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Incidence of childhood acute lymphoblastic leukemia (ALL) and population-based treatment results in Switzerland: Experiences with 507 study and 149 nonstudy patients
Authors:A. Stupnicki  N. von der Weid  P. Imbach  B. Arnet  W. Berchtold  B. Delaleu  A. Hirt  H. J. Pluess  D. Beck  M. Wyss  A. Ridolfi Luethy  A. Feldges  E. Signer  A. M. Morin  U. Caflisch  K. Leibundgut  E. Frey  H. Kuechler  C. Baumgartner  E. A. Bleher  R. Angst  U. Blauenstein  L. Nobile  D. Vischer  H. P. Wagner
Abstract:
Of 656 patients with ALL (all types) diagnosed in Switzerland during 4 consecutive 4-year periods (1976–1979, 1980–1983, 1984–1987, 1988–1991), 507 were officially registered on protocols (“study” patients) while 149 were not (“nonstudy” patients). The mean incidence of 3.8/100,000 children <15 years/year is higher than reported for other Western countries. Evidence is presented suggesting that the 656 patients represent only approximately 90% of all children with ALL residing in Switzerland, indicating that the true incidence of ALL might even be higher. The fraction of “nonstudy” patients fell from 40% (1976–1979) to 15% (1984–1987). The rate of survival at 4 years of all patients with ALL (“study” and “nonstudy”) increased by 17% during the three consecutive periods 1976–1979, 1980–1983, and 1984–1987. As expected, a higher increase (20%) was observed in “study” patients and a statistically nonsignificant lower one (10%) in “nonstudy” patients. © 1995 Wiley-Liss, Inc.
Keywords:acute lymphoblastic leukemia  childhood  incidence  survival  study and nonstudy patients
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