Quaresma, Manuela;
Rubio, Francisco Javier;
Rachet, Bernard;
(2024)
An index of cancer survival to measure progress in cancer control: A tutorial.
Cancer Epidemiology
, 90
, Article 102576. 10.1016/j.canep.2024.102576.
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Abstract
Background: Cancer survival is a key component to assess the overall effectiveness of healthcare systems in their cancer management efforts. A key supporting tool for planning and decision making was introduced with the development of an index of cancer survival that summarises survival for all adults and cancer types into one single estimate, but the implementation details have not been previously described. // Methods: We detail the construction of the index, including the structure, the calculation of ‘sex-age-cancer’ specific weights and our proposed modelling strategy to estimate net survival. We provide some practical recommendations through an illustration using a synthetic dataset (‘Replica’) that we generated for this purpose. An example of R code usage to estimate the index using our approach is provided. // Results: The ‘Replica’ contains 500 000 artificial cancer records that mimic a cohort of adult cancer patients diagnosed with cancer in England between 1980 and 2004. Using this dataset, we estimated an index of cancer survival at one, five, and ten years after diagnosis for five selected periods of diagnosis, and provide an example of interpretation of these results. // Discussion: We propose a flexible penalised regression modelling strategy to estimate the index’s ‘sex-age-cancer’ specific cancer survival components that minimises the estimation challenge of these components. This tutorial will support researchers in constructing an index of cancer survival for their own setting, facilitating the enrichment of existing toolkits of cancer indicators to more effectively measure progress against cancer in their respective regions/countries.
| Type: | Article |
|---|---|
| Title: | An index of cancer survival to measure progress in cancer control: A tutorial |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.canep.2024.102576 |
| Publisher version: | https://doi.org/10.1016/j.canep.2024.102576 |
| Language: | English |
| Additional information: | Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Cancer index; Cancer policy; Monitoring; Net survival |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Statistical Science |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10191554 |
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