Is survival in myeloid malignancies really improving? A retrospective 15-year population-based study

Leuk Lymphoma. 2015 Apr;56(4):896-902. doi: 10.3109/10428194.2014.947610. Epub 2014 Aug 18.

Abstract

Myeloid malignancies (MMs) are heterogeneous groups of diseases which present different prognoses. Using data from the population-based Girona Cancer Registry, we estimated the relative survival (RS) rates and relative excess risk of death among patients with MMs in the province of Girona between 1994 and 2008. The 5-year RS rate was 49.7%, ranging from 20.2% for acute myeloid leukemia (AML) to 75.3% for myeloproliferative neoplasms (MPN). Marked differences in RS were observed when the age of patients was considered: an increase in RS was mainly found in younger patients with myelodysplastic syndromes and MPN. Furthermore, cases of chronic myeloid leukemia treated with imatinib had a significantly better outcome compared with those that were untreated. Despite the slight improvement in the survival rate of younger patients with AML, RS remained stable for 15 years, as no significant improvements were made in the management of the disease during that period.

Keywords: Relative survival; acute myeloid leukemia; myelodysplastic syndromes; myelodysplastic/myeloproliferative neoplasms; myeloid malignancies; myeloproliferative neoplasms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Female
  • Hematologic Neoplasms / diagnosis
  • Hematologic Neoplasms / mortality*
  • Hematologic Neoplasms / therapy
  • Humans
  • Kaplan-Meier Estimate
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / diagnosis
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / mortality*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / therapy
  • Leukemia, Myeloid / diagnosis
  • Leukemia, Myeloid / mortality*
  • Leukemia, Myeloid / therapy
  • Male
  • Middle Aged
  • Myelodysplastic Syndromes / diagnosis
  • Myelodysplastic Syndromes / mortality*
  • Myelodysplastic Syndromes / therapy
  • Myeloproliferative Disorders / diagnosis
  • Myeloproliferative Disorders / mortality*
  • Myeloproliferative Disorders / therapy
  • Outcome Assessment, Health Care / methods
  • Outcome Assessment, Health Care / statistics & numerical data
  • Population Surveillance / methods
  • Prognosis
  • Registries / statistics & numerical data
  • Retrospective Studies
  • Spain
  • Survival Rate
  • Time Factors