Survival, Incidence, and Mortality Trends in Female Cancers in the Nordic Countries

Author:

Tichanek Filip1,Försti Asta23,Hemminki Otto45,Hemminki Akseli46,Hemminki Kari17ORCID

Affiliation:

1. Biomedical Center, Faculty of Medicine, Charles University Pilsen, Pilsen 30605, Czech Republic

2. Hopp Children’s Cancer Center (KiTZ), Heidelberg, Germany

3. Division of Pediatric Neurooncology, German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany

4. Cancer Gene Therapy Group, Translational Immunology Research Program, University of Helsinki, Helsinki, Finland

5. Department of Urology, Helsinki University Hospital, Helsinki, Finland

6. Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland

7. Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 580, D-69120, Heidelberg, Germany

Abstract

Background. Female cancers cover common breast cancers, relatively common endometrial, ovarian, and cervical cancers and rare vulvar cancer. Survival in these cancers is known to be relatively good compared to all cancers but long-term studies for these cancers are rare, and to fill the gap, here, we generate survival data through 50 years. Materials and Methods. We applied generalized additive models to data from the NORDCAN database and analyzed 1- and 5-year relative survival for these cancers in Denmark (DK), Finland (FI), Norway (NO), and Sweden (SE) over half a century (1971–2020). Conditional 5/1-year survival for patients who survived the 1st year after diagnosis and annual survival changes was also estimated. Results. In 2016–20, 5-year survival was best for breast cancer reaching 92.3% (in SE), followed by endometrial cancer at 86.1% (SE) and cervical cancer at 75.6% (NO). Improvement in 5-year survival over the 50 years was the largest for ovarian cancer (20% units), finally reaching 52.9% (SE). For vulvar cancer, the final survival was between 70 and 73%. The best 5-year survival rate in 2016–20 was recorded for SE in breast, endometrial, and ovarian cancers; NO showed the highest rate for cervical and DK for vulvar cancers. DK had the lowest survival for breast and ovarian cancers, and FI, for the other cancers. Conclusions. The overall survival development appeared to consist of continuous improvements, most likely because of novel treatment and imaging techniques as well as overall organization of patient care. The large survival improvement for ovarian cancer was probably achieved by a surgical focus on tumors spread in the peritoneal cavity. For cervical and vulvar cancers, the high early mortality requires attention and could be helped by raising increasing public awareness of early symptoms in these cancers and developing pathways for fast initiation of treatment.

Funder

Horizon 2020 Framework Programme

Publisher

Hindawi Limited

Subject

Obstetrics and Gynecology

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