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Cancer Patients’ Survival: Standard Calculation Methods And Some Considerations Regarding Their Interpretation Cover

Cancer Patients’ Survival: Standard Calculation Methods And Some Considerations Regarding Their Interpretation

Open Access
|Feb 2016

Figures & Tables

Figure 1

The illustration of the choice of patients diagnosed between the years 2000 and 2009 that contribute to a relative survival calculation with cohort, complete and period approaches (top: a follow up untill the end of 2010) and those that contribute to the hybrid approach (bottom: a follow up untill the end of 2012).

Table 1

The one- to ten-year relative survivals with 95% confidence intervals and Pohar Perme relative survival estimators for Slovenian female breast cancer patients diagnosed between 2000 and 2009* derived by cohort, complete, period and hybrid approaches.

Follow-up timeCOHORT all patients diagnosed in 2000COMPLETE all patients diagnosed from 2000 to 2009PERIOD some patients diagnosed from 2000 to 2009*HYBRID some patients diagnosed from 2003 to 2009*
Relative survival (95% confidence interval)Pohar Perme estimatorRelative survival (95% confidence interval)Pohar Perme estimatorRelative survival (95% confidence interval)Pohar Perme estimatorRelative survival (95% confidence interval)Pohar Perme estimator
1-year96 (94-97)9695 (95-96)9696 (92-99)9796 (92-99)97
2-year90 (87-92)9192 (91-92)9293 (89-96)9393 (89-96)93
3-year85 (82-87)8588 (87-89)8889 (85-92)9089 (86-92)90
4-year80 (77-83)8185 (84-86)8687 (83-91)8887 (84-90)88
5-year77 (74-80)7783 (82-84)8385 (81-89)8585 (82-88)86
6-year73 (70-77)7580 (79-81)8183 (79-86)8384 (80-87)83
7-year72 (68-75)7279 (77-80)8080 (76-84)8282 (78-85)82
8-year71 (67-74)7277 (75-78)7878 (74-82)7880 (76-83)79
9-year70 (66-74)7276 (74-77)7776 (72-80)7679 (75-82)78
10-year69 (65-73)7375 (73-76)7775 (71-79)7578 (74-81)77

* With period and hybrid approaches, only the most recently diagnosed survivors are included (the included incidence years are specified in Figure 1).

* With period and hybrid approaches, only the most recently diagnosed survivors are included (the included incidence years are specified in Figure 1).

Figure 2

The relative survival curves derived by cohort, complete, period and hybrid approaches, and Kaplan-Meier observed survival for Slovenian female breast cancer patients diagnosed between 2000 and 2009.

Table 2

The differences in the relative survival calculation approaches between and within major population-based cancer survival studies, aiming to compare cancer care in several countries.

Population-based relative survival follow-upDiagnosis year of included patientsEnd of follow-up yearRelative survival approach
CONCORD-1 (3)1990-19941999cohort
CONCORD-2 (4)1995-20042009cohort
CONCORD-2 (4)2005-20092009period
EUROCARE-4 (5)1995-19992003cohort
EUROCARE-4 (5)1996-20022003period
EUROCARE-5 (6)2000-20072008complete
EUROCARE-5 (6)1999-20072008period
OECD HCQI 2011 (7)1995-20042009not specified
OECD HCQI 2013 (8)1995-20092012period or cohort
DOI: https://doi.org/10.1515/sjph-2016-0012 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 144 - 151
Submitted on: May 18, 2015
Accepted on: Nov 13, 2015
Published on: Feb 11, 2016
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2016 Vesna Zadnik, Tina Žagar, Maja Primic Žakelj, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.