Journal article
Global survival trends for brain tumors, by histology: analysis of individual records for 556,237 adults diagnosed in 59 countries during 2000–2014 (CONCORD-3)
Neuro-oncology, Vol.25(3), pp.580-592
03/2023
DOI: 10.1093/neuonc/noac217
PMCID: PMC10013649
PMID: 36355361
Abstract
Background:
Survival is a key metric of the effectiveness of a health system in managing cancer. We set out to provide a comprehensive examination of worldwide variation and trends in survival from brain tumors in adults, by histology.
Methods:
We analyzed individual data for adults (15–99 years) diagnosed with a brain tumor (ICD-O-3 topography code C71) during 2000–2014, regardless of tumor behavior. Data underwent a 3-phase quality control as part of CONCORD-3. We estimated net survival for 11 histology groups, using the unbiased nonparametric Pohar Perme estimator.
Results:
The study included 556,237 adults. In 2010–2014, the global range in age-standardized 5-year net survival for the most common sub-types was broad: in the range 20%–38% for diffuse and anaplastic astrocytoma, from 4% to 17% for glioblastoma, and between 32% and 69% for oligodendroglioma. For patients with glioblastoma, the largest gains in survival occurred between 2000–2004 and 2005–2009. These improvements were more noticeable among adults diagnosed aged 40–70 years than among younger adults.
Conclusions:
To the best of our knowledge, this study provides the largest account to date of global trends in population-based survival for brain tumors by histology in adults. We have highlighted remarkable gains in 5-year survival from glioblastoma since 2005, providing large-scale empirical evidence on the uptake of chemoradiation at population level. Worldwide, survival improvements have been extensive, but some countries still lag behind. Our findings may help clinicians involved in national and international tumor pathway boards to promote initiatives aimed at more extensive implementation of clinical guidelines.
Details
- Title: Subtitle
- Global survival trends for brain tumors, by histology: analysis of individual records for 556,237 adults diagnosed in 59 countries during 2000–2014 (CONCORD-3)
- Creators
- Fabio Girardi - University College London Hospitals NHS Foundation TrustMelissa Matz - London CancerCharles Stiller - National Cancer Registration ServiceHui You - Cancer Institute of New South WalesRafael Marcos GrageraMikhail Y ValkovJean-Luc Bulliard - Centre universitaire de médecine générale et santé publique, LausannePrithwish DeDavid Morrison - Public Health ScotlandMiriam Wanner - University Hospital ZurichDavid K O’Brian - Alaska Department of Health and Social ServicesNathalie Saint-Jacques - Dalhousie UniversityMichel P Coleman - University College LondonClaudia Allemani - London CancerS BouzbidM Hamdi-ChérifL KaraK MeguenniD RegagbaS BayoT Cheick BougadariS.S ManrajK BendahhouA LadipoO.J OgunbiyiN.I.M SomdyalaM.A ChaplinF MorenoG.H CalabranoS.B EspinolaB Carballo QuinteroR FitaW D LaspadaS G IbañezC A LimaA Mafra Da CostaP C F De SouzaJ ChavesC A LaporteM P CuradoJ C de OliveiraC L A VenezianoD B VenezianoA B M AlmeidaM R D O LatorreM S RebeloM O SantosG Azevedo e SilvaJ C GalazM Aparicio AravenaJ Sanhueza MonsalveD A HerrmannS VargasV M HerreraC J UribeL E BravoL S GarciaN E Arias-OrtizD MorantesD M JuradoM C Yépez ChamorroS DelgadoM RamirezY H Galán AlvarezP TorresF