2012-12-19
Multiple malignancies amongst cancer survivors in the Netherlands since 1989 - implications for surveillance
Publication
Publication
Meerdere maligniteiten onder overlevenden van kanker in nederland sinds 1989: implicaties voor surveillance
Early detection of cancer as well as advances in therapy and supportive care have resulted a prolonged survival period of time after cancer. In the Netherlands the 5-year relative survival for all types of cancers combined increased from 47% in 1989-1993 to 59% in 2004-2008. Once patients have survived long enough (i.e. 10 years) since diagnosis of their cancer, their life expectancy usually becomes almost the same as people without a cancer (conditional 5-year relative survival>95%). A Netherlands Cancer scenario Report expected the prevalence of second cancer patients to increase from 14,000 in 1985 to 24,000 (excl. skin cancer) in 2000 when assuming an average increase of duration of survival by 1% per annum. The Signallling report in 2004 from the Dutch Cancer Society estimated the prevalence of multiple malignancies (MMs) to reach around 100,000 cases in 2015 in the Netherlands due to a twofold number of cancer survivors since 2005. Since a second cancer diagnosis may impair survival and is likely to affect quality of life amongst cancer survivors we should be interested in prevention and early detection and its undoubtedly more complex treatment. MMs are defined as two or more primary cancers occurring in an individual that are neither an extension, nor a recurrence, nor a metastasis of the first tumor1.
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| The studies reported in this thesis were primarily funded by the Dutch Cancer Society (KWF, Kanker Bestrijding). For any grant pertaining to specific studies the reader is referred to the individual papers published in their respective journals. | |
| J.W.W. Coebergh (Jan Willem) | |
| Erasmus University Rotterdam | |
| hdl.handle.net/1765/38472 | |
| Organisation | Erasmus MC: University Medical Center Rotterdam |
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Liu, L. (2012, December 19). Multiple malignancies amongst cancer survivors in the Netherlands since 1989 - implications for surveillance. Retrieved from http://hdl.handle.net/1765/38472 |
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