Non-melanoma Skin Cancer and Ten-year All-cause Mortality: A Population-based Cohort Study
Confounding from comorbidity and socioeconomic status may have biased earlier findings of all-cause mortality among patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). We therefore examined all-cause mortality among 72,295 Danish patients with BCC, 11,601 with SCC, and 383,71...
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Veröffentlicht in: | Acta dermato-venereologica 2010-01, Vol.90 (4), p.362-367 |
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description | Confounding from comorbidity and socioeconomic status may have biased earlier findings of all-cause mortality among patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). We therefore examined all-cause mortality among 72,295 Danish patients with BCC, 11,601 with SCC, and 383,714 age- and gender-matched population control cohort subjects with extensive control for comorbidity and socioeconomic status. Data on cancer, death, and socioeconomic status were obtained from medical databases and Statistics Denmark. We analysed data using Cox regression analysis, with estimation of 10-year mortality rate ratios (MRRs) and 95% confidence intervals (CI). Mortality was reduced among patients with BCC (10-year MRR = 0.91 (95% CI: 0.89-0.92) and did not vary by age, comorbidity, or socioeconomic status. Mortality among patients with SCC was increased and varied by age, selected chronic diseases, but not socioeconomic status. The reduced mortality observed among patients with BCC and the increased mortality among patients with SCC persisted even after extensive control for comorbidity and socioeconomic status. |
doi_str_mv | 10.2340/00015555-0899 |
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We therefore examined all-cause mortality among 72,295 Danish patients with BCC, 11,601 with SCC, and 383,714 age- and gender-matched population control cohort subjects with extensive control for comorbidity and socioeconomic status. Data on cancer, death, and socioeconomic status were obtained from medical databases and Statistics Denmark. We analysed data using Cox regression analysis, with estimation of 10-year mortality rate ratios (MRRs) and 95% confidence intervals (CI). Mortality was reduced among patients with BCC (10-year MRR = 0.91 (95% CI: 0.89-0.92) and did not vary by age, comorbidity, or socioeconomic status. Mortality among patients with SCC was increased and varied by age, selected chronic diseases, but not socioeconomic status. The reduced mortality observed among patients with BCC and the increased mortality among patients with SCC persisted even after extensive control for comorbidity and socioeconomic status.</description><identifier>ISSN: 0001-5555</identifier><identifier>EISSN: 1651-2057</identifier><identifier>DOI: 10.2340/00015555-0899</identifier><identifier>PMID: 20574600</identifier><identifier>CODEN: ADVEA4</identifier><language>eng</language><publisher>Uppsala: Acta dermato-venereologica</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Basal Cell - mortality ; Carcinoma, Squamous Cell - mortality ; Case-Control Studies ; Child ; Comorbidity ; Denmark - epidemiology ; Dermatology ; Epidemiology ; Female ; General aspects ; Humans ; Kaplan-Meier Estimate ; Male ; Medical sciences ; Middle Aged ; Population Surveillance ; Proportional Hazards Models ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Registries ; Risk Assessment ; Risk Factors ; Skin Neoplasms - mortality ; Socioeconomic Factors ; Time Factors ; Tumors of the skin and soft tissue. Premalignant lesions ; Young Adult</subject><ispartof>Acta dermato-venereologica, 2010-01, Vol.90 (4), p.362-367</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-664b59a56980afe5b2036827bc93e1e1f1f41e3830ef18aba19a698164be3bfe3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23005696$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20574600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ØSTERGAARD JENSEN, Annette</creatorcontrib><creatorcontrib>LEI LAMBERG, Anna</creatorcontrib><creatorcontrib>JACOBSEN, Jacob Bonde</creatorcontrib><creatorcontrib>OLESEN, Anne Braae</creatorcontrib><creatorcontrib>TOFT SØRENSEN, Henrik</creatorcontrib><title>Non-melanoma Skin Cancer and Ten-year All-cause Mortality: A Population-based Cohort Study</title><title>Acta dermato-venereologica</title><addtitle>Acta Derm Venereol</addtitle><description>Confounding from comorbidity and socioeconomic status may have biased earlier findings of all-cause mortality among patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). We therefore examined all-cause mortality among 72,295 Danish patients with BCC, 11,601 with SCC, and 383,714 age- and gender-matched population control cohort subjects with extensive control for comorbidity and socioeconomic status. Data on cancer, death, and socioeconomic status were obtained from medical databases and Statistics Denmark. We analysed data using Cox regression analysis, with estimation of 10-year mortality rate ratios (MRRs) and 95% confidence intervals (CI). Mortality was reduced among patients with BCC (10-year MRR = 0.91 (95% CI: 0.89-0.92) and did not vary by age, comorbidity, or socioeconomic status. Mortality among patients with SCC was increased and varied by age, selected chronic diseases, but not socioeconomic status. The reduced mortality observed among patients with BCC and the increased mortality among patients with SCC persisted even after extensive control for comorbidity and socioeconomic status.