Martínez-ReyesL JaramilloR QuintoJ CastilloM MendozaP CuevaJ G YépezB BhakkanJ DeloumeauxC JoachimJ MacniR CarrilloJ Shalkow KlincovsteinR Rivera GomezP PerezE PoquiomaG Tortolero-LunaD ZavalaR AlonsoE BarriosA EckstrandC NikiforukR R WoodsG NoonanD TurnerE KumarB ZhangJ J DowdenG P DoyleN Saint-Jacques - Dalhousie UniversityG WalshA AnamP DeC A McClureK A VriendsC BertrandA V RamanakumarL DavisS KozieT FreemanJ T GeorgeR M AvilaD K O’BrienA HoltL AlmonS KwongC MorrisR RycroftL MuellerC E PhillipsH BrownB CromartieJ RuterbuschA G SchwartzG M LevinB WohlerR BayaklyK C WardS L GomezM McKinleyR CressJ DavisB HernandezC J JohnsonB M MorawskiL P RuppertS BentlerM E CharltonB HuangT C TuckerD DeapenL LiuM C HsiehX C WuM SchwennK SternS T GershmanR C KnowltonG AlversonT WeaverJ DesaiD B RogersJ Jackson-ThompsonD LemonsH J ZimmermanM HoodJ Roberts-JohnsonW HammondJ R ReesK S PawlishA StroupC KeyC WigginsA R KahnM J SchymuraS RadhakrishnanC RaoL K GiljahnR M SlocumbC DabbsR E EspinozaK G AirdT BeranJ J RubertoneS J SlackJ OhT A JanesS M SchwartzS C ChiodiniD M HurleyM A WhitesideS RaiM A WilliamsK HergetC SweeneyJ KachajianM B Keitheri CheteriP Migliore SantiagoS E BlankenshipJ L ConawayR BorchersR MalickiJ EspinozaJ GrandpreH K WeirR WilsonB K EdwardsA MariottoC Rodriguez-GalindoN WangL YangJ S ChenY ZhouY T HeG H SongX P GuD MeiH J MuH M GeT H WuY Y LiD L ZhaoF JinJ H ZhangF D ZhuQ JunhuaY L YangC X JiangW BiaoJ WangQ L LiH YiX ZhouJ DongW LiF X FuS Z LiuJ G ChenJ ZhuY H LiY Q LuM FanS Q HuangG P GuoH ZhaolaiK WeiW Q ChenW WeiH ZengA V DemetriouW K MangK C NganA C KatakiM KrishnatreyaP A JayalekshmiP SebastianP S GeorgeA MathewA NandakumarR MalekzadehG RoshandelL Keinan-BokerB G SilvermanH ItoY KoyanagiM SatoF ToboriI NakataN TeramotoM HattoriY KaizakiF MokiH SugiyamaM UtadaM NishimuraK YoshidaK KurosawaY NemotoH NarimatsuM SakaguchiS KanemuraM NaitoR NarisawaI MiyashiroK NakataD MoriM YoshitakeI OkiN FukushimaA ShibataK IwasaC OnoT MatsudaO NimriK W JungY J WonE AlawadhiA ElbasmiA Ab MananF AdamE NansalmaaU TudevC OchirA M Al KhaterM M El MistiriG H LimY Y TeoC J ChiangW C LeeR BuasomS SangrajrangK SuwanrungruangP VatanasaptK DaoprasertD PongnikornA LeklobS SangkitipaiboonS L GeaterH SriplungO CeylanI KögO DiricanT KöseT GurbuzF E KaraşahinD TurhanU AktaşY HalatS EserC I YakutM AltinisikY CavusogluA TürkköylüN ÜçüncüM HacklA A ZborovskayaO V AleinikovaK HenauL Van EyckenT Y AtanasovZ ValerianovaM ŠekerijaL DušekM ZvolskýL Steinrud MørchH StormC Wessel SkovlundK InnosM MägiN MalilaK SeppäJ JéguM VeltenE CornetX TroussardA M BouvierA V GuizardV BouvierG LaunoyS Dabakuyo YonliM L PoillotM MaynadiéM MounierL VaconnetA S WoronoffM DaoulasM RobaszkiewiczJ ClavelC PoulalhonE DesandesB LacourI BaldiB AmadeoG CoureauA MonnereauS OrazioM AudoinT C D’AlmeidaS BoyerK HammasB TrétarreM ColonnaP DelafosseS PlouvierA Cowppli-BonyF MoliniéS BaraO GanryB Lapôtre-LedouxL Daubisse-MarliacN BossardZ UhryJ EstèveR StabenowH Wilsdorf-KöhlerA EberleS LuttmannI LöhdenA L NenneckeJ KieschkeE SirriC JustenhovenF ReinwaldB HolleczekN EisemannA KatalinicR A AsquezV KumarE PetridouE J ÓlafsdóttirL TryggvadóttirD E MurrayP M WalshH SundsethM HarneyG MazzoleniF VittadelloE CovielloF CuccaroR GalassoG SampietroA GiacominM MagoniA ArdizzoneA D’ArgenzioA A Di PrimaA IppolitoA M LavecchiaA Sutera SardoG GolaP BallotariE GiacomazziS FerrettiL Dal MasoD SerrainoM V CelesiaR A