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Conditional crude probabilities of death for English cancer patients
BACKGROUND: Cancer survival statistics are typically reported by using measures discounting the impact of other-cause mortality, such as net survival. This is a hypothetical measure and is interpreted as excluding the possibility of cancer patients dying from other causes. Crude probability of death...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889443/ https://www.ncbi.nlm.nih.gov/pubmed/31601960 http://dx.doi.org/10.1038/s41416-019-0597-0 |
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author | Wong, Kwok F. Lambert, Paul C. Mozumder, Sarwar I. Broggio, John Rutherford, Mark J. |
author_facet | Wong, Kwok F. Lambert, Paul C. Mozumder, Sarwar I. Broggio, John Rutherford, Mark J. |
author_sort | Wong, Kwok F. |
collection | PubMed |
description | BACKGROUND: Cancer survival statistics are typically reported by using measures discounting the impact of other-cause mortality, such as net survival. This is a hypothetical measure and is interpreted as excluding the possibility of cancer patients dying from other causes. Crude probability of death partitions the all-cause probability of death into deaths from cancer and other causes. METHODS: The National Cancer Registration and Analysis Service is the single cancer registry for England. In 2006–2015, 1,590,477 malignant tumours were diagnosed for breast, colorectal, lung, melanoma and prostate cancer in adults. We used a relative survival framework, with a period approach, providing estimates for up to 10-year survival. Mortality was partitioned into deaths due to cancer or other causes. Unconditional and conditional (on surviving 1-years and 5-years) crude probability of death were estimated for the five cancers. RESULTS: Elderly patients who survived for a longer period before dying were more likely to die from other causes of death (except for lung cancer). For younger patients, deaths were almost entirely due to the cancer. CONCLUSION: There are different measures of survival, each with their own strengths and limitations. Careful choices of survival measures are needed for specific scenarios to maximise the understanding of the data. |
format | Online Article Text |
id | pubmed-6889443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-68894432020-10-11 Conditional crude probabilities of death for English cancer patients Wong, Kwok F. Lambert, Paul C. Mozumder, Sarwar I. Broggio, John Rutherford, Mark J. Br J Cancer Article BACKGROUND: Cancer survival statistics are typically reported by using measures discounting the impact of other-cause mortality, such as net survival. This is a hypothetical measure and is interpreted as excluding the possibility of cancer patients dying from other causes. Crude probability of death partitions the all-cause probability of death into deaths from cancer and other causes. METHODS: The National Cancer Registration and Analysis Service is the single cancer registry for England. In 2006–2015, 1,590,477 malignant tumours were diagnosed for breast, colorectal, lung, melanoma and prostate cancer in adults. We used a relative survival framework, with a period approach, providing estimates for up to 10-year survival. Mortality was partitioned into deaths due to cancer or other causes. Unconditional and conditional (on surviving 1-years and 5-years) crude probability of death were estimated for the five cancers. RESULTS: Elderly patients who survived for a longer period before dying were more likely to die from other causes of death (except for lung cancer). For younger patients, deaths were almost entirely due to the cancer. CONCLUSION: There are different measures of survival, each with their own strengths and limitations. Careful choices of survival measures are needed for specific scenarios to maximise the understanding of the data. Nature Publishing Group UK 2019-10-11 2019-11-12 /pmc/articles/PMC6889443/ /pubmed/31601960 http://dx.doi.org/10.1038/s41416-019-0597-0 Text en © The Author(s), under exclusive licence to Cancer Research UK 2019 https://creativecommons.org/licenses/by/4.0/This work is published under the standard license to publish agreement. After 12 months the work will become freely available and the license terms will switch to a Creative Commons Attribution 4.0 International (CC BY 4.0). |
spellingShingle | Article Wong, Kwok F. Lambert, Paul C. Mozumder, Sarwar I. Broggio, John Rutherford, Mark J. Conditional crude probabilities of death for English cancer patients |
title | Conditional crude probabilities of death for English cancer patients |
title_full | Conditional crude probabilities of death for English cancer patients |
title_fullStr | Conditional crude probabilities of death for English cancer patients |
title_full_unstemmed | Conditional crude probabilities of death for English cancer patients |
title_short | Conditional crude probabilities of death for English cancer patients |
title_sort | conditional crude probabilities of death for english cancer patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889443/ https://www.ncbi.nlm.nih.gov/pubmed/31601960 http://dx.doi.org/10.1038/s41416-019-0597-0 |
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