Cancer survival in Lithuania after the restoration of independence: Rapid improvements, but persisting major gaps

<div><p></p><p><b>Background.</b> Following restoration of political independence in 1990, Lithuania underwent rapid societal and economic changes. We aimed to assess trends in cancer survival in the first two decades following these changes.</p><p><b>Material and methods.</b> We used population-based data from the Lithuanian Cancer Registry and period analysis techniques to examine trends in one-, 2–5- and five-year relative survival between 1995–1999 and 2005–2009 for 24 common cancers in Lithuania.</p><p><b>Results.</b> Between 1995–1999 and 2005–2009, five-year relative survival increased significantly for 20 of 24 cancers, and for 10 cancers the increase exceeded 10% units. Five-year relative survival estimates reached 46%, 69% and 91% for colorectal, breast and prostate cancer in 2005–2009, respectively, while patients with testicular cancer, Hodgkin's or non-Hodgkin's lymphoma had a five-year relative survival of 77%, 75% and 50%, respectively.</p><p><b>Conclusion.</b> We found a rapid increase in survival for most forms of common cancers in Lithuania between 1995 and 2009. Nevertheless, several cancers with effective therapies exhibit considerable gaps compared with Northern and Western European countries. Despite ongoing rises in survival, mortality declines are not yet manifesting for important common cancers such as breast and colorectal cancer. Rapid incidence rises suggest that increases in survival for prostate and thyroid cancers are massively influenced by early detection-related effects. Improving the availability of effective therapies, and carefully planned early detection programs may help to increase cancer survival in Lithuania in the future.</p></div

Les étudiants de Tremplin Diplôme d'études collégiales (DEC) : Qui sont-ils et comment vont-ils?

Affiche présentée dans le cadre du Colloque de l'ARC, «Des racines et des ailes pour la recherche collégiale», dans le cadre du 85e Congrès de l’Acfas, Université McGill, Montréal, les 8 et 9 mai 2017.Dans le cadre d’un projet plus vaste axé sur la santé psychologique des étudiants entrant au cégep, 855 jeunes ont rempli un questionnaire portant sur certaines facettes de leur bien-être psychologique et leur adaptation au collège. De ce nombre, 155 étaient inscrits en Tremplin DEC. Ce cheminement, qui a attiré, selon les données de la Fédération des cégeps, près de 7 % des cégépiens en 2016, aide les jeunes à préciser leur orientation professionnelle, à obtenir des préalables manquants ou à acquérir de meilleures méthodes de travail. L’implantation de ce programme étant récente, la composition des jeunes qui s'y inscrivent, leurs besoins et leur réalité à l’arrivée au collège sont encore méconnus. L’objectif de notre communication est de décrire ces étudiants en les comparants à leurs collègues des autres programmes. L’analyse des indicateurs de bien-être psychologique (dépression et anxiété) et d’adaptation au cégep montrent peu de différences entre eux. En outre, de façon assez surprenante, les mesures liées à l’indécision vocationnelle indiquent que la situation des étudiants de Tremplin DEC se compare avantageusement à celle des étudiants inscrits dans les programmes préuniversitaires. Ces résultats, qui gagneraient à être répliqués avec une autre cohorte, suggèrent cependant qu’il serait utile de mieux cerner les motifs et besoins amenant les étudiants à s’inscrire en Tremplin DEC

Five-year relative survival for patients diagnosed with cancer of the floor of mouth (ICD-10: C04) and cancer of the gum and other mouth (ICD-10: C03, C05, C06) in Germany (period analysis, 2002–2006).

<p><b>NB:</b> RS = Relative survival; SE = Standard error;</p>a<p>Age-standardized estimates.</p

Five year relative survival of patients with acute lymphoblastic leukemia in Germany and the US in 2002–06, overall and by age.

<p>N = number of cases.</p><p>RS = 5-year relative survival.</p><p>SE = standard errors.</p><p>Diff = difference in survival between Germany and the United States.</p>a<p>Age-standardized.</p

Patients diagnosed with acute lymphoblastic leukemia at age 15–69 included in this analysis.

<p>DCO = death certificate only.</p>a<p>Selected administrative districts only.</p><p>11 German registries, 1997–2006.</p

Overall five-year relative survival of patients with oral cavity cancer (ICD-10: C00-C06) in Germany (period analysis, 2002–2006).

<p><b>NB:</b> RS = Relative survival SE = Standard error;</p>a<p>Age-standardized estimates;</p>b<p>2 male patients with wrong stage code were excluded.</p

Age-specific 1-year relative survival and 5-year relative survival conditional on surviving one year, period 2002–2006, by sex.

<p>RS: relative survival point estimate, SE: standard error of the estimate.</p

Five-year relative survival for patients with cancer of the lip (ICD-10: C00), cancer of the tongue (ICD-10: C01-02), and cancer within other parts of oral cavity (ICD-10: C03-06) in Germany (period analysis, 2002–2006).

<p><b>NB:</b> RS = Relative survival; SE = Standard error;</p>a<p>Age-standardized estimates.</p

Age-specific 5-year relative survival of colorectal cancer patients in period 2002–2006 by sex.

<p>RS: relative survival point estimate, SE: standard error of the estimate.</p>*<p>Age-adjusted relative survival, testing performed using age-adjusted model.</p

Sex differences in distributions of age, stage and subsite in colorectal cancer patients diagnosed between 1997 and 2006.

*<p>Percentages represent proportion of all males/females.</p