Health Statistics Division, Statistics Canada, Ottawa, Ontario.
Health Rep. 2018 Sep 19;29(9):10-18.
BACKGROUND: Monitoring the progress of cancer survival in a population over time is an important part of cancer surveillance. DATA AND METHODS: Data are from the Canadian Cancer Registry with mortality follow-up through record linkage to the Canadian Vital Statistics Death Database and tax files. Net survival (NS) was derived using the Pohar Perme method. Predicted estimates of NS for the period from 2012 to 2014 were calculated using the period method. Age-standardized and age-specific changes in five-year NS between the periods from 1992 to 1994 and 2012 to 2014 were determined for 30 individual cancers. RESULTS: Predicted five-year NS for 2012 to 2014 ranged from 98% for thyroid cancer to 7% for mesothelioma. Between 1992 to 1994 and 2012 to 2014, improvements in five-year age standardized NS were greatest for chronic myeloid leukemia (23.9 percentage points), though a large majority of the increase occurred in the first decade. Increases exceeding 15.0 percentage points were also observed for non-Hodgkin lymphoma (19.5), cancer of the small intestine (17.4) and multiple myeloma (16.9). In contrast, little to no improvement was observed for cancers of the anus, larynx, soft tissue or uterus, or for mesothelioma. Increases in five-year NS were greatest for chronic myeloid leukemia in each age group with the exception of those aged 75 to 84 years (thyroid). DISCUSSION: This study reveals important areas of progress in cancer outcomes in Canada since the early 1990s. It also sheds light on cancers for which there has seemingly been no improvement in five-year net survival over a 20-year period.
背景:监测人群中癌症生存状况的进展是癌症监测的重要组成部分。
数据和方法:数据来自加拿大癌症登记处,通过与加拿大生命统计死亡数据库和税务档案的记录链接进行死亡率随访。使用 Pohar Perme 方法得出净生存率 (NS)。使用期间法计算 2012 年至 2014 年期间 NS 的预测估计值。确定了 30 种个别癌症在 1992 年至 1994 年和 2012 年至 2014 年期间,五年 NS 的年龄标准化和年龄特异性变化。
结果:预测 2012 年至 2014 年的五年 NS 范围从甲状腺癌的 98%到间皮瘤的 7%。在 1992 年至 1994 年和 2012 年至 2014 年之间,慢性髓性白血病的五年年龄标准化 NS 改善最大(23.9 个百分点),尽管大部分改善发生在第一个十年。非霍奇金淋巴瘤(19.5)、小肠癌(17.4)和多发性骨髓瘤(16.9)的增加也超过了 15.0 个百分点。相比之下,肛门癌、喉癌、软组织癌或子宫癌以及间皮瘤的改善微乎其微。除了 75 至 84 岁年龄组(甲状腺)外,慢性髓性白血病的五年 NS 增加在每个年龄组都最大。
讨论:本研究揭示了自 20 世纪 90 年代初以来加拿大癌症结局的重要进展领域。它还揭示了在 20 年期间,五年净生存率似乎没有改善的癌症。
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