• Title, Summary, Keyword: Relative survival

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Relative Survival of Breast Cancer Patients in Iran

  • Kasaeian, Amir;Mosavi-Jarrahi, Alireza;Abadi, Alireza;Mahmoodi, Mahmood;Mehrabi, Yadollah;Mohammad, Kazem;Eshraghian, Mohammad Reza;Zare, Ali
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5853-5858
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    • 2015
  • Background: The survival rate reflecting prognosis of breast cancer patients is usually estimated based on crude survival methods such as observed and cause-specific. In situations where data are based on population-cancer registries, this method may produce biased estimations. This study therefore aimed to estimate the net survival of breast cancer based on relative survival. Materials and Methods: Data for 622 breast cancer patients diagnosed at the Iran Cancer Institute during 1990-95 and tracked till the end of 2000 were analyzed. For estimation of relative survival, Ederer's second method and SAS (9.1) and STATA (11) software were used. Results: Threeyear relative survivals of 85%, 90%, 80% and 67% were observed for age groups 15-44, 55-59, 60-74, and 75+years-old, respectively. A relative survival of approximately one was observed for two subsequent years for age-group 45-59 years-old. A value greater than one for two subsequent years of follow-up was observed in the age-group 60-74 years-old. Conclusions: Tracking the diagnosis of breast cancer, the relative survival decreases as we go to higher age-groups. It is also perceived that through follow-up, relative survival first decreased and then increased a little. The statistical cure point is acceptable for age group 45-59 years-old while for age-groups 15-44 and 60-74 years old is a sign of low quality data for some follow-up intervals.

Statistical Analysis of Quality Improvement in Health Care Services Using National Cancer Registration and Statistics of Five-Year Relative Survival Data (국가 암 등록통계 자료의 암 상대생존율을 기반으로 한 의료서비스 품질 수준 분석)

  • Chun, Nami
    • Journal of the Korea Management Engineers Society
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    • v.22 no.2
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    • pp.71-80
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    • 2017
  • Population-based relative cancer survival rate is an important outcome indicator to measure the overall effectiveness of cancer management in a population. Data for female breast cancer patients in Korea between 1994 and 2014 were analyzed to project the incidence rate and relative survival rate by using Minitab. Projected number of new female breast cancer patients in year 2022 were 25,287 per 100,000 general population. Projected five year relative survival rate of female breast cancer patients were 94.8 in year 2022. Results indicates trends of the quality improvement in health care services. This statistical model could be utilized to measure a quantitative outcome of the quality improvement in the various area of health care services.

Survival of Stomach Cancer Cases in Khon Kaen, Thailand 2000-2012

  • Nanthanangkul, Sirinya;Suwanrungruang, Krittika;Wiangnon, Surapon;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2125-2129
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    • 2016
  • Background: Stomach cancer is an aggressive malignancy that is difficult to detect at an early stage and therefore is characterized by poor survival rates. Over the last two decades, there has been no report of gastric cancer survival in Khon Kaen province, Thailand. The aim of this retrospective cohort study was to provide up-to-date information about the survival of gastric cancer patients in this province. Materials and Methods: Data from Khon Kaen population-based cancer registry, Faculty of Medicine, Khon Kaen University were newly obtained on 650 patients who were diagnosed with stomach cancer during the period 1 January, 2000 to 31 December, 2012. These were then followed up until death or the end of the study (31 December 2014). We calculated the observed survival with the actuarial life table method, and relative survival, defined as the ratio of observed survival in the group of the stomach cancer patients to the expected survival in the entire Thai population from the estimated generation life tables for Thailand of five-year birth cohorts from 1900 - 2000. Results: The 5 year observed and 5 year relative survival rates were 17.2 % (95% CI: 13.54-21.14) and 18.2 % (95% CI: 14.3-22.4), respectively. The highest 5 year relative survival rates were demonstrated among patients aged 45-65, with stage I or II lesions, with adenocarcinomas, with a body of stomach location, well differentiated and receiving surgery and/or chemotherapy. Conclusions: The observed and relative survival rates were close to each other. Our findings provide basic information beneficial to development of an effective treatment system and appropriately improved population-based cancer registration.

