title: Incidence of chronic myeloid leukemia and patient survival: results of five French population-based cancer registries 1980-2009.
abstract: The treatment of chronic myeloid leukemia (CML) has seen several major advances over the past 30 years, notably with the introduction of interferon followed by Bcr-Abl tyrosine kinase inhibitors. We analyzed trends in the incidence of CML and patient survival in France. All cases recorded in five population-based registries between 1980 and 2009 were included. European (ESR) and world (WSR) standardized incidence rates as well as relative survival (RS) rates were estimated. We analyzed data for 781 patients (9863/3: 13.6%; 9875/3: 82.2%; 9876/3: 4.2%). ESR was 1.02 [95% confidence interval (CI) = 0.93-1.11] and WSR was 0.81 [95% CI = 0.72-0.90]. The five RS rates among patients with Philadelphia chromosome positive (Ph+) CML were 43.7% [30.9-61.9] when diagnosed in 1980-1986, 63.8% [56.9-71.5] in 1987-1999 and 88.7% [84.5-93.0] in 2000-2009. The 8-year RS rate of patients with Ph+ CML diagnosed in 2000-2009 was 83.3% [77.5-89.4]. Therapeutic innovations have thus led to a significant increase in long-term survival in the general CML patient-population.
authors.affiliation: Service d'hématologie et de thérapie cellulaire , CHU de Limoges , France.
authors.forename: Amélie
authors.initials: A
authors.lastname: Penot
authors.forename: Pierre-Marie
authors.initials: PM
authors.lastname: Preux
authors.forename: Sandra
authors.initials: S
authors.lastname: Le Guyader
authors.forename: Albert
authors.initials: A
authors.lastname: Collignon
authors.forename: Aurélie
authors.initials: A
authors.lastname: Herry
authors.forename: Vinciane
authors.initials: V
authors.lastname: Dufour
authors.forename: Alain
authors.initials: A
authors.lastname: Monnereau
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Woronoff
authors.forename: Xavier
authors.initials: X
authors.lastname: Troussard
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Pons
authors.forename: Dominique
authors.initials: D
authors.lastname: Bordessoule
authors.forename: Marc
authors.initials: M
authors.lastname: Maynadié
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods*; D012042:Registries / Q000706:statistics & numerical data*; D016019:Survival Analysis; D055815:Young Adult
keywords: Chronic myeloid leukemia; incidence; population-based registries; relative survival