NDLI: Non-cancer mortality among long-term survivors of adult cancer in Korea: national cancer registry study

Content Provider	Springer Nature Link
Author	Shin, Dong Wook Ahn, Eunmi Kim, Hyerim Park, Sohee Kim, Young Ae Yun, Young Ho
Copyright Year	2010
Abstract	To investigate the pattern of non-cancer deaths and to determine whether there is excess mortality from non-cancer causes among Korean long-term survivors of adult cancer.We merged national cancer registry data and national death registration data to determine non-cancer death patterns of 243,713 people who were diagnosed with cancer from 1993 to 2000 and who survived ≥5 years. We calculated standardized mortality ratios (SMRs) by an indirect standardization method.Of the patient population, 26,498 (10.9%) had died as of December 2005; the cause of death for 6,364 (24.0%) of those was not cancer. The proportion of non-cancer mortality increased with age at diagnosis and correlated with the 5-year survival rate (r = 0.336 for women, 0.571 for men). Although the risk for non-cancer death was lower among long-term survivors in general (SMR, 0.78; 95% CI, 0.76–0.80), it was higher among younger survivors (SMR, 1.23–2.50, for those who died before 50) than the general population. Survivors had an elevated suicide rate (SMR, 1.28; 95% CI, 1.15–1.42), especially male (SMR, 1.35; 95% CI, 1.19–1.53) and stomach cancer survivors (SMR, 1.38; 95% CI, 1.14–1.66).Appropriate medical attention for long-term adult cancer survivors, especially younger survivors, is warranted to prevent premature deaths from non-cancer causes.
Starting Page	919
Ending Page	929
Page Count	11
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	21
Issue Number	6
e-ISSN	15737225
Language	English
Publisher	Springer Netherlands
Publisher Date	2010-02-19
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cancer Long-term survivors Non-cancer mortality Survivorship Hematology Epidemiology Public Health/Gesundheitswesen Oncology Biomedicine general Cancer Research
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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