Improved survival for children and young adolescents with acute myeloid leukemia: a Dutch study on incidence, survival and mortality

Variation in survival of pediatric acute myeloid leukemia (pAML) over time and between Western European countries exists. The aim of the current study is to assess the progress made for the Dutch pAML population (0–17 years) during 1990–2015, based on trends in incidence, survival and mortality. Dat...

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Veröffentlicht in:Leukemia 2019-06, Vol.33 (6), p.1349-1359
Hauptverfasser: Reedijk, A. M. J., Klein, K., Coebergh, J. W. W., Kremer, L. C., Dinmohamed, A. G., de Haas, V., Versluijs, A. B., Ossenkoppele, G. J., Beverloo, H. B., Pieters, R., Zwaan, C. M., Kaspers, G. J. L., Karim-Kos, H. E.
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container_end_page 1359
container_issue 6
container_start_page 1349
container_title Leukemia
container_volume 33
creator Reedijk, A. M. J.
Klein, K.
Coebergh, J. W. W.
Kremer, L. C.
Dinmohamed, A. G.
de Haas, V.
Versluijs, A. B.
Ossenkoppele, G. J.
Beverloo, H. B.
Pieters, R.
Zwaan, C. M.
Kaspers, G. J. L.
Karim-Kos, H. E.
description Variation in survival of pediatric acute myeloid leukemia (pAML) over time and between Western European countries exists. The aim of the current study is to assess the progress made for the Dutch pAML population (0–17 years) during 1990–2015, based on trends in incidence, survival and mortality. Data from the population-based Netherlands Cancer Registry were merged with leukemia-related characteristics and treatment specifics from the Dutch Childhood Leukemia Study Group (Dutch Childhood Oncology Group (DCOG) from 2002 onwards). Mortality data (1980–2016) were obtained from the cause of death registry of Statistics Netherlands. Trend analyses were performed over time and by treatment protocol. Between 1990 and 2015, a total of 635 children aged 0–17 years were diagnosed with AML for an average of 25 patients (range 18–36) per year. There was a slight increase in the incidence at age 1–4 years (average annual percentage change (AAPC) of +2.2% per year (95% CI 0.8–3.5, p  
doi_str_mv 10.1038/s41375-018-0314-7
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M. J. ; Klein, K. ; Coebergh, J. W. W. ; Kremer, L. C. ; Dinmohamed, A. G. ; de Haas, V. ; Versluijs, A. B. ; Ossenkoppele, G. J. ; Beverloo, H. B. ; Pieters, R. ; Zwaan, C. M. ; Kaspers, G. J. L. ; Karim-Kos, H. E.</creator><creatorcontrib>Reedijk, A. M. J. ; Klein, K. ; Coebergh, J. W. W. ; Kremer, L. C. ; Dinmohamed, A. G. ; de Haas, V. ; Versluijs, A. B. ; Ossenkoppele, G. J. ; Beverloo, H. B. ; Pieters, R. ; Zwaan, C. M. ; Kaspers, G. J. L. ; Karim-Kos, H. E.</creatorcontrib><description>Variation in survival of pediatric acute myeloid leukemia (pAML) over time and between Western European countries exists. The aim of the current study is to assess the progress made for the Dutch pAML population (0–17 years) during 1990–2015, based on trends in incidence, survival and mortality. Data from the population-based Netherlands Cancer Registry were merged with leukemia-related characteristics and treatment specifics from the Dutch Childhood Leukemia Study Group (Dutch Childhood Oncology Group (DCOG) from 2002 onwards). Mortality data (1980–2016) were obtained from the cause of death registry of Statistics Netherlands. Trend analyses were performed over time and by treatment protocol. Between 1990 and 2015, a total of 635 children aged 0–17 years were diagnosed with AML for an average of 25 patients (range 18–36) per year. There was a slight increase in the incidence at age 1–4 years (average annual percentage change (AAPC) of +2.2% per year (95% CI 0.8–3.5, p  &lt; 0.01)). Overall, the 5-year survival significantly improved over the past 26 years and nearly doubled from 40% in the early 1990s to 74% in 2010–2015. Multivariable analysis showed a 49% reduction in risk of death for pAML patients treated according to the latest DB-AML 01 protocol ( p  = 0.03). 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subjects 631/67/2324
692/308/174
Acute myeloid leukemia
Adolescent
Adolescents
Adult
Cancer Research
Child
Child, Preschool
Children
Critical Care Medicine
Female
Follow-Up Studies
Health risk assessment
Hematology
Humans
Incidence
Infant
Infant, Newborn
Intensive
Internal Medicine
Leukemia
Leukemia, Myeloid, Acute - epidemiology
Leukemia, Myeloid, Acute - mortality
Leukemia, Myeloid, Acute - pathology
Male
Medicine
Medicine & Public Health
Mortality
Mortality - trends
Myeloid leukemia
Netherlands - epidemiology
Oncology
Patients
Prognosis
Registries - statistics & numerical data
Retrospective Studies
Statistical analysis
Survival
Survival Rate
Young Adult
title Improved survival for children and young adolescents with acute myeloid leukemia: a Dutch study on incidence, survival and mortality
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