NDLI: Childhood leukemia and lymphoma: time trends and factors affecting survival in five Southern and Eastern European Cancer Registries

Content Provider	Springer Nature Link
Author	Petridou, Eleni Th. Dimitrova, Nadya Eser, Sultan Kachav, Denis Karakilinc, Hulya Varfolomeeva, Svetlana Belechri, Maria Baka, Margarita Moschovi, Maria Polychropoulou, Sofia Athanasiadou Piperopoulou, Fani Fragandrea, Ioanna Stiakaki, Eftichia Pourtsidis, Apostolos Stefanadis, Christodoulos Coebergh, Jan Willem Sergentanis, Theodoros N.
Copyright Year	2013
Abstract	Within Europe, incidence and mortality rates of childhood leukemia and lymphoma are rather heterogeneous. The present study comprising data from five Southern and Eastern European Cancer Registries aims to compare time trends and examine whether sociodemographic variables, clinical parameters, and proxies of efficient care affect survival.Data spanning 1996–2010 were obtained for a total of 3,041 newly diagnosed childhood leukemia and 1,183 lymphoma cases reported by the Greek Nationwide Registry for Childhood Hematological Malignancies, Bulgarian National Cancer Registry, Moscow Region and Turkey (Antalya and Izmir) Cancer Registries. Poisson modeling for the evaluation of time trends and multivariate Cox regression analysis for the assessment of prognostic factors were performed.The incidence of leukemia was increasing in all cases, with Bulgaria and Greece presenting statistically significant annual changes (+3.5, and +1.7 %, respectively), followed by marginally increasing trends in Izmir and Moscow; by contrast, there was a remarkable, statistically significant, decreasing mortality trend for leukemia. Rates for lymphoma remained flat. Greece experienced almost twofold better survival rates for both leukemia and lymphoma, probably due to its higher socioeconomic status during the study period. Overall, patients with leukemia living in rural areas had a 28 % lower prognosis (RR: 1.28, 95 % CI 1.03–1.59), pointing to effects of remoteness, when the most privileged country (Greece) was excluded from the analysis.The favorable mortality trends highlight the progress in Southern–Eastern European countries along their trajectory to converge with Northern–Western EU counterpart states. Socioeconomic status may act as a multipotent factor underlying the study findings.
Starting Page	1111
Ending Page	1118
Page Count	8
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	24
Issue Number	6
e-ISSN	15737225
Language	English
Publisher	Springer Netherlands
Publisher Date	2013-03-26
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Childhood leukemia Childhood lymphoma Survival Incidence Mortality Time trends Socioeconomic status Cancer Research Biomedicine general Oncology Public Health Epidemiology Hematology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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