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@ARTICLE{Hemminki:299557,
author = {K. Hemminki$^*$ and F. Zitricky},
title = {{V}isual presentation of age differences in relative
survival of hematological neoplasms in {S}weden and the
neighboring countries.},
journal = {Annals of hematology},
volume = {104},
number = {3},
issn = {0939-5555},
address = {New York},
publisher = {Springer},
reportid = {DKFZ-2025-00501},
pages = {1985-1993},
year = {2025},
note = {2025 Mar;104(3):1985-1993 / #EA:C020#EA:Z999},
abstract = {For many hematological malignancies (HMs) survival among
older patients is compromised. We want to test the most
up-to-date age-group-specific survival differences in five
hematological malignancies, Hodgkin lymphoma (HL), multiple
myeloma (MM), chronic lymphocytic leukemia (CLL), acute
myeloid leukemia (AML) and myeloproliferative diseases (MPD)
in Sweden (SE) and compared these to Denmark, Finland and
Norway. For analysis we apply a recently published metric
for comparing and visualizing age-group-specific relative
survival differences using data from the NORDCAN database
between 1972 and 2021. Periodic changes in age-related
deviation in SE survival showed increasing differences for
AML and MM while for the other HMs the differences declined
in the course of time. Country-specific differences were
observed, for Finnish male CLL and female MPD deviations
were larger than those for the other countries, both of
which were explained by the deviant survival of the oldest
patients. Age-related deviations in 5-year survival
increased for AML and MM for which survival improvements
have been achieved through intense treatment regimens but
these are not offered to old patients because of risk of
complications. Paradoxically, improving overall survival in
AML and MM has contributed to the widening of the age gaps.
For the remaining HMs, age-related deviations declined with
time as even old patients benefitted from the survival
improvements; most notably female MPD and CLL patients had
hardly any age gaps. Age disparities are an issue in
hematological malignancies, and an intense search for novel
treatments also includes old patients with an example of
success as a novel drug venetoclax.},
keywords = {Cancer registry (Other) / Periodic survival (Other) /
Prognosis (Other) / Treatment (Other)},
cin = {C020 / Z999},
ddc = {610},
cid = {I:(DE-He78)C020-20160331 / I:(DE-He78)Z999-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40047911},
doi = {10.1007/s00277-025-06291-4},
url = {https://inrepo02.dkfz.de/record/299557},
}