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@ARTICLE{Hemminki:293797,
author = {K. Hemminki$^*$ and F. Zitricky and A. Försti$^*$ and T.
Tapaninen and A. Hemminki and G. Juliusson and C. U.
Niemann},
title = {{C}omplex {R}elationships between {D}iagnostics and
{S}urvival in {C}hronic {L}ymphocytic {L}eukemia in
{D}enmark, {F}inland, {N}orway, and {S}weden.},
journal = {Cancers},
volume = {16},
number = {18},
issn = {2072-6694},
address = {Basel},
publisher = {MDPI},
reportid = {DKFZ-2024-01955},
pages = {3229},
year = {2024},
note = {#EA:Z999#},
abstract = {Chronic lymphocytic leukemia (CLL) is a common
hematological malignancy with highly variable clinical
presentation. Many patients never require any treatment but
for the others, chemotherapy, immunochemotherapy, and newer
targeted therapies have changed the treatment landscape.
Diagnostic age influences the applied treatment, and we thus
wanted to analyze age-specific survival trends through 50
years up to 2020s.We used 1- and 5-year relative survival
from the NORDCAN database, with data from Denmark (DK),
Finland (FI), Norway (NO), and Sweden (SE). Because of the
variable presentation of CLL, we also considered incidence
and mortality trends. For comparison, US SEER data were
used.The large age-specific survival differences in 1972-76
almost disappeared by 2017-21. While 5-year survival in
younger patients exceeded $90\%,$ for those diagnosed at age
80-89 years, survival reached $90\%$ in DK and SE women,
$80\%$ in NO and SE men, but only $50\%$ in FI. DK 5-year
overall survival for men was $92.4\%,$ and for women, it was
$96.3\%.$ These survival figures were higher than
age-group-specific US survival data.The DK data are probably
global top figures for national survival which could be
achieved by boosting survival even among the oldest
patients. The qualification to these figures and
international comparisons is that survival needs to be
considered in terms of incidence, which is high in DK and
NO. Low survival of the FI 80-89-year-old patients, even in
the first year after diagnosis, may suggest delayed
diagnosis, which should call for a closer national
scrutiny.},
keywords = {periodic survival (Other) / prognosis (Other) / targeted
agents (Other) / treatment (Other)},
cin = {Z999 / B062 / HD01},
ddc = {610},
cid = {I:(DE-He78)Z999-20160331 / I:(DE-He78)B062-20160331 /
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:39335200},
pmc = {pmc:PMC11429559},
doi = {10.3390/cancers16183229},
url = {https://inrepo02.dkfz.de/record/293797},
}