Articles producció científica> Medicina i Cirurgia

Reasons for low cervical cancer survival in new accession European Union countries: a EUROCARE-5 study

  • Identification data

    Identifier: imarina:6140441
    Authors:
    Bielska-Lasota M, Rossi S, Krzy?ak M, Haelens A, Domenic A, De Angelis R, Maciejczyk A, Rodríguez-Barranco M, Zadnik V, Minicozzi P, EUROCARE-5 Working Group
    Abstract:
    © 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: With better access to early diagnosis and appropriate treatment, cervical cancer (CC) burden decreased in several European countries. In Eastern European (EE) countries, which accessed European Union in 2004, CC survival was worse than in the rest of Europe. The present study investigates CC survival differences across five European regions, considering stage at diagnosis (local, regional and metastatic), morphology (mainly squamous versus glandular tumours) and patients’ age. Methods: We analysed 101,714 CC women diagnosed in 2000–2007 and followed-up to December 2008. Age-standardised 5-year relative survival (RS) and the excess risks of cancer death in the 5 years after diagnosis were computed. Results: EE women were older and less commonly diagnosed with glandular tumours. Proportions of local stage cancers were similar across Europe, while morphology- and stage-specific RS (especially for non-metastatic disease) were lower in Eastern Europe. Adjusting for age and morphology, excess risk of local stage CC death for EE patients remained higher than that for other European women. Conclusion: Stage, age and morphology alone do not explain worse survival in Eastern Europe: less effective care may play a role, probably partly due to fewer or inadequate resources being allocated to health care in this area, compared to the rest of Europe.
  • Others:

    Author, as appears in the article.: Bielska-Lasota M, Rossi S, Krzy?ak M, Haelens A, Domenic A, De Angelis R, Maciejczyk A, Rodríguez-Barranco M, Zadnik V, Minicozzi P, EUROCARE-5 Working Group
    Department: Medicina i Cirurgia
    URV's Author/s: Galceran Padrós, Jaume Josep Maria
    Keywords: Survival Stage at diagnosis Population-based study Morphology Europe Cervical cancer stage at diagnosis population-based study morphology europe cervical cancer
    Abstract: © 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: With better access to early diagnosis and appropriate treatment, cervical cancer (CC) burden decreased in several European countries. In Eastern European (EE) countries, which accessed European Union in 2004, CC survival was worse than in the rest of Europe. The present study investigates CC survival differences across five European regions, considering stage at diagnosis (local, regional and metastatic), morphology (mainly squamous versus glandular tumours) and patients’ age. Methods: We analysed 101,714 CC women diagnosed in 2000–2007 and followed-up to December 2008. Age-standardised 5-year relative survival (RS) and the excess risks of cancer death in the 5 years after diagnosis were computed. Results: EE women were older and less commonly diagnosed with glandular tumours. Proportions of local stage cancers were similar across Europe, while morphology- and stage-specific RS (especially for non-metastatic disease) were lower in Eastern Europe. Adjusting for age and morphology, excess risk of local stage CC death for EE patients remained higher than that for other European women. Conclusion: Stage, age and morphology alone do not explain worse survival in Eastern Europe: less effective care may play a role, probably partly due to fewer or inadequate resources being allocated to health care in this area, compared to the rest of Europe.
    Thematic Areas: Saúde coletiva Odontología Obstetrics and gynecology Obstetrics & gynecology Nutrição Medicine (miscellaneous) Medicina veterinaria Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Geociências General medicine Farmacia Engenharias iii Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Biodiversidade Arquitetura, urbanismo e design
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 09320067
    Author's mail: jaumejosepmaria.galceran@urv.cat
    Record's date: 2023-02-19
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://link.springer.com/article/10.1007/s00404-019-05412-5
    Papper original source: Archives Of Gynecology And Obstetrics. 301 (2): 591-602
    APA: Bielska-Lasota M, Rossi S, Krzy?ak M, Haelens A, Domenic A, De Angelis R, Maciejczyk A, Rodríguez-Barranco M, Zadnik V, Minicozzi P, EUROCARE-5 Workin (2020). Reasons for low cervical cancer survival in new accession European Union countries: a EUROCARE-5 study. Archives Of Gynecology And Obstetrics, 301(2), 591-602. DOI: 10.1007/s00404-019-05412-5
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.1007/s00404-019-05412-5
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2020
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Obstetrics & Gynecology,Obstetrics and Gynecology
    Survival
    Stage at diagnosis
    Population-based study
    Morphology
    Europe
    Cervical cancer
    stage at diagnosis
    population-based study
    morphology
    europe
    cervical cancer
    Saúde coletiva
    Odontología
    Obstetrics and gynecology
    Obstetrics & gynecology
    Nutrição
    Medicine (miscellaneous)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Interdisciplinar
    Geociências
    General medicine
    Farmacia
    Engenharias iii
    Enfermagem
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología
    Biodiversidade
    Arquitetura, urbanismo e design
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