Abstract
Reports dealing with childhood cancer population-based survival have not yet been published in Cuba. A survival study including cases reported to the National Cancer Registry in the period 1988–1989 have been accomplished in the National Cancer Registry of Cuba. A comprehensive view of its results in childhood cancer is intended to be shown in this paper. All sites childhood cancer cases aged below 15 years (400) and reported in this period were included derived from a total of 578 incident cases. Vital status of cases was checked-up to December of 1994 by a mixed follow-up. Survival analysis was achieved by the life-table method using the SPSS for Windows software. Relative survival rates were not included because no differences were appreciated with the observed ones. Cases between 0–4 years and females account for the highest frequencies. Leukaemia accounts for 27% of the cases, followed by lymphomas and tumours of the central nervous system. Lymphoid and non-lymphoid acute leukaemia had 41 and 9% 5-year survival rate respectively being the latter comparable with Bangalore, India (10%). For lymphomas, Hodgkin's disease present better prognosis compared with non-Hodgkin lymphoma with 73 and 35% 5-year survival rates, respectively. Figures are comparable to the corresponding to Bangalore, India (72 and 33%, respectively). For time trends survival distribution were compared by period of diagnosis (1982/1988–1989). In all cases differences resulted statistically non-significant with lower rates for 1988–1989 except for lymphomas. International reports show increasing time trends for childhood cancer. Nevertheless, these results may serve as a milestone for future comparisons, corresponding with the creation of the National Program for Childhood Cancer Control and future studies will confirm the success of its measures.
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References
Alert J. Incidence of malignant tumours in childhood in Cuba in the years 1973-1975 and 1976-1978. Rev Cub Ped 1985; 57: 469 [in Spanish].
Martin A, Grueiro S, Valdés M, Longchong M. Incidence of childhood cancer in Cuba (1983-1987). Rev Cub Oncol 1994; 10(1-2): 50-58 [in Spanish].
IARC-European Commission. Survival of cancer patients in Europe. In: Berrino F, Sant M, Verdecchia A, Capocaccia R, Hakulinen T (eds), The Eurocare Study. IARC Scientific Publications No. 132, Lyon: IARC, 1995.
Sánchez V, Sánchez de Toledo J, Mingot M, Borrás JM. Trends in childhood mortality of tumours in Cataluña (1975-1992). Med Clin (Barc) 1995; 104: 241-244 [in Spanish].
Draper GJ. Childhood cancer: Trends in incidence, survival and mortality. Eur J Cancer 1995; 31A(5): 653-654.
Caraballoso M. National Cancer Registry of Cuba: 1971-1980. In: Parkin DM, Stiller CA, Draper GJ and others (eds), International Incidence of Childhood Cancer. IARC Scientific Publications No. 87, Lyon: IARC, 1988.
Martín A, et al. National Cancer Registry of Cuba: 1986-1990. In: Parkin DM, Kramarova E, Drapes GJ, Marsuyer E, Michaelis J, Neglia J, Qureshi S, Stiller SA (eds), International Incidence of Childhood Cancer. Vol. II, International Agency for Research on Cancer, Lyon, France. IARC Scientific Publications No. 144, 1998, pp. 79-82.
Martin A, Alert JA, Ren JS, Longchong M, Grueiro S. Incidence of childhood cancer in Cuba (1986-1990). Int J Cancer 1997; 72: 551-555.
Nandakumar A, Narayanappa A, et al. Descriptive epidemiology of childhood cancers in Bangalore, India. Cancer Causes and Control 1996; (7): 405-410.
Plesko I, Somogyi E, Dimitrova E, Kramárova E. Childhood cancer malignancies in Slovak. Neoplasm 1989; 36(2): 233-243.
Kramárova E, et al. Improving survival for childhood cancer in Slovak. Int J Cancer 1996; 65: 594-600.
Stiller CA, Bunch KJ. Trends in survival for childhood cancer in Britain diagnosed in 1971-1985. Brit J Cancer 1990; 62: 806-815.
Stiller CA. Population-based survival rates for childhood cancer in Britain. 1980-1991. Brit Med J 1994; 309: 1612-1616.
National Registry of Paediatric Tumours (RNTI). Basic Statistics 3 (1980-1990). Survival 1980-1989. Monografies Sanitáries, Série A (Estudis) No. 25, 1993 (in Spanish).
Mc Whuirter WR, Ring I, et al. Childhood Cancer in Australia 1977 to 1982. Incidence and Survival. Australian Paediatric Cancer Registry, Brisbane, 1985.
Adami HO, et al. Trends in childhood and adolescent cancer survival in Sweden 1960-1984. Acta Oncol 1992; 31: 1-10.
de Nully Brown P, Olsen JH, Hertz H, Carstensen B, Bautz A. Trends in survival after childhood cancer in Denmark, 1943-1987: A population-based study. Acta Paediatric 1995; 84(3): 316-324.
Black R, Sharp L, Kendrick SW. Trends in Cancer Survival in Scotland. 1968-1990. ISD Pub, Edinburgh, Scotland, 1993.
Magnani C, Pastore G. Survival of childhood cancer patients in Italy, 1978-1989. ITACARE Working Group. Tumori 1997; 83(1): 426-489.
Giles G, Farrugia H, Thursfield V, Staples M. Childhood Cancer in Victoria. Cartoon South Victoria, Canada. Anticancer Council of Victoria, 1994; Canstat No. 18.
Novakovic B. US childhood cancer survival, 1973-1987. Med Pediat Oncol 1994; 23: 480-486.
Fernández L, Graupera M, Martín A, Galán Y, Lezcano M. Survival of cancer in Cuba. In: Sankaranarayanan R, Black R, Parkin DM (eds), Cancer Survival in Developing. International Agency for Research on Cancer, Lyon, France. IARC Scientific Publications, No. 145, 1998, pp. 51-58.
Graupera M, et al. Trends in cancer survival in Cuba. Eur J Epid 1999; 15: 521-528.
Estéve J, Benhamou E, Raymond L. Statistical Methods in Cancer Research. Vol. 4. Descriptive Epidemiology. IARC Scientific Publications No. 132, Lyon: IARC, 1994.
Birch JM, Marsden HB. A classification scheme for childhood cancer. Int J Cancer 1987; 40: 620-624.
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Boschmonar, M., Alvarez, Y., García, A. et al. Childhood cancer survival in Cuba. Eur J Epidemiol 16, 763–767 (2000). https://doi.org/10.1023/A:1026793615987
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DOI: https://doi.org/10.1023/A:1026793615987