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@ARTICLE{Tichanek:275458,
author = {F. Tichanek and A. Försti$^*$ and A. Hemminki and O.
Hemminki and K. Hemminki$^*$},
title = {{S}urvival in melanoma in the nordic countries into the era
of targeted and immunological therapies.},
journal = {European journal of cancer},
volume = {186},
issn = {0014-2964},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {DKFZ-2023-00773},
pages = {133 - 141},
year = {2023},
note = {#LA:C020#},
abstract = {Survival in melanoma has been increasing and the most
recent interest is to observe the population-level impact of
novel targeted therapies and immunotherapy. We analysed
survival in melanoma from Denmark (DK), Finland (FI), Norway
(NO) and Sweden (SE) over a 50-years period
(1971-2020).Relative 1-5/1- and 5-year survival data were
obtained from the NORDCAN database for the years 1971-2020.
We estimated annual changes in survival rates and determined
significant breaking points for trends.Survival in melanoma
has reached the point where 1-year survival is approaching
$100\%$ (men $97.5-98.6\%,$ women $98.4-99.3\%,$ depending
on the country) and 5-year survival is $93\%$ for men
$(91.5-95.2\%)$ and $96\%$ for women $(95.3-97.2\%).$ The
highest survival figures were for DK. Significant increases
in both 1- and 5-year survival were observed in most
countries even towards the end of the follow-up (from 2006
to 2010-2011-2015 and further to 2016-2020).The main
increase in melanoma survival took place up to year 1990,
which was probably largely achieved through successful
population campaigns for sun protection and programmes for
early detection of lesions. Survival increased again after
year 2000 up to the last period 2016-2020. This late
development coincided with the introduction of targeted
therapies using BRAF and BRAF/MEK inhibitors, and towards
the end of the time period availability of checkpoint
inhibitors. The success of melanoma treatment in DK was
mostly likely due to the efficient use of modern therapies
and to the centralised treatment for metastatic disease.},
keywords = {Conditional survival (Other) / Immunotherapy (Other) /
Relative survival (Other) / Sun protection (Other) /
Targeted therapy (Other)},
cin = {B062 / C020 / HD01},
ddc = {610},
cid = {I:(DE-He78)B062-20160331 / I:(DE-He78)C020-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37068406},
doi = {10.1016/j.ejca.2023.03.019},
url = {https://inrepo02.dkfz.de/record/275458},
}