Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan

Abstract In Japan, a study using population‐based cancer registry data from six prefectures revealed a difference in bladder cancer survival between men and women. However, the period of the study was limited to 1993‐2006. The recent introduction of immune checkpoint inhibitors, which have proved to...

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Main Authors: Jo Aoe, Yuri Ito, Keisuke Fukui, Masashi Nakayama, Toshitaka Morishima, Isao Miyashiro, Tomotaka Sobue, Tomio Nakayama
Format: Article
Language:English
Published: Wiley 2020-10-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.3382
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author Jo Aoe
Yuri Ito
Keisuke Fukui
Masashi Nakayama
Toshitaka Morishima
Isao Miyashiro
Tomotaka Sobue
Tomio Nakayama
author_facet Jo Aoe
Yuri Ito
Keisuke Fukui
Masashi Nakayama
Toshitaka Morishima
Isao Miyashiro
Tomotaka Sobue
Tomio Nakayama
author_sort Jo Aoe
collection DOAJ
description Abstract In Japan, a study using population‐based cancer registry data from six prefectures revealed a difference in bladder cancer survival between men and women. However, the period of the study was limited to 1993‐2006. The recent introduction of immune checkpoint inhibitors, which have proved to be effective for the treatment for bladder cancer, has led to a rising demand for analysis of long‐term trends in net survival in order to accurately assess the effect of the new treatment. The aim of the present study was to examine long‐term trends in sex difference in bladder cancer net survival using large‐scale population‐based cancer registry data from Osaka, Japan (17,500 cases from 1975 to 2009). We also evaluated sex difference in bladder cancer survival after adjustment for stage, histologic type, and other prognostic factors. We showed the long‐term trend of five‐year net survival for each stage and found that women had poorer five‐year net survival than men for the whole study period. The risk of death from bladder cancer was higher among men than women even after adjusting for period at diagnosis, histologic type, stage, age group, and treatment (Excess hazard ratios: 1.17; 95% Confidence interval: 1.10‐1.25).
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spelling doaj-art-a3dcdf150e9c46c691a202568d1f3b312024-12-11T08:05:12ZengWileyCancer Medicine2045-76342020-10-019197330734010.1002/cam4.3382Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, JapanJo Aoe0Yuri Ito1Keisuke Fukui2Masashi Nakayama3Toshitaka Morishima4Isao Miyashiro5Tomotaka Sobue6Tomio Nakayama7School of Medicine Osaka University Osaka JapanDepartment of Medical Statistics, Research & Development Center Osaka Medical College Osaka JapanDepartment of Medical Statistics, Research & Development Center Osaka Medical College Osaka JapanDepartment of Urology Osaka International Cancer Institute Osaka JapanCancer Control Center Osaka International Cancer Institute Osaka JapanCancer Control Center Osaka International Cancer Institute Osaka JapanDivision of Environmental Medicine and Population Sciences Graduate School of Medicine Osaka University Osaka JapanDivision of Screening Assessment and Management Center for Public Health Sciences National Cancer Center Tokyo JapanAbstract In Japan, a study using population‐based cancer registry data from six prefectures revealed a difference in bladder cancer survival between men and women. However, the period of the study was limited to 1993‐2006. The recent introduction of immune checkpoint inhibitors, which have proved to be effective for the treatment for bladder cancer, has led to a rising demand for analysis of long‐term trends in net survival in order to accurately assess the effect of the new treatment. The aim of the present study was to examine long‐term trends in sex difference in bladder cancer net survival using large‐scale population‐based cancer registry data from Osaka, Japan (17,500 cases from 1975 to 2009). We also evaluated sex difference in bladder cancer survival after adjustment for stage, histologic type, and other prognostic factors. We showed the long‐term trend of five‐year net survival for each stage and found that women had poorer five‐year net survival than men for the whole study period. The risk of death from bladder cancer was higher among men than women even after adjusting for period at diagnosis, histologic type, stage, age group, and treatment (Excess hazard ratios: 1.17; 95% Confidence interval: 1.10‐1.25).https://doi.org/10.1002/cam4.3382Cancer registrationPopulation‐based studySexSurvival AnalysisUrinary Bladder Neoplasms
spellingShingle Jo Aoe
Yuri Ito
Keisuke Fukui
Masashi Nakayama
Toshitaka Morishima
Isao Miyashiro
Tomotaka Sobue
Tomio Nakayama
Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
Cancer Medicine
Cancer registration
Population‐based study
Sex
Survival Analysis
Urinary Bladder Neoplasms
title Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
title_full Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
title_fullStr Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
title_full_unstemmed Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
title_short Long‐term trends in sex difference in bladder cancer survival 1975‐2009: A population‐based study in Osaka, Japan
title_sort long term trends in sex difference in bladder cancer survival 1975 2009 a population based study in osaka japan
topic Cancer registration
Population‐based study
Sex
Survival Analysis
Urinary Bladder Neoplasms
url https://doi.org/10.1002/cam4.3382
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