Has equity in relative survival improved over time in Finland – a methodological exercise
| Autor: | Janez Stare, Manca Jesenko, Risto Sankila, Maja Pohar Perme, Timo Hakulinen |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Colorectal cancer Population Goodness of fit Cancer control Humans Medicine Radiology Nuclear Medicine and imaging education Finland Aged Proportional Hazards Models Ovarian Neoplasms education.field_of_study Models Statistical Equity (economics) Relative survival business.industry Age Factors Hematology General Medicine Middle Aged Standard methods medicine.disease Survival Analysis Survival Rate Oncology Colonic Neoplasms Female Epidemiologic Methods business Demography |
| Zdroj: | Acta Oncologica. 50:1235-1243 |
| ISSN: | 1651-226X 0284-186X |
| DOI: | 10.3109/0284186x.2011.599814 |
| Popis: | Population-based relative survival is widely used as a method of monitoring the success of cancer control. This success may not be relevant only for an entire country but also regional developments over time are of interest. It would not only be important that the relative survival improved but also that the differences between regions decreased over time.In this paper the authors show how relative survival methods can be used to study such differences. In addition to standard methods, some more recently introduced approaches are used, most notably a method for checking the goodness of fit of the relative survival model. This gives confidence in the obtained results and provides additional insight when assumptions are not met.An analysis of cancers of the colon and ovary by cancer control region in Finland in 1953-2003 shows an overall improvement in relative survival, accompanied in colon cancer also by a decrease of differences in relative survival between the regions. Thus, the desired course was observed in colon cancer but not in cancer of the ovary.These results, applied to further sites, should lead to investigation of differences in cancer control policies between regions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|