[Survival of children with cancer]

Jon Helgestad1, Bibbi Madsen

  • 1Barneklinikken, Haukeland Universitetssjukehus. jon.helgestad@aas.nja.dk

Insights

Intensive pediatric cancer treatments improved survival rates for children diagnosed between 1992-2001. This approach significantly increased life years saved, demonstrating a cost-effective investment in pediatric oncology care.

Area of Science:

  • Pediatric Oncology
  • Clinical Research
  • Public Health

Background:

  • A decade of pediatric cancer patient data (1992-2001) from a Norwegian population of 1 million.
  • Focus on outcomes from intensive treatment regimens implemented during the study period.
  • Analysis of survival rates across different pediatric cancer types.

Purpose of the Study:

  • To present survival data for pediatric cancer patients (0-15 years) diagnosed between 1992 and 2001.
  • To evaluate the impact of intensive treatment on survival outcomes.
  • To assess the cost-effectiveness of pediatric cancer treatment in terms of saved life years.

Main Methods:

  • Retrospective analysis of survival data for 280 consecutive pediatric cancer patients.
  • Categorization of cancers into central nervous system tumors, leukemia, and solid tumors (including lymphomas).
  • Calculation of overall survival rates and saved life years, with cost-benefit analysis.

Main Results:

  • Overall survival rate of 78% (219/280) over 3-13 years post-diagnosis.
  • Subgroup survival rates: 75% for CNS tumors, 82% for leukemia, 79% for solid tumors.
  • Estimated 14,000 years of life saved, with an average cost of USD 2400 per saved year.

Conclusions:

  • Intensified pediatric cancer treatment regimens correlate with improved survival rates.
  • The economic benefits of pediatric cancer treatment, through future contributions of survivors, outweigh the initial costs.
  • This study highlights the value of investing in advanced pediatric cancer care.

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