Cancer survival is an indicator for the effectiveness of screening and treatment combined. Usually, the 5-year relative survival is calculated, i.e. the survival after 5 years of first diagnosis corrected for age-specific mortality by other causes.
Age-standardised relative survival (%) for all cancers combined (ICD-9 code 140-172 and 174-208) five years after diagnosis for men, women and total diagnosed 1990-1994, in a number of countries (source: Eurocare-3; Sant et al., 2003)
Relative survival (%)
Relative survival (%)
male
female
total
male
female
total
Austria
55.0
58.2
56.6
Norway
46.2
53.4
49.7
Czech Republic
29.3
43.4
36.1
Poland
21.9
35.3
29.0
Denmark
36.4
48.1
42.5
Slovakia
27.0
41.6
33.6
Estonia
25.7
38.3
32.0
Slovenia
27.5
42.9
35.0
Finland
42.4
53.2
48.0
Spain
44.0
56.4
49.0
France
44.6
58.9
50.7
Sweden
49.9
56.5
53.2
Germany
44.7
55.0
49.8
Switzerland
47.1
57.4
52.3
Iceland
51.9
51.3
51.6
UK - England
35.9
46.8
41.3
Italy
39.1
53.1
45.6
UK - Scotland
32.5
42.3
37.5
Malta
34.4
52.0
43.1
UK - Wales
32.8
43.2
38.0
Netherlands
41.6
54.2
47.6
UK: United Kingdom
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Age-standardised relative survival for total are calculated as weighted average of male and female age-standardised relative survival.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales. The survival data for these countries should therefore be considered as less reliable than for other registries (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of country differences in survival among countries when such activities are not similar in all countries (Capocaccia et al., 2003).
Age-standardised relative survival (%) for breast cancer (ICD-9 code 174) five years after diagnosis for women diagnosed 1990-1994, in a number of countries (source: Eurocare-3; Sant et al., 2003)
Relative survival (%)
Relative survival (%)
female
female
Austria
75.4
Norway
77.2
CZ
64.0
Poland
63.1
Denmark
74.9
Portugal
71.9
Estonia
61.9
Slovakia
59.5
Finland
81.4
Slovenia
67.4
France
81.3
Spain
78.0
Germany
75.4
Sweden
82.6
Iceland
79.6
Switzerland
80.0
Italy
80.6
UK - England
73.6
Malta
74.8
UK - Scotland
72.3
Netherlands
78.2
UK - Wales
69.5
CZ: Czech Republic, UK: United Kingdom
Remarks
In order to be comparable among different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3, relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as a standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales (see survival for lung cancer). The survival data for these countries for breast and cervical cancer should therefore also be considered as less reliable (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of survival differences among countries, when such activities are not similar in all countries (Capocaccia et al., 2003).
Age-standardised relative survival (%) for lung cancer (ICD-9 code 162) five years after diagnosis for men, women and total diagnosed 1990-1994, in a number of countries (source: Eurocare-3; Sant et al., 2003)
Relative survival (%)
Relative survival (%)
male
female
total
male
female
total
Austria
13.4
16.0
14.0
Norway
8.0
10.5
8.7
Czech Republic
6.3
8.2
6.6
Poland
6.1
6.8
6.3
Denmark
6.1
5.9
6.0
Slovakia
6.9
12.0
7.5
Estonia
6.8
11.9
7.6
Slovenia
8.0
9.3
8.2
Finland
7.8
10.9
8.4
Spain
12.4
12.8
12.4
France
13.1
15.9
13.4
Sweden
8.5
11.5
9.5
Germany
10.8
10.5
10.7
Switzerland
9.7
16.2
11.5
Iceland
8.0
10.6
9.2
UK - England
7.4
7.7
7.5
Italy
9.8
10.5
9.9
UK - Scotland
7.0
6.8
6.9
Netherlands
11.7
12.4
11.8
UK - Wales
8.0
7.5
7.8
UK: United Kingdom
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Age-standardised relative survival for total are calculated as weighted average of male and female age-standardised relative survival.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival, as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales. The survival data for these countries should therefore be considered less reliable than for other registries (Capocaccia et al., 2003).
