title: Trends in net survival from cervical cancer in six European Latin countries: results from the SUDCAN population-based study.
abstract: Cancer survival is a key measure of the effectiveness of a healthcare system. As differences in healthcare systems are present among European Latin countries, it is of interest to look specifically at their similarities and differences in terms of cancer survival. Incident cases were extracted from the EUROCARE-V database for France, Italy, Spain, Switzerland, Portugal, and Belgium. One and 5-year net survivals (NS) were calculated for the period 2000-2004 using the Pohar-Perme estimator. Trends in NS over the 1992-2004 period and changes in the pattern of cancer excess mortality rate until 5 years after diagnosis were examined using a multivariate excess mortality rate model. There were moderate differences in age-standardized NS between countries (5-year NS range: 83-88%), but significant differences in the age groups 15-54 and 55-74 years (at 5 years up to +16 and +18% between any two countries). During the study period, excess mortality and NS improved in Italy, Spain, and Portugal. In Italy and Portugal, this improvement was slightly similar at ages 40, 55, and 70 whereas, in Spain, there was a sharp increase in NS at age 55. Because of this improvement, excess mortality and NS were similar in all six countries in 2004. Excess mortality peaked around 1 year after diagnosis in the youngest ages, but decreased gradually in the elderly. Detailed analyses showed differences in excess mortality and NS from cervical cancer between European Latin countries. However, these differences decreased over the study period because of the considerable improvement in Spain, Italy, and Portugal.
authors.affiliation: aBelgian Cancer Registry, rue Royale, Brussels, Belgium bDepartment of Biostatistics, University Hospital of Lyon cCNRS, UMR 5558, Biometry and Evolutionary Biology Laboratory (LBBE), BioMaths-Health Department, Villeurbanne dUniversity of Lyon 1, Lyon, France eRegional Oncology Registry of the Centre, Portuguese Oncology Institute of Coimbra fDoubs and Belfort Territory Cancer Registry, EA3181, University Hospital of Besançon, Besançon gVeneto Tumour Registry, Veneto Region, Padua, Italy.
authors.forename: Annemie
authors.initials: A
authors.lastname: Haelens
authors.forename: Laurent
authors.initials: L
authors.lastname: Roche
authors.forename: Joana
authors.initials: J
authors.lastname: Bastos
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Woronoff
authors.forename: Manuel
authors.initials: M
authors.lastname: Zorzi
authors.forename: Julie
authors.initials: J
authors.lastname: Francart
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001530:Belgium / Q000453:epidemiology; D016208:Databases, Factual / Q000639:trends*; D005060:Europe / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods; D011174:Portugal / Q000453:epidemiology; D012042:Registries; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D013557:Switzerland / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000401:mortality*; D055815:Young Adult