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Basal Cell - mortality</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Denmark - epidemiology</subject><subject>Dermatology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Population Surveillance</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Registries</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Skin Neoplasms - mortality</subject><subject>Socioeconomic Factors</subject><subject>Time Factors</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><subject>Young Adult</subject><issn>0001-5555</issn><issn>1651-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EoqUwsiIviMlwjhM3YasivqTyIbUsLNEluYhAPoqdDPn3OGoLXk7W-9wr3cPYuYRrT_lwAwAycE9AGEUHbCp1IIUHwfyQTcdMjOGEnVj75b5eIMNjNhlzXwNM2cdL24iaKmzaGvnqu2x4jE1GhmOT8zU1YiA0fFFVIsPeEn9uTYdV2Q23fMHf2k1fYVe6jhQt5TxuP13OV12fD6fsqMDK0tluztj7_d06fhTL14eneLEUmdKyE1r7aRBhoKMQsKAg9UDp0JunWaRIkixk4UtSoQIqZIgpyggdK90aqbQgNWNX296NaX96sl1Slzajyt1EbW-TuVIKtAbfkWJLZqa11lCRbExZoxkSCcloM9nbTEabjr_YNfdpTfkfvdfngMsdgDbDqjBOXWn_OQXg7tLqFzuOeqw</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>ØSTERGAARD JENSEN, Annette</creator><creator>LEI LAMBERG, Anna</creator><creator>JACOBSEN, Jacob Bonde</creator><creator>OLESEN, Anne Braae</creator><creator>TOFT SØRENSEN, Henrik</creator><general>Acta dermato-venereologica</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Non-melanoma Skin Cancer and Ten-year All-cause Mortality: A Population-based Cohort Study</title><author>ØSTERGAARD JENSEN, Annette ; LEI LAMBERG, Anna ; JACOBSEN, Jacob Bonde ; OLESEN, Anne Braae ; TOFT SØRENSEN, Henrik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-664b59a56980afe5b2036827bc93e1e1f1f41e3830ef18aba19a698164be3bfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Basal Cell - mortality</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Denmark - epidemiology</topic><topic>Dermatology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Population Surveillance</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Registries</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Skin Neoplasms - mortality</topic><topic>Socioeconomic Factors</topic><topic>Time Factors</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ØSTERGAARD JENSEN, Annette</creatorcontrib><creatorcontrib>LEI LAMBERG, Anna</creatorcontrib><creatorcontrib>JACOBSEN, Jacob Bonde</creatorcontrib><creatorcontrib>OLESEN, Anne Braae</creatorcontrib><creatorcontrib>TOFT SØRENSEN, Henrik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta dermato-venereologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ØSTERGAARD JENSEN, Annette</au><au>LEI LAMBERG, Anna</au><au>JACOBSEN, Jacob Bonde</au><au>OLESEN, Anne Braae</au><au>TOFT SØRENSEN, Henrik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-melanoma Skin Cancer and Ten-year All-cause Mortality: A Population-based Cohort Study</atitle><jtitle>Acta dermato-venereologica</jtitle><addtitle>Acta Derm Venereol</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>90</volume><issue>4</issue><spage>362</spage><epage>367</epage><pages>362-367</pages><issn>0001-5555</issn><eissn>1651-2057</eissn><coden>ADVEA4</coden><abstract>Confounding from comorbidity and socioeconomic status may have biased earlier findings of all-cause mortality among patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). We therefore examined all-cause mortality among 72,295 Danish patients with BCC, 11,601 with SCC, and 383,714 age- and gender-matched population control cohort subjects with extensive control for comorbidity and socioeconomic status. Data on cancer, death, and socioeconomic status were obtained from medical databases and Statistics Denmark. We analysed data using Cox regression analysis, with estimation of 10-year mortality rate ratios (MRRs) and 95% confidence intervals (CI). Mortality was reduced among patients with BCC (10-year MRR = 0.91 (95% CI: 0.89-0.92) and did not vary by age, comorbidity, or socioeconomic status. Mortality among patients with SCC was increased and varied by age, selected chronic diseases, but not socioeconomic status. 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subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Carcinoma, Basal Cell - mortality Carcinoma, Squamous Cell - mortality Case-Control Studies Child Comorbidity Denmark - epidemiology Dermatology Epidemiology Female General aspects Humans Kaplan-Meier Estimate Male Medical sciences Middle Aged Population Surveillance Proportional Hazards Models Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Registries Risk Assessment Risk Factors Skin Neoplasms - mortality Socioeconomic Factors Time Factors Tumors of the skin and soft tissue. Premalignant lesions Young Adult |
title | Non-melanoma Skin Cancer and Ten-year All-cause Mortality: A Population-based Cohort Study |
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