Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)

Objective: This is a comprehensive overview of long-term cancer survival in Zhejiang Province, China. Hybrid analysis, a combination of cohort and period analysis, has been proposed to derive up-to-date cancer survival estimates. Using this approach, we aimed to timely and accurately analyze the 5-y...

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Main Authors: Huizhang Li, Youqing Wang, Weiwei Gong, Chen Zhu, Le Wang, Yaoyao Chen, Lingbin Du, Xiangdong Cheng
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Journal of the National Cancer Center
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667005423000856
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author Huizhang Li
Youqing Wang
Weiwei Gong
Chen Zhu
Le Wang
Yaoyao Chen
Lingbin Du
Xiangdong Cheng
author_facet Huizhang Li
Youqing Wang
Weiwei Gong
Chen Zhu
Le Wang
Yaoyao Chen
Lingbin Du
Xiangdong Cheng
author_sort Huizhang Li
collection DOAJ
description Objective: This is a comprehensive overview of long-term cancer survival in Zhejiang Province, China. Hybrid analysis, a combination of cohort and period analysis, has been proposed to derive up-to-date cancer survival estimates. Using this approach, we aimed to timely and accurately analyze the 5-year relative survival (RS) and net survival (NS) in cancer registries of Zhejiang Province, China. Methods: A total of 255,725 new cancer cases diagnosed during 2013–2017 were included in 14 cancer registries in Zhejiang Province, China, with a follow-up on vital status until the end of 2019. The hybrid analysis was used to calculate the 5-year RS and 5-year NS during 2018–2019 for overall and stratifications by sex, cancer type, region, and age at diagnosis. Results: During 2018–2019, the age-standardized 5-year RS and NS for overall cancer in Zhejiang was 47.5% and 48.6%, respectively. The age-standardized 5-year RS for cancers of women (55.4%) was higher than that of men (40.0%), and the rate of urban areas (49.7%) was higher than that of rural areas (43.1%). The 5-year RS declined along with age, from 84.4% for ages <45 years to 23.7% for ages >74 years. Our results of the RS and NS showed the similar trend and no significant difference. The top five cancers with top age-standardized 5-year RS were thyroid cancer (96.0%), breast cancer (84.3%), testicular cancer (79.9%), prostate cancer (77.2%), and bladder cancer (70.6%), and the five cancers with the lowest age-standardized 5-year RS were pancreatic cancer (6.0%), liver cancer (15.6%), gallbladder cancer (17.1%), esophageal cancer (22.7%), and leukemia (31.0%). Conclusions: We reported the most up-to-date 5-year cancer RS and NS in Zhejiang Province, China for the first time, and found that the 5-year survival for cancer patients in Zhejiang during 2018–2019 was relatively high. The population-based cancer registries are recognized as key policy tools that can be used to evaluate both the impact of cancer prevention strategies and the effectiveness of health systems.
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spelling doaj.art-1a177d59ca8442438c6715557da821c92024-03-31T04:38:07ZengElsevierJournal of the National Cancer Center2667-00542024-03-01415462Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)Huizhang Li0Youqing Wang1Weiwei Gong2Chen Zhu3Le Wang4Yaoyao Chen5Lingbin Du6Xiangdong Cheng7Department of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Cancer Prevention/Zhejiang Provincial Office for Cancer Prevention and Control, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China; Corresponding authors.Department of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China; Corresponding authors.Objective: This is a comprehensive overview of long-term cancer survival in Zhejiang Province, China. Hybrid analysis, a combination of cohort and period analysis, has been proposed to derive up-to-date cancer survival estimates. Using this approach, we aimed to timely and accurately analyze the 5-year relative survival (RS) and net survival (NS) in cancer registries of Zhejiang Province, China. Methods: A total of 255,725 new cancer cases diagnosed during 2013–2017 were included in 14 cancer registries in Zhejiang Province, China, with a follow-up on vital status until the end of 2019. The hybrid analysis was used to calculate the 5-year RS and 5-year NS during 2018–2019 for overall and stratifications by sex, cancer type, region, and age at diagnosis. Results: During 2018–2019, the age-standardized 5-year RS and NS for overall cancer in Zhejiang was 47.5% and 48.6%, respectively. The age-standardized 5-year RS for cancers of women (55.4%) was higher than that of men (40.0%), and the rate of urban areas (49.7%) was higher than that of rural areas (43.1%). The 5-year RS declined along with age, from 84.4% for ages <45 years to 23.7% for ages >74 years. Our results of the RS and NS showed the similar trend and no significant difference. The top five cancers with top age-standardized 5-year RS were thyroid cancer (96.0%), breast cancer (84.3%), testicular cancer (79.9%), prostate cancer (77.2%), and bladder cancer (70.6%), and the five cancers with the lowest age-standardized 5-year RS were pancreatic cancer (6.0%), liver cancer (15.6%), gallbladder cancer (17.1%), esophageal cancer (22.7%), and leukemia (31.0%). Conclusions: We reported the most up-to-date 5-year cancer RS and NS in Zhejiang Province, China for the first time, and found that the 5-year survival for cancer patients in Zhejiang during 2018–2019 was relatively high. The population-based cancer registries are recognized as key policy tools that can be used to evaluate both the impact of cancer prevention strategies and the effectiveness of health systems.http://www.sciencedirect.com/science/article/pii/S2667005423000856Cancer registryCancer survivalHybrid analysisRelative survivalNet survival
spellingShingle Huizhang Li
Youqing Wang
Weiwei Gong
Chen Zhu
Le Wang
Yaoyao Chen
Lingbin Du
Xiangdong Cheng
Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
Journal of the National Cancer Center
Cancer registry
Cancer survival
Hybrid analysis
Relative survival
Net survival
title Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
title_full Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
title_fullStr Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
title_full_unstemmed Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
title_short Cancer survival analysis on population-based cancer registry data in Zhejiang Province, China (2018–2019)
title_sort cancer survival analysis on population based cancer registry data in zhejiang province china 2018 2019
topic Cancer registry
Cancer survival
Hybrid analysis
Relative survival
Net survival
url http://www.sciencedirect.com/science/article/pii/S2667005423000856
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