Comparison between Overall, Cause-specific, and Relative Survival Rates Based on Data from a Population-based Cancer Registry

  • Utada, Mai;Ohno, Yuko;Shimizu, Sachiko;Hori, Megumi;Soda, Midori
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5681-5685
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    • 2012
  • Three kinds of survival rates are generally used depending on the purpose of the investigation: overall, cause-specific, and relative. The differences among these 3 survival rates are derived from their respective formulas; however, reports based on actual cancer registry data are few because of incomplete information and short follow-up duration recorded on cancer registration. The aim of this study was to numerically and visually compare these 3 survival rates on the basis of data from the Nagasaki Prefecture Cancer Registry. Subjects were patients diagnosed with cancer and registered in the registry between 1999 and 2003. We calculated the proportion of cause of death and 5-year survival rates. For lung, liver, or advanced stage cancers, the proportions of cancer-related death were high and the differences in survival rates were small. For prostate or early stage cancers, the proportions of death from other causes were high and the differences in survival rates were large. We concluded that the differences among the 3 survival rates increased when the proportion of death from other causes increased.

Influence of Distance from Home to Hospital on Survival among Lung Cancer Patients

  • Tanaka, Rina;Matsuzaka, Masashi;Nakaji, Shigeyuki;Sasaki, Yoshihiro
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.5025-5030
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    • 2016
  • The objective of this study was to clarify how distance from place of residence to the nearest specialist cancer hospital affects the survival of lung cancer patients and the treatment received. For all patients diagnosed with lung cancer in the Aomori cancer registry database for the period from 2009 to 2011 (n=3,986). The distance to the treating hospital was measured as the straight line from a person's place of residence, and compared with findings from the Ederer II method for calculating relative survival. Information on treatments given was obtained by data extraction. We defined a hospital having respiratory medicine as specialist, while all private hospitals and clinics were included in the general category. Patients attending specialist hospitals numbered 2,548 (67.0%), and those treated at general institutions were 1,255 (33.0%). The patients who had the lowest relative survival with localized lesions lived <20 km from general hospitals and clinics. With more advanced stages, relative survival of those living <20 km from a specialist hospital was the lowest. Although the survival rate was not affected by the distance between place of residence and hospital, even when patients are diagnosed at a localized stage at a general hospital or clinic within 20 km from their home, they did survive longer in comparison with patients diagnosed at a specialist hospital.

Nonparametric Test for Equality of Survival Distributions Using Probit Scale

  • Yun, Sang-Un;Park, Chung-Seon
    • Journal of the Korean Statistical Society
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    • v.23 no.1
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    • pp.179-185
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    • 1994
  • To test the equality of survival distributions in the presence of arbitrary right censorship, the choice of weights which are functions of the number of individuals at risk at the time of each death is very important in increasing the power of the test. In this paper a weight by probit scale is derived and the efficiencies relative to the other weight's are also investigated.

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Effects of Ginseng Protein on Relative Survival and Chromosome Aberration of UV Irradiated Cells

  • Kim, Choon-Mi;Park, So-Young
    • Archives of Pharmacal Research
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    • v.11 no.3
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    • pp.225-229
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    • 1988
  • A ginseng protein fraction which has been reported to have radiation protective effect was purified from Korean ginseng and its effects on relative survival and chromosome aberration were studied in UV irradiated CHO-K1 cells. When the protein fraction $(100\;{\mu}g/ml)$ was added to the cells before UV irradiation at 4\;J/$m^2$,, the survival rates were increased to 53.8% from 40.6% in control. Addition of the protein $(100\;{\mu}g/ml)$ after UV irradiation at 4 and $8\;J/m^2$ raised the rates to 85.4 and 24.0% from 79.2 and 11.5% in control, respectively. When the ginseng protein $(800\;{\mu}g/ml)$ was added to the cells exposed to UV light at 10, 20, $30\;J/m^2$, the frequencies of chromosome aberration (CA) were reduced significantly to almost same level regardless of the UV dose increment and there was no significant difference between pre- and post-treatment. When the concentration of ginseng protein was increased from 200 to $800\;{\mu}g/ml$, at UV dose of 10, 20, $30\;J/m^2$ each, the CA frequencies were decreased consistently as the dose of ginseng protein increased, at all UV doses tested. Similar effects were observed in both cases of pre- and post-treatment. The data suggest that the protein may reduce cell damage caused by UV light, especially damage to DNA molecule, or play a role in repair processes of damaged DNA, to increase cell survival and reduce chromosome aberrations.

