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Patients with cancer who will be cured and projections of complete prevalence in Italy from 2018 to 2030

  • S Guzzinati
  • , F Toffolutti
  • , S Francisci
  • , A De Paoli
  • , F Giudici
  • , R De Angelis
  • , E Demuru
  • , L Botta
  • , A Tavilla
  • , G Gatta
  • , R Capocaccia
  • , M Zorzi
  • , A Caldarella
  • , E Bidoli
  • , F Falcini
  • , R Bruni
  • , E Migliore
  • , A Puppo
  • , M Ferrante
  • , C Gasparotti
  • M L Gambino, G Carrozzi, F Bianconi, A Musolino, R Cavallo, W Mazzucco, M Fusco, P Ballotari, G Sampietro, S Ferretti, L Mangone, W Mantovani, M Mian, G Cascone, F Manzoni, R Galasso, D Piras, M T Pesce, F Bella, P Seghini, A C Fanetti, P Pinna, D Serraino, S Rossi, L Dal Maso, AIRTUM Working Group
  • Veneto Tumour Registry
  • Cancer Epidemiology Unit
  • National Institute of General Medical Sciences of the National Institutes of Health
  • Evaluative Epidemiology Unit
  • Epidemiologia & Prevenzione Editorial Board
  • Ludwig Institute for Cancer Research
  • Emilia-Romagna Cancer Registry
  • Coordination Centre of the Cancer Registry of Puglia - Strategic Regional Agency for Health and Social Care (AReSS)
  • Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica (CPO) Piemonte and University of Turin
  • Liguria Cancer Registry
  • Registro tumori integrato di Catania-Messina-Enna
  • ATS Brescia Cancer Registry
  • Registro tumori ATS Insubria (Provincia di Como e Varese) Responsabile S.S. Epidemiologia Registri Specializzati e Reti di Patologia
  • Umbria Cancer Registry
  • Parma University Hospital
  • Registro Tumori ASL Salerno-Dipartimento di Prevenzione
  • Clinical Epidemiology and Cancer Registry Unit
  • Napoli
  • SC Osservatorio Epidemiologico
  • Bergamo Cancer Registry
  • Trento Province Cancer Registry
  • Teaching Hospital of the Paracelsus Medical Private University (PMU)
  • Krankenhaus Bozen
  • Azienda Sanitaria Provinciale Ragusa - UOSD Registro Tumori
  • Cancer Registry of the Province of Pavia - Epidemiology Unit - Health Protection Agency of Pavia
  • Unit of Regional Cancer Registry
  • Nord Sardegna Cancer Registry
  • Monitoraggio rischio ambientale e Registro Tumori ASL Caserta
  • Siracusa Cancer Registry
  • Agenzia di Tutela della Salute della Montagna Cancer Registry
  • Nuoro Cancer Registry

Research output: Contribution to journal › Original Article › peer-review

Abstract

BACKGROUND: The number and projections of cancer survivors are necessary to meet the healthcare needs of patients, while data on cure prevalence, that is, the percentage of patients who will not die of cancer by time since diagnosis, are lacking.

MATERIALS AND METHODS: Data from Italian cancer registries (duration of registration ranged from 9 to 40 years, with a median of 22 years) covering 47% of the population were used to calculate the limited-duration prevalence, the complete prevalence in 2018, projections to 2030, and cure prevalence, by cancer type, sex, age, and time since diagnosis.

RESULTS: A total of 3 347 809 people were alive in Italy in 2018 after a cancer diagnosis, corresponding to 5.6% of the resident population. They will increase by 1.5% per year to 4 012 376 in 2030, corresponding to 6.9% of the resident population, 7.6% of women and ∼22% after age 75 years. In 2030, more than one-half of all prevalent cases (2 million) will have been diagnosed by ≥10 years. Those with breast (1.05 million), prostate (0.56 million), or colorectal cancers (0.47 million) will be 52% of all prevalent patients. Cure prevalence was 86% for all patients alive in 2018 (87% for patients with breast cancer and 99% for patients with thyroid or testicular cancer), increasing with time since diagnosis to 93% for patients alive after 5 years and 96% after 10 years. Among patients who survived at least 5 years, the excess risk of death (1 - cure prevalence) was <5% for patients with most cancer types except for those with cancers of the breast (8.3%), lung (11.1%), kidney (13.2%), and bladder (15.5%).

CONCLUSIONS: Study findings encourage the implementation of evidence-based policies aimed at improving long-term clinical follow-up and rehabilitation of people living after cancer diagnosis throughout the course of the disease. Updated estimates of complete prevalence are important to enhance data-driven cancer control planning.

Original languageEnglish
Pages (from-to)103635
JournalESMO OPEN
Volume9
Issue number7
DOIs
Publication statusPublished - Jul 2024

Keywords

  • Humans
  • Italy/epidemiology
  • Female
  • Male
  • Prevalence
  • Neoplasms/epidemiology
  • Aged
  • Middle Aged
  • Adult
  • Adolescent
  • Young Adult
  • Child
  • Aged, 80 and over
  • Registries
  • Cancer Survivors/statistics & numerical data
  • Child, Preschool
  • Infant
  • Forecasting
  • Infant, Newborn

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