title: Trends in net survival from pancreatic cancer in six European Latin countries: results from the SUDCAN population-based study.
abstract: Pancreatic cancer represents a real clinical challenge. The aim of the SUDCAN collaborative study was to compare the net survival from pancreatic cancer between six European Latin countries (Belgium, France, Italy, Portugal, Spain and Switzerland) and provide trends in net survival and dynamics of excess mortality rates up to 5 years after diagnosis. The data were extracted from the EUROCARE-5 database. First, net survival was studied over the period 2000-2004 using the Pohar-Perme estimator. For trend analyses, the study period was specific to each country. Results were reported from 1992 to 2004 in France, Italy, Spain and Switzerland and from 2000 to 2004 in Belgium and Portugal. These analyses were carried out using a flexible excess rate modelling strategy. There were little differences between countries in age-standardized net survivals (2000-2004). The 5-year net survival was poor (range: 6-10%). The changes in net survival from 1992 to 2004 were mostly related to early survival and patients aged 60 years. A slight decrease in the excess mortality rate between 1992 and 2004 was observed, limited to the 18 months after diagnosis. This study confirmed that, despite some improvement, survival from pancreatic cancer is still poor throughout European Latin countries. The major improvements in clinical imaging did not result in improvements in prognosis. Development of truly innovative treatments is highly needed to improve prognosis.
authors.affiliation: aDigestive Cancer Registry of Burgundy F-21079; INSERM U866; CHU Dijon; University of Burgundy, Dijon bDepartment of Biostatistics, University Hospital of Lyon cUniversity of Lyon, Lyon dUniversity of Lyon 1 eCNRS, UMR5558, Biometry and Evolutionary Biology Laboratory (LBBE), BioMaths-Health Department Villeurbanne fIsère Cancer Registry, University Hospital of Grenoble, Grenoble, France gCatalan Institute of Oncology, University Hospital of Girona Doctor Josep Trueta, Unit of Epidemiology and Cancer Registry of Girona, University of Girona, Girona hTarragona Cancer Registry, Foundation for Research and Cancer Prevention, Reus, Spain.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Bouvier
authors.forename: Nadine
authors.initials: N
authors.lastname: Bossard
authors.forename: Marc
authors.initials: M
authors.lastname: Colonna
authors.forename: Adelaida
authors.initials: A
authors.lastname: Garcia-Velasco
authors.forename: Maria
authors.initials: M
authors.lastname: Carulla
authors.forename: Sylvain
authors.initials: S
authors.lastname: Manfredi
mesh_terms: D000368:Aged; 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; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000401:mortality*; D011159:Population Surveillance / Q000379:methods; D011174:Portugal / Q000453:epidemiology; D012042:Registries; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D013557:Switzerland / Q000453:epidemiology