Brooks D R, Klint A, Dickman P W, Ståhle E, Lambe M
Department of Epidemiology, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
Br J Cancer. 2007 Feb 12;96(3):519-22. doi: 10.1038/sj.bjc.6603591. Epub 2007 Jan 23.
We modeled temporal trends in the 1- and 5-year survival of 32 499 patients with adenocarcinoma and squamous cell carcinoma of the lung in the Swedish Cancer Register between 1961 and 2000. The 1-year relative survival for adenocarcinoma improved from 37% for patients diagnosed 1961-1965 to 45% for those diagnosed 1996-2000 and from 39 to 45% for squamous cell carcinoma. The adjusted excess mortality ratios for the period 1996-2000 compared with 1961-1965 were 0.80 for adenocarcinoma and 0.81 for squamous cell carcinoma. Thus, a previous report in a Dutch study of a relatively worsening prognosis for adenocarcinoma over time could not be confirmed.
我们对瑞典癌症登记处1961年至2000年间32499例肺腺癌和肺鳞状细胞癌患者的1年和5年生存率的时间趋势进行了建模。腺癌患者的1年相对生存率从1961 - 1965年诊断的患者的37%提高到1996 - 2000年诊断的患者的45%,鳞状细胞癌患者的这一比例从39%提高到45%。与1961 - 1965年相比,1996 - 2000年期间腺癌的调整后超额死亡率比值为0.80,鳞状细胞癌为0.81。因此,荷兰一项研究中关于腺癌预后随时间相对恶化的先前报告无法得到证实。