title: Survival with nonmelanoma skin cancer in Germany.
abstract: BACKGROUND
  Nonmelanoma skin cancer (NMSC) is the most common cancer in Germany, but detailed information on survival is lacking.
  
  
  OBJECTIVE
  To provide survival estimates for female and male patients with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), sarcoma, adenocarcinoma and Merkel cell carcinoma. Further subgroup analyses were carried out by age, tumour stage and body site.
  
  
  METHODS
  In total 459 640 patients diagnosed with NMSC in 1997-2011 were included from population-based cancer registers, covering a population of 33 million inhabitants. Age-standardized absolute and relative 5-year and 10-year survival were calculated using period analysis.
  
  
  RESULTS
  The absolute and relative 5-year survival were 87·1% and 102·9% for BCC, 77·6% and 93·6% for SCC, 82·1% and 96·0% for sarcoma, 71·4% and 85·7% for adenocarcinoma and 60·0% and 70·7% for Merkel cell carcinoma, respectively. Higher age, female sex and advanced stage were associated with lower survival.
  
  
  CONCLUSIONS
  A comprehensive overview of NMSC survival in Germany is provided. The differences between the NMSC subtypes require a more differentiated consideration of patient survival. The survival advantage of patients with BCC may be related to health-promoting factors related to the BCC diagnosis, such as changes to a healthier lifestyle.
authors.affiliation: Institute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Eisemann
authors.affiliation: Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
authors.forename: L
authors.initials: L
authors.lastname: Jansen
authors.affiliation: Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
authors.forename: F A
authors.initials: FA
authors.lastname: Castro
authors.affiliation: Division of Molecular Genetic Epidemiology (C050), German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Chen
authors.affiliation: Cancer Registry of Bremen, Achterstraße 30, 28359, Bremen, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Eberle
authors.affiliation: Cancer Registry of Hamburg, Billstraße 80, 20539, Hamburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Nennecke
authors.affiliation: Cancer Registry of Rhineland-Palatinate, Obere Zahlbacher Straße 69, 55131, Mainz, Germany.
authors.forename: S R
authors.initials: SR
authors.lastname: Zeissig
authors.affiliation: Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.|Division of Preventive Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), INF 460, 69120, Heidelberg, Germany.|German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Brenner
authors.affiliation: Institute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.|Institute of Cancer Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Katalinic
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000401:mortality; D015266:Carcinoma, Merkel Cell / Q000401:mortality; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012509:Sarcoma / Q000401:mortality; D017678:Sex Distribution; D012878:Skin Neoplasms / Q000401:mortality*; D016019:Survival Analysis; D055815:Young Adult