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Published on: October 23, 2020
Temporal trends in lung cancer survival: a population-based study
Lukas Löfling1,2, Shahram Bahmanyar2, Helle Kieler2,3
1Department of Research, Cancer Registry of Norway, Oslo, Norway.
Lung cancer survival rates in Sweden have significantly improved between 1995 and 2016. This positive trend in lung cancer survival was observed across various patient subgroups, indicating progress in treatment and management.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Lung cancer is a leading cause of cancer death globally and in Sweden.
- Survival rates for lung cancer have historically been low, typically 10-20% five-year survival.
- Recent decades have seen advancements in lung cancer diagnosis and treatment.
Purpose of the Study:
- To investigate temporal trends in lung cancer survival in Sweden.
- To analyze survival changes in subgroups based on sex, stage, histopathology, and smoking history.
- To assess changes in excess mortality over time.
Main Methods:
- Utilized population-based data from the Swedish National Lung Cancer Register (LCBaSe).
- Included 36,935 patients diagnosed with squamous cell carcinoma or adenocarcinoma between 1995 and 2016.
- Estimated one-, two-, and five-year relative survival and excess mortality.
Main Results:
- Overall one-, two-, and five-year survival increased from 38% to 53%, 21% to 37%, and 14% to 24%, respectively.
- Improved survival was noted in subgroups, including Stage III-IV disease, adenocarcinoma, and never-smokers.
- Excess mortality decreased significantly over the study period for all patient groups.
Conclusions:
- Lung cancer survival has demonstrably increased over time in Sweden.
- Significant survival improvements were observed even in advanced stages (Stage IV).
- Findings align with global trends of enhanced lung cancer patient outcomes.
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