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Vegetational Structure of Orchardgrass Sward V. Survival rates of seedling plants and control of orchardgrass populations (Orchargrass의 식생구조 V. 개체군락의 제어와 유식물체의 생존율)

  • 이삼주
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.10 no.3
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    • pp.147-151
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    • 1990
  • The purpose of this study is to clarify the relation of survival rates of seedling plants under grown orchardgrass populations and control by the difference cutting frequency. The orchardgrass populations investigated in this study have passed for 10 years after establishment. Cutting frequencies were 3, 4 and 5 times in a year. This experiment was conducted from April to October, 1989 at the experimental field of Institute of Agricultural Development, Yonsei University. The results are summarized as follows: 1. The survival rates of seedling plants decreased by the days after sowing. The final survival rates of seedling plants were 7.8%, 38.9% and 33.8% in 3, 4 and 5 cuttings, respectively. 2. Relative light intensity indicated highly possitive correlation with relative survival rates of seedling plants and negative correlation with plant length of orchardgrass populations in 4 and 5 cuttings. 3. The frequency distribution of survival seedling plants at 177 days after sowing were showed high values in seeding spots near the adjacent plants of 3 cutings, but in the middle of seeding spots between adjacent plants of 4 .and 5 cuttings, respectively. 4. The plant length of seedling became longer towards the seeding spots near the adjacent plants but the number of tillers increased slightly up to the middle of seeding spots between adjacent plants in all cutting frequencies.

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Development of Program for Relative Biological Effectiveness (RBE) Analysis of Particle Beam Therapy

  • Chung, Yoonsun;Ahn, Sang Hee;Choi, Changhoon;Park, Sohee
    • Progress in Medical Physics
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    • v.28 no.1
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    • pp.11-15
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    • 2017
  • Relative biological effectiveness (RBE) of particle beam needs to be evaluated at particle beam therapy centers before the clinical application of the particle beam. However, since RBE analysis is implemented manually, it is useful to have a tool that can easily and effectively handle the data of experiments to generate cell survival curve and to analyze RBE simultaneously. In this work, the development of a program for RBE analysis of particle beam therapy was presented. This RBE analysis program was developed to include two parts; fitting the cell survival curves to linear-quadratic model and calculating the RBE values at a certain endpoint using fitting results. This program was also developed to simultaneously compare and analyze the template results that stored experiment data with photon and particle beam irradiations. The results of the cell survival curve obtained by each irradiation can be analyzed by the user on a desired data after reading the template stored in the easy-to-use excel file. The analysis results include the cell survival curves with error range, which are appeared in the screen and the ${\alpha}$ and ${\beta}$ parameters of linear-quadratic model with 95% confidence intervals, RBE values, and $R^2$ values to evaluate goodness-of-fit of survival curves to model, which are stored in a text cvs file. This software can generate cell survival curve, fit to model, and calculate RBE all at once with raw experiment data, so it helps users to save time for data handling and to reduce the possibility of making error on analysis. As a coming plan, we will create a user-friendly graphical user interface to present the results more intuitively.

Elevated Expression of Maspin mRNA as a Predictor of Survival in Stage II and III Gallbladder Cancer Cases

  • Baghel, Kavita;Kazmi, Hasan Raza;Raj, Saloni;Chandra, Abhijit;Srivastava, Rajeshwar Nath
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.343-347
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    • 2014
  • Background: Maspin expression is a potential prognostic factor for various malignancies but its relation with gallbladder cancer is unknown and needs to be investigated needs to be investigated. We therefore here focused on maspin mRNA expression in normal, gall stone disease and gallbladder cancer subjects, with particular attention to prognostic importance in individuals with malignancies. Materials and Methods: This study was carried out at the Department of Surgical Gastroenterology, King George's Medical University, Lucknow, India. Gallbladder samples from normal (n=25), gall stone disease (n=25) and cancer patients (n=38) were analysed for maspin mRNA expression by semi-quantitative reverse transcriptase PCR and quantitative real time PCR. Statistical analysis was carried out using the Students t test or ANOVA. Survival analysis was conducted according to the Kaplan-Meier method and correlations were assessed using the Pearson correlation method. p<0.05 was considered statistically significant. Results: Significant increase (p=0.028) in expression of maspin mRNA was observed in gallbladder cancer as compared to gall stone disease, whereas no expression was found in normal tissues. Significant correlation (Pearson's coefficient(r)=-0.798, p<0.0001) was observed between relative quantification of maspin mRNA and survival of cancer patients after surgery, with significantly shorter (p=0.002) survival in patients having relative quantification >1.5 as compared to those having relative quantification <1.5. Similarly, significant differences in patient survival for maspin mRNA expression was observed for stage II (p=0.025) and III (p=0.011) cancer. Conclusions: Higher expression of maspin mRNA in gallbladder cancer has prognostic significance for stage II and III cancer, which needs to be investigated further.