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@ARTICLE{Pulte:143658,
author = {D. Pulte$^*$ and J. Weberpals$^*$ and L. Jansen$^*$ and H.
Brenner$^*$},
title = {{C}hanges in population-level survival for advanced solid
malignancies with new treatment options in the second decade
of the 21st century.},
journal = {Cancer},
volume = {125},
number = {15},
issn = {0008-543X},
address = {New York, NY},
publisher = {Wiley-Liss},
reportid = {DKFZ-2019-01232},
pages = {2656-2665},
year = {2019},
abstract = {Several new treatments that improve survival in clinical
trials have been developed for various solid malignancies in
advanced stages. The effect of these options on survival in
the general population is currently unknown.Cancers for
which 2 or more new treatment options have been approved by
the US Food and Drug Administration during the years 2009
through 2011 for the treatment of advanced disease were
identified, including adenocarcinoma of the lung, melanoma,
breast cancer, prostate cancer, and renal cell carcinoma.
Kaplan-Meier analysis was used to compare overall survival
for these conditions in the Surveillance, Epidemiology, and
End Results database for the periods 2007 to 2008, 2009 to
2010, and 2011 to 2012. Hazard ratios derived from adjusted,
shared frailty models for cancer-specific survival were
calculated as well for the years of diagnosis (2007-2008,
2009-2010, and 2011-2012).Two-year survival increased for
patients with advanced-stage lung adenocarcinoma
(+3.0 percentage points), melanoma (+3.4 percentage
points), and breast cancer (+2.7 percentage points). When
only patients aged 15 to 64 years were included, 2-year
survival for those with melanoma increased by
+6.7 percentage points. No change in survival was observed
for renal cell carcinoma. Decreases in the hazard ratio for
cancer-specific mortality were observed during the period
2011 to 2012 compared with 2007 to 2008 for lung
adenocarcinoma, melanoma, and breast cancer.Small increases
in 2-year survival were observed between the periods 2007 to
2008 and 2011 to 2012 for lung adenocarcinoma, melanoma, and
prostate cancer. Cancer-specific mortality decreased for
each of these cancers among patients who were diagnosed
between the periods 2007 to 2008 and 2011 to 2013. These
findings suggest that newer treatment options are beginning
to increase survival for stage IV cancers at the population
level.},
cin = {C070 / C120 / L101},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)L101-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31095726},
doi = {10.1002/cncr.32160},
url = {https://inrepo02.dkfz.de/record/143658},
}