Agenda

29/04/2015

"Global surveillance of cancer survival (CONCORD)" a càrrec de Rafael Marcos Gragera

Sala Marie Curie (pati interior PRBB) a les 15:00h

En el marc de les sessions d'Epidemiologia i Salut Pública de l'IMIM, el proper dia 29 d'abril a les 15:00 h tindrà lloc la sessió "Global surveillance of cancer survival (CONCORD)" a càrrec del Dr. Rafael Marcos Gragera, epidemiòleg de la Unitat d'epidemiologia i Registre de Càncer de Girona (Institut Català d'Oncologia) i responsable del Grup de recerca d'Epidemiologia descriptiva, genètica i prevenció del càncer de l'Institut d'Investigacions Biomèdiques de Girona (IDIBGI). La sessió tindrà lloc a la Sala Marie Curie (pati interior del PRBB).

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Abstract

5-year survival from colon, rectal, and breast cancers has increased steadily in most developed countries. For patients diagnosed during 2005–09, survival for colon and rectal cancer reached 60% or more in 22 countries around the world; for breast cancer, 5-year survival rose to 85% or higher in 17 countries worldwide. Liver and lung cancer remain lethal in all nations: for both cancers, 5-year survival is below 20% everywhere in Europe, in the range 15–19% in North America, and as low as 7–9% in Mongolia and Thailand. Striking rises in 5-year survival from prostate cancer have occurred in many countries: survival rose by 10–20% between 1995–99 and 2005–09 in 22 countries in South America, Asia, and Europe, but survival still varies widely around the world, from less than 60% in Bulgaria and Thailand to 95% or more in Brazil, Puerto Rico, and the USA. For cervical cancer, national estimates of 5-year survival range from less than 50% to more than 70%; regional variations are much wider, and improvements between 1995–99 and 2005–09 have generally been slight. For women diagnosed with ovarian cancer in 2005–09, 5-year survival was 40% or higher only in Ecuador, the USA, and 17 countries in Asia and Europe. 5-year survival for stomach cancer in 2005–09 was high (54–58%) in Japan and South Korea, compared with less than 40% in other countries. By contrast, 5-year survival from adult leukaemia in Japan and South Korea (18–23%) is lower than in most other countries. 5-year survival from childhood acute lymphoblastic leukaemia is less than 60% in several countries, but as high as 90% in Canada and four European countries, which suggests major deficiencies in the management of a largely curable disease.

International comparison of survival trends reveals very wide differences that are likely to be attributable to differences in access to early diagnosis and optimum treatment. Continuous worldwide surveillance of cancer survival should become an indispensable source of information for cancer patients and researchers and a stimulus for politicians to improve health policy and health-care systems.

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