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Blood, 15 March 2008, Vol. 111, No. 6, pp. 2977-2983.
Prepublished online as a Blood First Edition Paper on December 20, 2007; DOI 10.1182/blood-2007-10-115493.
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Submitted October 1, 2007
Accepted December 13, 2007
Ongoing improvement in long-term survival of patients with Hodgkin's disease at all ages and recent catch-up of older patients
Hermann Brenner*, Adam Gondos, and Dianne Pulte
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
Weill Cornell Medical Center, New York, NY, United States
* Corresponding author; email: h.brenner{at}dkfz-heidelberg.de.
Since the breakthroughs in combination chemotherapy of patients with Hodgkin's disease (HD) starting in the 1960s, prognosis of patients has been rising steadily. Trends in long-term survival of patients with HD on the population level should therefore be monitored in an as timely as possible manner. We assessed trends in age specific 5- and 10-year relative survival of patients with HD in the United States from 1980-1984 to 2000-2004 from the 1973-2004 data base of the Surveillance, Epidemiology, and End Results (SEER) Program. Period analysis was employed to disclose recent developments with minimum delay. Overall, 5-year relative survival steadily increased from 73.5% to 85.2% (+11.7 percent units), and 10-year relative survival increased from 62.1% to 80.1% (+18.0 percent units) between 1980-84 and 2000-04, according to period analysis. The increase was particularly pronounced for age groups 45-59 and 60+ (increases in 10-year relative survival by 24.8 and 23.3 percentage points, respectively). Nevertheless, a strong age gradient persisted, with 10-year relative survival of 92.7%, 88.7%, 84.9%, 76.2% and 44.9% in age groups 15-24, 25-34, 35-44, 45-54, and 60+, respectively, in 2000-2004. Our period analysis discloses ongoing, major improvement in long-term survival of patients with HD in recent years, particularly among older patients.

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