Childhood central nervous system tumours - incidence and survival in Europe (1978-1997): Report from Automated Childhood Cancer Information System project

Rafael Peris-Bonet, Carmen Martínez-García, Brigitte Lacour, Svetlana Petrovich, Begoña Giner-Ripoll, Aurora Navajas, Eva Steliarova-Foucher, O. Budanov, H. Storm, N. Christensen, T. Aareleid, T. Hakulinen, R. Sankila, E. Pukkala, E. Le Gall, I. Tron, E. Desandes, J. L. Bernard, P. Pillon, J. C. GentetF. Freycon, C. Berger, L. Remontet, A. Danzon, M. Mercier, J. P. Daurè s, B. Tretarre, F. Ménégoz, A. V. Guizard, M. Velten, A. Buemi, N. Raverdy, M. Sauvage, P. Grosclaude, P. Kaatsch, B. Eisinger, R. Stabenow, D. Schuler, Z. Jakab, G. Borgulya, L. Tryggvadottir, J. G. Jonasson, K. Bjarnadottir, H. Comber, F. Dwane, C. Magnani, G. Pastore, F. Pannelli, C. Pascucci, S. Ferretti, E. Conti, V. Ramazzotti, M. C. Cercato, M. Vercelli, A. Puppo, P. Crosignani, G. Tagliabue, A. Tittarelli, V. De Lisi, P. Sgargi, R. Tumino, M. Budroni, D. Piras, E. Paci, E. Crocetti, F. La Rosa, F. Stracci, P. Zambon, S. Guzzinati, M. Dalmas, J. W.W. Coebergh, J. van Dijck, A. Wit, F. Langmark, A. Johansen, A. Andersen, I. Plesko, M. Primic Z? akelj, V. Pompe-Kirn, E. Almar Marques, A. Mateos Ramos, J. Ramon Quiros Garcia, A. Can˜ ada Martínez, I. Izarzugaza, A. Alemán Herrera, P. Viladiu, R. Marcos, A. Izquierdo, A. Obrador, I. Garau, E. Ardanaz, J. Borrà s, J. Galceran, J. de la Bárcena Guallar, M. C. Martos Jiménez, G. Jundt, C. Bouchardy, M. Usel, J. Allemann, H. Frick, T. Fisch, S. Ess, F. Joris, D. de Weck, S. Yalcin Eser, C. A. Stiller, M. G.F. Murphy, G. J. Draper, A. Gavin, C. Fox, W. Hamill, R. Middleton, D. Brewster, L. Bhatti, A. McDonald

Research output: Contribution to journalArticlepeer-review

182 Scopus citations

Abstract

This paper describes the incidence and survival of childhood central nervous system (CNS) tumours in Europe for the period 1978-1997. A total of 19,531 cases, aged 0-14 years, from the ACCIS database were analysed by five regions: the British Isles, East, North, South, and West. Overall age-standardised incidence rate (ASR) of CNS tumours in Europe (1988-1997) was 29.9 per million, with the highest rates in the North. Astrocytoma (ASR = 11.8), primitive neuroectodermal tumours (PNET) (ASR = 6.5) and ependymoma (ASR = 3.4) were the most frequent types. Incidence increased significantly during 1978-1997, on average by 1.7% per year. Diagnostic methods may partially explain incidence rates and trends, although a role of variations in risk factors cannot be excluded. Overall 5-year survival was 64% and varied between 72% in the North and 53% in the East. PNET had the poorest prognosis (49%) and astrocytoma the best (75%). Survival has improved by 29% since late 1970s. The positive trends were seen in all regions, although the interregional differences persisted, as a reflection of the different healthcare systems.

Original languageEnglish
Pages (from-to)2064-2080
Number of pages17
JournalEuropean Journal of Cancer
Volume42
Issue number13
DOIs
StatePublished - 1 Sep 2006
Externally publishedYes

Keywords

  • Central nervous system tumours
  • Childhood cancer
  • Europe
  • Incidence
  • Population-based cancer registries
  • Survival
  • Trends

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