liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Increasing melanoma incidence and survival trend shifts with improved melanoma-specific survival between 1990 and 2020 in Sweden
Karolinska Inst, Sweden; Karolinska Univ Hosp Solna, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Regionledningskontoret, Regional Cancer Center.
Karolinska Inst, Sweden.
Karolinska Univ Hosp, Sweden; Lund Univ, Sweden; Skane Univ Hosp, Sweden; Helsingborg Hosp, Sweden.
Show others and affiliations
2023 (English)In: British Journal of Dermatology, ISSN 0007-0963, E-ISSN 1365-2133, Vol. 189, no 6, p. 702-709Article in journal (Refereed) Published
Abstract [en]

Background Melanoma-specific survival (MSS) is heterogenous between stages and is highly dependent on the T stage for primary localized disease. New systemic therapies for metastatic cutaneous melanoma (CM) have been introduced since 2012 in Sweden. Objectives To analyse the incidence and MSS time trends between 1990 and 2020 in Sweden. Methods Nationwide, population-based and prospectively collected clinico-pathological data on invasive CM from the Swedish Melanoma Registry (SweMR) were analysed for survival trends between 1990 and 2020 using Kaplan-Meier curves and Cox proportional hazard ratios (HRs). Results In total, 77 036 primary invasive CMs were diagnosed in 70 511 patients in Sweden between 1990 and 2020. The 5-year MSS [95% confidence interval (CI)] was 88.9% (88.3-89.4) for 1990-2000, 89.2% (88.7-89.6) for 2001-2010 and 93.0% (92.7-93.9) for 2011-2020. The odds ratios for being diagnosed with nodular melanoma (vs. superficial spreading melanoma) was significantly reduced by 20% (2001-2010) and by 46% (2011-2020) vs. the reference period 1990-2000. Overall, the MSS improved over both diagnostic periods ( 2001-2010 and 2011-2020) vs. the reference period 1990-2000 among men and women, respectively [HRmen: 2001-2010: 0.89 ( 95% CI 0.82-0.96) and 2011-2020: 0.62 (95% CI 0.56-0.67); HRwomen: 2001- 2010: 0.82 (95% CI 0.74-0.91) and 2011- 2020: 0.62 ( 95% CI 0.56-0.70)]. The risk of death from CM was significantly lower in all age groups for both men and women in the most recent diagnostic period (2011-2020 vs.1990-2000). Conclusions The results emphasize the improved MSS among men and women in Sweden. The MSS improvements, specifically for the period 2011-2020, may be correlated to the introduction of new systemic therapies and are here shown for the first time in detail for Sweden.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2023. Vol. 189, no 6, p. 702-709
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:liu:diva-198255DOI: 10.1093/bjd/ljad244ISI: 001061182000001PubMedID: 37463416OAI: oai:DiVA.org:liu-198255DiVA, id: diva2:1801889
Note

Funding Agencies|We thank the patients contributing to the Swedish national registries, the Swedish Melanoma Study Group and the national cancer centres collecting data to the SweMR.; Swedish Melanoma Study Group

Available from: 2023-10-03 Created: 2023-10-03 Last updated: 2024-05-03

Open Access in DiVA

fulltext(1313 kB)575 downloads
File information
File name FULLTEXT01.pdfFile size 1313 kBChecksum SHA-512
24cc4c866d4520fdb183ff818c1407d1fa8d2451db927162db2b1156ff58603c5d487f3d9acdb13d5e01ed8cfe175524de4b531490655bdf22f5661f36cd2e34
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Mikiver, RasmusLyth, Johan
By organisation
Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesRegional Cancer CenterDivision of Society and Health
In the same journal
British Journal of Dermatology
Cancer and Oncology

Search outside of DiVA

GoogleGoogle Scholar
Total: 575 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 596 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf