Cancer incidence, survival and mortality: Explaining the concepts

被引:134
作者
Ellis, Libby [1 ]
Woods, Laura M. [1 ]
Esteve, Jacques [2 ]
Eloranta, Sandra [3 ]
Coleman, Michel P. [1 ]
Rachet, Bernard [1 ]
机构
[1] Univ London London Sch Hyg & Trop Med, Canc Res UK Canc Survival Grp, London WC1E 7HT, England
[2] Univ Lyon 1, Div Biostat, Hosp Civils Lyon, F-69365 Lyon, France
[3] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
关键词
cancer; mortality; incidence; survival; methods; FLEXIBLE PARAMETRIC MODELS; BREAST-CANCER; RELATIVE SURVIVAL; REGISTRY DATA; STATISTICS; UK; DIAGNOSIS; AUSTRALIA; CAUTION; DENMARK;
D O I
10.1002/ijc.28990
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Cancer incidence, survival and mortality are essential population-based indicators for public health and cancer control. Confusion and misunderstanding still surround the estimation and interpretation of these indicators. Recurring controversies over the use and misuse of population-based cancer statistics in health policy suggests the need for further clarification. In our article, we describe the concepts that underlie the measures of incidence, survival and mortality, and illustrate the synergy between these measures of the cancer burden. We demonstrate the relationships between trends in incidence, survival and mortality, using real data for cancers of the lung and breast from England and Sweden. Finally, we discuss the importance of using all three measures in combination when interpreting overall progress in cancer control, and we offer some recommendations for their use.
引用
收藏
页码:1774 / 1782
页数:9
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