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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Trends in the survival of patients with nasopharyngeal carcinoma 1976-2005 in Sihui city, Guangdong province, P.R. of China: a population-based study Q ing Liu, Jinou Chen, Qihong Huang, Yanhua Li Cancer Center, Sun Yat-sen University Sihui Cancer Institute
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER NPC Epidemiological Charateristics in Sihui Incidence rate of NPC: 30.9 in male and 13.0 in female Mortality rate of NPC: 22.0 in male and 7.7 in female Incidence rates and mortality rates of NPC kept stable Comparing to the reduction in HK, TW, LA in USA
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Trend of NPC incidence 1988-2002 in HK
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Trend of NPC incidence 1978-2002 in Sihui
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Materials and methods Cancer registry system since 1973 in Sihui Follow up system for NPC cases since 1978 1761 incidence cases of NPC were chose during 1976-2005 Follow up to the end of 2006, Max follow up year=30.4 1239 (70.3%) cases with pathological evidence
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Materials and methods Kaplan–Meier estimate for survival rates Cox proportional hazards regression for risk factor screening Risk factors: gender,age,period of diagnosis,clinical stage, pathological status,diagnosis medical unit were analyzed
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Materials and methods Relative survival probabilities for NPC were assessed by matched sex, age group, period of diagnosis with general population Age-specific death rates and life table of Sihui general population was available based on death registry system SURV3 was used for relative survival rate estimation SAS 9.2 for other statistical analyses
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Results
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Characteristics of patients with NPC 1976-2005 Gender N % Male118967.5 Female 57232.5 Age at diagnosis <40 49828.2 40- 54530.9 50- 41423.5 60+ 30417.3
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Characteristics of patients with NPC 1976-2005 Clinical stage N % I107 6.1 II54631.0 III46726.5 IV119 6.8 Unknown52229.6 Pathological diagnosis WHO I 159 9.0 WHO II/III108061.3 Unknown 52229.6
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Characteristics of patients with NPC 1976-2005 Period diagnosed N % 1976-40923.2 1986-47226.8 1993-53430.3 2000-34619.6 Diagnostic hospital CC107661.1 Other 68538.9
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Five year survival of NPC patients in Sihui MTS OS(95%CI) RS(95%CI) All cases5.150.5(48.1-52.9)60.3(57.5-63.1) Gender Male4.548.4(45.5-51.3)59.3(55.8-62.8) Female6.254.5(50.4-58.7)62.2(57.6-66.8) Age at diagnosis <408.756.4(51.9-60.9)59.4(54.7-64.1) 40-5.953.9(49.6-58.1)60.1(55.4-64.8) 50-4.848.7(43.8-53.6)62.5(56.3-68.6) 60+2.836.4(30.8-41.9)59.1(50.5-67.6)
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Five year survival of NPC patients in Sihui MTS OS(95%CI) RS(95%CI) Clinical Stages I14.473.7(65.3-82.1) 85.2(75.8-94.5) II6.357.4(53.1-61.7) 69.4(64.5-74.3) III2.838.3(33.8-42.8) 44.7(39.5-50.0) IV2.331.5(22.8-40.2) 37.9(27.6-48.2) Unknown6.152.8(48.4-57.2) 64.4(59.2-69.6) Path WHO I5.149.8(41.1-58.6)56.9(52.3-61.5) WHO II/III5.552.1(49.1-55.1)62.3(58.8-65.8) Unknown4.246.4(42.0-50.9)58.8(53.5-64.1)
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Five year survival of NPC patients in Sihui MTS OS(95%CI) RS(95%CI) Period diagnosed 1976-19853.842.5(37.8-47.3) 51.8(46.2-57.4) 1986-19924.043.4(39.0-47.9) 51.1(45.9-56.3) 1993-19995.552.1(47.8-56.3) 62.5(57.5-67.6) 2000-2005 -69.8(64.1-75.4) 84.8(79.1-90.6) Diagnostic Hospital CC5.552.3(49.3-55.3) 62.3(58.8-65.8) Others4.347.4(43.5-51.2) 56.9(52.3-61.5)
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Risk factors related to death from NPC by Multivariate Cox Regression HR 95%CI GenderMale1.00 Female0.760.65-0.90 Age<401.00 40-1.210.99-1.49 50-1.511.22-1.88 60+2.221.73-2.84 StageI1.00 II1.611.17-2.22 III2.611.89-3.60 IV3.412.34-4.99 HistoWHOII/III1.00 WHO I1.281.00-1.64 Period1976-19851.00 1986-19920.760.63-0.91 1993-19990.550.45-0.68 2000-20050.280.20-0.40
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Observed and relative survival (95%CI) of NPC in Sihui 1976-2005
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Relative survival of NPC, stage I and II
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Relative survival of NPC, stage III and IV
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER Conclusion Significant improvement of NPC survival No change of proportion of stage of NPC cases Improved radiotherapy might contribute to survival of NPC Screening for NPC will definitely increase survival of NPC May predict a reduction of mortality rates of NPC in Sihui
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中山大学肿瘤防治中心 SUN YAT-SEN UNIVERSITY CANCER CENTER screening
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