Relative survival in elderly cancer patients in Europe

Citation
M. Vercelli et al., Relative survival in elderly cancer patients in Europe, EUR J CANC, 34(14), 1998, pp. 2264-2270
Citations number
30
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Oncology,"Onconogenesis & Cancer Research
Journal title
EUROPEAN JOURNAL OF CANCER
ISSN journal
0959-8049 → ACNP
Volume
34
Issue
14
Year of publication
1998
Pages
2264 - 2270
Database
ISI
SICI code
0959-8049(199812)34:14<2264:RSIECP>2.0.ZU;2-L
Abstract
In this paper different patterns of survival by age and gender are presente d for 17 European countries which participated in the EUROCARE II programme . Survival data were available for 701 521 patients aged between 65 and 99 years from 44 population-based cancer registries. Age-standardised relative survival rates at 1 and 5 years from diagnosis were computed. Relative ris ks (RRs) of death for those aged between 65 and 99 years compared with thos e aged between 55 and 64 years were estimated by gender and country. In gen eral, the elderly had a large survival disadvantage, particularly 1 year af ter diagnosis and in women. Poorer survival rates in the elderly were obser ved for patients from Eastern European countries for almost all sites. Howe ver, relative survival of the elderly with respect to younger patients was similar in the different geographic areas. The results are in agreement wit h other population-based studies, confirming a worse prognosis for the elde rly in both sexes. This may be explained by changes in biology and the natu ral history of the tumour and the occurrence of severe comorbidities, poten tially affecting preventive, diagnostic and therapeutic strategies. The lac k of equality in providing adequate treatment to elderly cancer patients sh ould be addressed as a matter of urgency by health-care providers. (C) 1998 Elsevier Science Ltd. All rights reserved.