Cancer Survival in Adults in Spain : A Population-Based Study of the Spanish Network of Cancer Registries (REDECAN)
Guevara, Marcela (Instituto de Investigación Sanitaria de Navarra)
Molinuevo, Amaia (Biodonostia Osasun Ikerketako Institutura (País Basc))
Salmerón, Diego (Universidad de Murcia. Departamento de Ciencias Sociosanitarias)
Marcos-Gragera, Rafael (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Carulla, Marià (Universitat Rovira i Virgili. Facultat de Medicina i Ciències de la Salut)
Chirlaque, María-Dolores (Murcia Regional Health Council)
Rodríguez Camblor, Marta (Public Health Directorate of Asturias)
Alemán, Araceli (Canary Health Service)
Rojas, Dolores (Canary Health Service)
Vizcaino Batllés, Ana (Generalitat Valenciana)
Chico, Matilde (Health and Social Welfare Authority (Ciutat Real))
Jiménez Chillarón, Rosario (Health and Social Welfare Authority (Conca))
López de Munain, Arantza (Basque Country Health Department)
de Castro, Visitación (Basque Country Health Department)
Sánchez, María-José (Universidad de Granada)
Ramalle-Gómara, Enrique (La Rioja Regional Health Authority)
Franch, Paula (Balearic Islands Public Health Department)
Galceran, Jaume (Universitat Rovira i Virgili)
Ardanaz, Eva (Instituto de Investigación Sanitaria de Navarra)
Universitat Autònoma de Barcelona

Fecha:	2022
Resumen:	The assessment of cancer survival at the population level is essential for monitoring progress in cancer control. We aimed to assess cancer survival and its trends in adults in Spain. Individual records of 601,250 adults with primary cancer diagnosed during 2002-2013 and followed up to 2015 were included from 13 population-based cancer registries. We estimated net survival up to five years after diagnosis and analyzed absolute changes between 2002-2007 and 2008-2013. Estimates were age-standardized. Analyses were performed for 29 cancer groups, by age and sex. Overall, age-standardized five-year net survival was higher in women (61. 7%, 95% CI 61. 4-62. 1%) than in men (55. 3%, 95% CI 55. 0-55. 6%), and ranged by cancer from 7. 2% (pancreas) to 89. 6% (prostate) in men, and from 10. 0% (pancreas) to 93. 1% (thyroid) in women in the last period. Survival declined with age, showing different patterns by cancer. Between both periods, age-standardized five-year net survival increased overall by 3. 3% (95% CI 3. 0-3. 7%) in men and 2. 5% (95% CI 2. 0-3. 0%) in women, and for most cancer groups. Improvements were greater in patients younger than 75 years than in older patients. Chronic myeloid leukemia and myeloma showed the largest increases. Among the most common malignancies, the greatest absolute increases in survival were observed for colon (5. 0%, 95% CI 4. 0-6. 0%) and rectal cancers (4. 5%, 95% CI 3. 2-5. 9%). Survival improved even for some cancers with poor prognosis (pancreas, esophagus, lung, liver, and brain cancer). Further investigation of possible sociodemographic inequalities is warranted. This study contributes to the evaluation of cancer control and health services' effectiveness.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Cancer ; Survival ; Prognosis ; Epidemiology ; Population-based study ; Cancer registries
Publicado en:	Cancers, Vol. 14 Núm. 10 (5-2 2022) , p. 2441, ISSN 2072-6694

DOI: 10.3390/cancers14102441
PMID: 35626046

18 p, 886.7 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP) > Instituto de Investigación contra la Leucemia Josep Carreras
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