Long-term relative survival from melanoma in Germany 1997-2013.


Journal

Melanoma research
ISSN: 1473-5636
Titre abrégé: Melanoma Res
Pays: England
ID NLM: 9109623

Informations de publication

Date de publication:
08 2020
Historique:
pubmed: 19 7 2018
medline: 9 7 2021
entrez: 19 7 2018
Statut: ppublish

Résumé

Up-to-date melanoma relative survival (RS) estimates and trend analysis facilitate close monitoring of melanoma patients' prognosis. This study aimed to provide recent 5-year and 10-year RS from melanoma, stratified by prognostic factors, and identify latest survival trends. Data from 12 German cancer registries were analysed. We included patients with primary cutaneous malignant melanoma (ICD-10: C43.X) diagnosed in 1997-2013 who were at least 15 years old. Five-year and 10-year RS were estimated by period analysis. For 10-year RS analyses, we excluded patients who were 75 years of age or older. Analyses were stratified by sex, age, histology, tumour stage, and body site. We included 82 901 patients, of whom 51% were women. The median age at diagnosis was 62 years. Five-year and 10-year RS in 2007-2013 were 92.4 and 90.8%, respectively. RS was higher in women. The prognosis worsened with older age and higher stage. In superficial spreading melanoma and lentigo maligna melanoma, RS was high; it was lower in nodular, acral lentiginous and 'other' melanoma. RS was the highest for melanoma on the arms; RS for melanoma on unknown or overlapping sites of the skin was the lowest. Five-year and 10-year RS increased significantly from 2005-2007 and 2008-2010 to 2011-2013, by 3.5 and 3.3 percentage points, respectively. For melanoma of 'other' histology, 5-year and 10-year RS increased significantly. Ten-year RS also increased significantly in men with superficial spreading melanoma and T4 melanoma, and in women with T3 melanoma. Melanoma RS improved, especially in certain subgroups. The reasons for improvements need to be investigated further.

Identifiants

pubmed: 30020195
doi: 10.1097/CMR.0000000000000482
pii: 00008390-202008000-00007
doi:

Types de publication

Historical Article Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

386-395

Références

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Auteurs

Alicia Brunssen (A)

Institute for Social Medicine and Epidemiology.

Lina Jansen (L)

Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Nora Eisemann (N)

Institute for Social Medicine and Epidemiology.

Annika Waldmann (A)

Institute for Social Medicine and Epidemiology.
Hamburg Cancer Registry, Ministry for Health and Consumer Protection, Hamburg.

Janick Weberpals (J)

Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Klaus Kraywinkel (K)

German Centre for Cancer Registry Data, Robert Koch Institute, Berlin.

Andrea Eberle (A)

Cancer Registry of Bremen, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen.

Bernd Holleczek (B)

Saarland Cancer Registry, Saarbruecken.

Sylke R Zeissig (SR)

Cancer Registry of Rhineland-Palatinate, Mainz.

Hermann Brenner (H)

Division of Preventive Oncology, National Center for Tumor Diseases (NCT).
German Cancer Consortium (DKTK).
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Alexander Katalinic (A)

Institute for Social Medicine and Epidemiology.
Institute for Cancer Epidemiology, University of Luebeck, Luebeck.

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