Survival of adults with acute lymphoblastic leukemia in Germany and the United States.

<h4>Background</h4>Adulthood acute lymphoblastic leukemia (ALL) is a rare disease. In contrast to childhood ALL, survival for adults with ALL is poor. Recently, new protocols, including use of pediatric protocols in young adults, have improved survival in clinical trials. Here, we examin...

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Autores principales: Dianne Pulte, Lina Jansen, Adam Gondos, Alexander Katalinic, Benjamin Barnes, Meike Ressing, Bernd Holleczek, Andrea Eberle, Hermann Brenner, GEKID Cancer Survival Working Group
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:691019e186494f44baea4d5a41ae39812021-11-18T08:35:47ZSurvival of adults with acute lymphoblastic leukemia in Germany and the United States.1932-620310.1371/journal.pone.0085554https://doaj.org/article/691019e186494f44baea4d5a41ae39812014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24475044/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Adulthood acute lymphoblastic leukemia (ALL) is a rare disease. In contrast to childhood ALL, survival for adults with ALL is poor. Recently, new protocols, including use of pediatric protocols in young adults, have improved survival in clinical trials. Here, we examine population level survival in Germany and the United States (US) to gain insight into the extent to which changes in clinical trials have translated into better survival on the population level.<h4>Methods</h4>Data were extracted from the Surveillance, Epidemiology, and End Results database in the US and 11 cancer registries in Germany. Patients age 15-69 diagnosed with ALL were included. Period analysis was used to estimate 5-year relative survival (RS).<h4>Results</h4>Overall 5-year RS was estimated at 43.4% for Germany and 35.5% for the US (p = 0.004), with a decrease in survival with increasing age. Survival was higher in Germany than the US for men (43.6% versus 37.7%, p = 0.002) but not for women (42.4% versus 40.3%, p>0.1). Five-year RS estimates increased in Germany and the US between 2002 and 2006 by 11.8 and 7.3 percent units, respectively (p = 0.02 and 0.04, respectively).<h4>Conclusions</h4>Survival for adults with ALL continues to be low compared with that for children, but a substantial increase in 5-year survival estimates was seen from 2002 to 2006 in both Germany and the US. The reasons for the survival differences between both countries require clarification.Dianne PulteLina JansenAdam GondosAlexander KatalinicBenjamin BarnesMeike RessingBernd HolleczekAndrea EberleHermann BrennerGEKID Cancer Survival Working GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e85554 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Dianne Pulte
Lina Jansen
Adam Gondos
Alexander Katalinic
Benjamin Barnes
Meike Ressing
Bernd Holleczek
Andrea Eberle
Hermann Brenner
GEKID Cancer Survival Working Group
Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
description <h4>Background</h4>Adulthood acute lymphoblastic leukemia (ALL) is a rare disease. In contrast to childhood ALL, survival for adults with ALL is poor. Recently, new protocols, including use of pediatric protocols in young adults, have improved survival in clinical trials. Here, we examine population level survival in Germany and the United States (US) to gain insight into the extent to which changes in clinical trials have translated into better survival on the population level.<h4>Methods</h4>Data were extracted from the Surveillance, Epidemiology, and End Results database in the US and 11 cancer registries in Germany. Patients age 15-69 diagnosed with ALL were included. Period analysis was used to estimate 5-year relative survival (RS).<h4>Results</h4>Overall 5-year RS was estimated at 43.4% for Germany and 35.5% for the US (p = 0.004), with a decrease in survival with increasing age. Survival was higher in Germany than the US for men (43.6% versus 37.7%, p = 0.002) but not for women (42.4% versus 40.3%, p>0.1). Five-year RS estimates increased in Germany and the US between 2002 and 2006 by 11.8 and 7.3 percent units, respectively (p = 0.02 and 0.04, respectively).<h4>Conclusions</h4>Survival for adults with ALL continues to be low compared with that for children, but a substantial increase in 5-year survival estimates was seen from 2002 to 2006 in both Germany and the US. The reasons for the survival differences between both countries require clarification.
format article
author Dianne Pulte
Lina Jansen
Adam Gondos
Alexander Katalinic
Benjamin Barnes
Meike Ressing
Bernd Holleczek
Andrea Eberle
Hermann Brenner
GEKID Cancer Survival Working Group
author_facet Dianne Pulte
Lina Jansen
Adam Gondos
Alexander Katalinic
Benjamin Barnes
Meike Ressing
Bernd Holleczek
Andrea Eberle
Hermann Brenner
GEKID Cancer Survival Working Group
author_sort Dianne Pulte
title Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
title_short Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
title_full Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
title_fullStr Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
title_full_unstemmed Survival of adults with acute lymphoblastic leukemia in Germany and the United States.
title_sort survival of adults with acute lymphoblastic leukemia in germany and the united states.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/691019e186494f44baea4d5a41ae3981
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