1964-2003 年间北欧国家诊断出的呼吸系统癌症患者的生存趋势,随访至 2006 年底。
Trends in the survival of patients diagnosed with cancers in the respiratory system in the Nordic countries 1964-2003 followed up to the end of 2006.
机构信息
Finnish Cancer Registry, Pieni Roobertinkatu 9, Helsinki, Finland.
出版信息
Acta Oncol. 2010 Jun;49(5):608-23. doi: 10.3109/02841860903575281.
BACKGROUND
Previous studies have shown that there have been systematic differences between the Nordic countries in population-based relative survival of patients with respiratory cancer (lung, pleura, larynx, nose and sinuses).
MATERIAL AND METHODS
Relative survival of patients with respiratory cancer diagnosed in the Nordic countries in 1964-2003 and followed up to the end of 2006 was studied and contrasted with developments in incidence and mortality.
RESULTS
For cancer of the lung, relative survival is lower in Danish patients than in the other countries during the first months of follow-up after diagnosis. For cancer of pleura, the relative survival ratios indicate that there may be problems in the official coding of the causes of death in Denmark, Norway and Sweden. There has been little improvement in survival of patients with cancer of the respiratory organs in the Nordic countries over time.
CONCLUSIONS
The slightly lower survival of Danish lung cancer patients may be related to a less favourable stage distribution and to an increased prevalence of causal factors, affecting the mortality due to competing risks of death. A reclassification of official causes of death at the cancer registry may be needed for cancer of the pleura in order to make the corresponding mortality rates comparable between countries.
背景
先前的研究表明,在基于人群的呼吸癌(肺、胸膜、喉、鼻和鼻窦)患者的相对存活率方面,北欧国家之间存在系统性差异。
材料和方法
研究了 1964 年至 2003 年在北欧国家诊断并随访至 2006 年底的呼吸癌患者的相对存活率,并与发病率和死亡率的变化进行了对比。
结果
在诊断后随访的最初几个月,丹麦患者的肺癌相对存活率低于其他国家。对于胸膜癌,相对存活率表明丹麦、挪威和瑞典在死因官方编码方面可能存在问题。随着时间的推移,北欧国家呼吸器官癌患者的生存率几乎没有提高。
结论
丹麦肺癌患者的生存率略低可能与较差的分期分布以及因果因素的增加有关,这些因素影响了因竞争死亡风险导致的死亡率。为了使各国之间的相应死亡率具有可比性,可能需要对癌症登记处的官方死因进行重新分类。