presents a survival increase for all the diagnostic categories and in both sexes, with the exception of Hodgkin's disease, for which five-year survival is stable at 97%. The results of this analysis show that five-year survival changes from 54% to 72% for all cancers, from 56% to 70% for non Hodgkin's lymphomas, from 53% to 64% for central nervous system tumours, from 59% to 78% for acute lymphatic leukaemia, from 18% to 42% for acute non lymphatic leukaemia, from 30% to 62% for neuroblastoma and from 33% to 71% for malignant bone tumours. Concerning international comparisons, the overall Italian rates and their increases are very similar to the USA ones. Instead, if we consider a comparison between survival trends in Italy and survival trends observed in some European countries, like Great Britain, Slovakia and Denmark, it is evident that in Italy there is a faster improvement of prognosis for almost all diagnostic categories.

摘要

本文展示了1978年至1994年在意大利诊断出的儿童癌症的生存趋势。首次分析显示,除霍奇金病外,所有诊断类别和男女两性的生存率均有所提高,霍奇金病的五年生存率稳定在97%。该分析结果表明,所有癌症的五年生存率从54%升至72%,非霍奇金淋巴瘤从56%升至70%,中枢神经系统肿瘤从53%升至64%,急性淋巴细胞白血病从59%升至78%,急性非淋巴细胞白血病从18%升至42%,神经母细胞瘤从30%升至62%,恶性骨肿瘤从33%升至71%。关于国际比较,意大利的总体比率及其增长与美国的非常相似。相反,如果我们考虑意大利的生存趋势与在一些欧洲国家(如英国、斯洛伐克和丹麦)观察到的生存趋势之间的比较,很明显,在意大利,几乎所有诊断类别的预后改善都更快。

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