Age-standardised relative survival (%) for cervical cancer (ICD-9 code 180) five years after diagnosis for women diagnosed 1990-1994, in a number of countries (source: Eurocare-3; Sant et al., 2003)
Relative survival (%)
Relative survival (%)
female
female
Austria
63.6
Norway
69.0
CZ
65.2
Poland
48.2
Denmark
66.7
Portugal
55.6
Estonia
53.2
Slovakia
57.1
Finland
66.0
Slovenia
59.9
France
67.8
Spain
68.7
Germany
63.5
Sweden
69.6
Iceland
68.6
Switzerland
68.7
Italy
66.6
UK - England
63.8
Malta
64.4
UK - Scotland
60.6
Netherlands
69.4
UK - Wales
58.7
CZ: Czech Republic, UK: United Kingdom
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales (see survival for lung cancer). The survival data for these countries for breast and cervical cancer should therefore also be considered less reliable (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of differences in survival among countries when such activities are not similar in all countries (Capocaccia et al., 2003).
12 February 2008
Cancer survival
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Age-standardised relative survival for total are calculated as weighted average of male and female age-standardised relative survival.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales. The survival data for these countries should therefore be considered as less reliable than for other registries (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of inter-country differences in survival when such activities are not similar in all countries (Capocaccia et al., 2003).
12 February 2008
Cancer survival
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales (see survival for lung cancer). The survival data for these countries for breast and cervical cancer should therefore also be considered as less reliable (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of inter-country differences in survival when such activities are not similar in all countries (Capocaccia et al., 2003).
12 February 2008
Cancer survival
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Age-standardised relative survival for total are calculated as weighted average of male and female age-standardised relative survival.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales. The survival data for these countries should therefore be considered as less reliable than for other registries (Capocaccia et al., 2003).
12 February 2008
Cancer survival
Remarks
In order to be comparable between different populations, relative survival figures must be either age-specific or age-standardised. In EUROCARE-3 relative survival tabulated by country is presented as age-standardised survival. Age standardised country-specific survival was calculated by the direct method, using five age classes and, as standard, the age distribution of the whole set of cases analysed for each site. The same standard distribution was used for both sexes.
Difficulties in ascertaining the vital status of incident cases generally result in an overestimation of survival as deaths are missed. The relative survival data for poor prognosis cancers, such as lung, pleura and liver cancer are indirect indicators of follow-up quality. High survival for such cancers suggests (but does not prove) inadequate follow up procedures. Inadequate follow-up is likely in Spain, Austria and, for 10-year survival, in Wales (see survival for lung cancer). The survival data for these countries for breast and cervical cancer should therefore also be considered as less reliable (Capocaccia et al., 2003).
Screening or early diagnostic activity (for breast and cervical cancers) must be taken in account in the interpretation of inter-country differences in survival when such activities are not similar in all countries (Capocaccia et al., 2003).
Capocaccia R, Gatta G, Roazzi P, Carrani E, Santaquilani M, De Angelis R and the EUROCARE Working Group, et al.
The EUROCARE-3 database: methodology of data collection, standardisation, quality control and statistical analysis.
Annals of Oncology, 2003; (14): Annals of Oncology 14 (Supplement 5): 14-27.
Sant M, Aareleid T, Berrino F, Bielska Lasota M, Carli PM, Faivre J.
EUROCARE-3: survival of cancer patients diagnosed 1990–94—results and commentary.
Annals of Oncology, 2003; 14 (Supplement 5): v61–v118.
Literature and data sources
Capocaccia R, Gatta G, Roazzi P, Carrani E, Santaquilani M, De Angelis R and the EUROCARE Working Group, et al.
The EUROCARE-3 database: methodology of data collection, standardisation, quality control and statistical analysis.
Annals of Oncology, 2003; (14): Annals of Oncology 14 (Supplement 5): 14-27.
Sant M, Aareleid T, Berrino F, Bielska Lasota M, Carli PM, Faivre J.
EUROCARE-3: survival of cancer patients diagnosed 1990–94—results and commentary.
Annals of Oncology, 2003; 14 (Supplement 5): v61–v118.