FilibertiF PannozzoA MelcarneF QuartaA AndreanoA G RussoG CarrozziC CirilliL Cavalieri d’OroM RognoniM FuscoM F VitaleM UsalaR CusimanoW MazzuccoM MichiaraP SgargiL BoschettiS MarguatiG ChiarandaP SeghiniM M MauleF MerlettiE SpataR TuminoP MancusoT CassettiR SassatelliF FalciniS GiorgettiA L CaiazzoR CavalloD PirasF BellaA MadedduA C FanettiS MasperoS CaroneA MincuzziG CandelaT ScuderiM A GentiliniR RizzelloS RossoA CaldarellaT IntrieriF BianconiP ContieroG TagliabueM RuggeM ZorziS BeggiatoA BrustolinG GattaR De AngelisM VicentiniR ZanettiF StracciA MaurinaM OniščukaM MousaviL SteponavicieneI VincerževskienėM J AzzopardiN CallejaS SieslingO VisserT B JohannesenS LarønningenM TrojanowskiP MacekT MierzwaJ RachtanA RosińskaK KępskaB KościańskaK BarnaU SulkowskaT GebauerJ B ŁapińskaJ Wójcik-TomaszewskaM MotnykA PatroA GosK SikorskaM Bielska-LasotaJ A DidkowskaU WojciechowskaG Forjaz de LacerdaR A RegoB CarritoA PaisM J BentoJ RodriguesA LourençoA Mayer-da-SilvaD CozaA I TodescuM Y ValkovL GusenkovaO LazarevichO PrudnikovaD M VjushkovA EgorovaA OrlovL V PikalovaL D ZhuikovaJ AdamcikC Safaei DibaV ZadnikT ŽagarM De-La-CruzA Lopez-de-MunainA AlemanD RojasR J ChillarónA I M NavarroR Marcos-GrageraM PuigdemontM Rodríguez-BarrancoM J Sánchez PerezP Franch SuredaM Ramos MontserratM D Chirlaque LópezA Sánchez GilE ArdanazM GuevaraA Cañete-NietoR Peris-BonetM CarullaJ GalceranF AlmelaC SabaterS KhanD PetterssonP DickmanK StaehelinB StruchenC Egger HayozE RapitiR SchaffarP WentS M MousaviJ-L Bulliard - Centre universitaire de médecine générale et santé publique, LausanneM Maspoli-ConconiC E KuehniS M RedmondA BordoniL OrtelliA ChioleroI KonzelmannS RohrmannM Wanner - University Hospital ZurichJ BroggioJ RashbassC Stiller - National Cancer Registration ServiceD FitzpatrickA GavinD S Morrison - Public Health ScotlandC S ThomsonG GreeneD W HuwsM GraysonH RawcliffeC Allemani - London CancerM P Coleman - University College London Hospitals NHS Foundation TrustV Di CarloF Girardi - University College London Hospitals NHS Foundation TrustM Matz - London CancerP MinicozziN SanzN SsenyongaD JamesR StephensE ChalkerM SmithJ GugusheffH You - Cancer Institute of New South WalesS Qin LiS DugdaleJ MooreS PhilpotR PfeifferH ThomasB Silva RagainiA J VennS M EvansL Te MarveldeV SaviettoR TrevithickJ AitkenD CurrowC FowlerC LewisCONCORD Working Group
- Resource Type
- Journal article
- Publication Details
- Neuro-oncology, Vol.25(3), pp.580-592
- DOI
- 10.1093/neuonc/noac217
- PMID
- 36355361
- PMCID
- PMC10013649
- ISSN
- 1522-8517
- eISSN
- 1523-5866
- Publisher
- Oxford University Press
- Grant note
- Children with Cancer UK American Cancer Society Centers for Disease Control and Prevention Swiss Cancer Research Foundation Swiss Cancer League Institut National du Cancer La Ligue Contre le Cancer Rossy Family Foundation US National Cancer Institute Susan G Komen Foundation Swiss Re
Children with Cancer UK; American Cancer Society; Centers for Disease Control and Prevention; Swiss Re; Swiss Cancer Research Foundation; Swiss Cancer League; Institut National du Cancer; La Ligue Contre le Cancer; Rossy Family Foundation; US National Cancer Institute; and the Susan G Komen Foundation.
- Language
- English
- Date published
- 03/2023
- Academic Unit
- Epidemiology; College of Public Health
- Record Identifier
- 9985218629402771
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