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  • Cancer survival

    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.

      Status

        It has been internally edited.

          Data presentation

          7 April 2008
          Cancer survival
          Figures, underlying data and maps

          Figures and Underlying Data

          TableAge-standardised relative survival (%) for all cancers five years after diagnosis for men, women and total diagnosed 1990-1994, in a number of countries

          TableAge-standardised relative survival (%) for breast cancer five years after diagnosis for women diagnosed 1990-1994, in a number of countries

          TableAge-standardised relative survival (%) for cervical cancer five years after diagnosis for women diagnosed 1990-1994, in a number of countries

          ChartAge-standardised relative survival (%) for all cancers five years after diagnosis for men, women and total diagnosed 1990-1994, in selected countries (interactive)

          ChartAge-standardised relative survival (%) for breast cancer five years after diagnosis for women diagnosed 1990-1994, in selected countries (interactive)

          ChartAge-standardised relative survival (%) for cervical cancer five years after diagnosis for women diagnosed 1990-1994, in selected countries (interactive)

          Maps

          7 February 2008
          Cancer survival

          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).


          7 February 2008
          Cancer survival

          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).


          7 February 2008
          Cancer survival

          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).


          7 February 2008
          Cancer survival

          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).


          Literature and data sources

          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.