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Published on: June 26, 2026
[Survival of children with cancer]
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.
Abstract:
Survival data for all consecutive paediatric cancer patients (age 0-15) diagnosed between 1 January 1992 and 31 December 2001 are presented. The patients came from a catchment area in Norway with a population of approximately 1 million. During the period under review, the most intensive paediatric cancer treatment regimen up until now was given. There were 280 patients 128/280 (45.7%) girls and 152/280 (54.3%) boys; mean age at diagnosis was 6. Overall survival 3-13 years after diagnosis was 219/280 (78%). Over this ten-year period we treated 65 (23%) children with central nervous system tumours, 98 (35%) children with leukaemia, including acute myeloid leukaemia, and 117 (42%) children with solid tumours including lymphomas. Overall survival in these three subgroups was 49/65 (75%) for patients with central nervous system tumours, 80/98 (82%) for those with leukaemia, and 92/117 (79%) for those with solid tumours. Compared to previous data, survival increased with the intensity of treatment and resources used. Saved years of life for our 280 children are estimated to be a total of 14,000; the cost per saved year of life to be on average USD 2400. Our former patients will, through their future taxes, pay this back to the community many times over.
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