1 National Research Center of Cancer Rehabilitation, Department of Public Health, Det Sundhedsvidenskabelige Fakultet, SDU2 Oncology, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU3 REHPA – Knowledge Centre for Rehabilitation and Palliative Care, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU4 Onkologi5 unknown6 Research Unit of General Practice, Department of Public Health, Det Sundhedsvidenskabelige Fakultet, SDU7 Oncology, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU8 Research Unit of General Practice, Department of Public Health, Det Sundhedsvidenskabelige Fakultet, SDU
A population-based cohort study exploring denominators for rehabilitation and palliative care programs
Introduction. In this study, we present data from a population-based cohort of incident cancer patients separated in long- and short-term survivors. Our aim was to procure denominators for use in the planning of rehabilitation and palliative care programs. Material and methods. A registry-linkage cohort study. All cancer patients, diagnosed from 1993 to 2003 from a 470 000 large population, were followed individually from diagnosis to death or until 31 December 2008. Long-term survivors lived five years or more after the time of the cancer diagnosis (TOCD). Short-term survivors died less than five years after TOCD. Results. The cohort comprised 24 162 incident cancer patients with 41% long-term survivors (N = 9813). Seventy percent of the cohort was 60 + years at TOCD. The 14 349 short-term survivors' median survival was 0.6 year, and 78% died less than two years after TOCD. A 12 years' difference in age at TOCD was seen between long- and short-term survivors, with median ages of 60 versus 72 years, respectively. Females comprised 64% of long-term, and 46% of short-term survivors. The proportion of breast and lung cancers differed between the groups: Long-term survivors: 31% breast cancer, 2.4% lung cancer. Short-term survivors: 21% lung cancer, 7.2% breast cancer. Chemotherapy was provided to 15% of all patients, and to 10% of the 60 + year olds. Discussion. The epidemiology of long- and short-term survivors shows significant differences with regard to age at TOCD, cancer types and sex. Two-year crude cancer survival seems as a clinically relevant cut point for characterizing potential "denominators" for rehabilitation or palliative care programs. From this cohort of incident cancer patients, and using two-year survival as a cut point, it could be estimated that 54% would candidate to a "care trajectory" focusing on rehabilitation and 46% a "care trajectory" focusing on palliative care at TOCD.
Acta Oncologica, 2014, Vol 53, Issue 4, p. 493-501