Abstract
National and regional population-based registries are, provided diagnostic accuracy and full coverage of the target population, indispensible tools for epidemiological research. CML registries with a more comprehensive reporting may also provide complementary data on treatment outcome to those obtained from clinical trials. Reports from several European CML registries consistently show a crude annual incidence of 0.7–1.3/100,000, median age at diagnosis of 56–60 years and a male/female ratio of 1.2–1.7. The incidence of CML has been stable over time. Worldwide, variations in reported incidence of CML may be due to methodological issues, but a true difference between different geographical areas and/or ethnical subgroups cannot be excluded. The prevalence of CML is less well known but has been estimated to 10–12/100,000 inhabitants with a steady increase due to the dramatic improvement in survival of these patients. In recent population-based studies, CML patients have an overall survival that is comparable to that shown in large clinical trials, though relative survival in patients >70 years is still decreased. The importance of socioeconomic factors and health-care setting for outcome, a possible increased risk of secondary cancer in CML and possible long-term adverse off-target effects related to the use of tyrosine kinase inhibitors, are areas of ongoing epidemiological research.
Parts of this chapter have formerly been published within the journal Annals of Hematology in Volume 94, Issue 2, supplement, April 2015, “Chronic Myeloid Leukemia”, doi:10.1007/s00277-015-2314-2.
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The authors appreciate the work of all clinicians reporting all newly diagnosed cases of CML to the Swedish CML registry.
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Höglund, M., Sandin, F., Simonsson, B. (2016). Epidemiology of Chronic Myeloid Leukemia. In: Hehlmann, R. (eds) Chronic Myeloid Leukemia. Hematologic Malignancies. Springer, Cham. https://doi.org/10.1007/978-3-319-33198-0_7
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