Cancer Incidence and Mortality in the Oldest Old: a Nationwide Study in Finland

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dc.contributor.author Tanskanen, Tomas
dc.contributor.author Seppä, Karri J M
dc.contributor.author Virtanen, Anni
dc.contributor.author Malila, Nea K
dc.contributor.author Pitkäniemi, Janne M
dc.date.accessioned 2022-03-04T08:32:02Z
dc.date.available 2022-03-04T08:32:02Z
dc.date.issued 2021-05-04
dc.identifier.citation Tanskanen , T , Seppä , K J M , Virtanen , A , Malila , N K & Pitkäniemi , J M 2021 , ' Cancer Incidence and Mortality in the Oldest Old: a Nationwide Study in Finland ' , American Journal of Epidemiology , vol. 190 , no. 5 , pp. 836–842 . https://doi.org/10.1093/aje/kwaa236
dc.identifier.other PURE: 159849501
dc.identifier.other PURE UUID: 076f1584-a8a7-4806-a485-4f13c9c1aeb9
dc.identifier.other Bibtex: PMID:33089310
dc.identifier.other WOS: 000667749900017
dc.identifier.other ORCID: /0000-0002-7467-8434/work/109266048
dc.identifier.uri http://hdl.handle.net/10138/341292
dc.description.abstract The world's population is aging rapidly. This study reports the burden of cancer in the oldest old (≥85 years) in Finland in 1953-2017 and estimates age-specific cancer rates in the old population (65-99 years) in 1988-2017. The Finnish Cancer Registry provided data on all cancer diagnoses, cancer deaths and other deaths in cancer patients in Finland in 1953-2017. Between 1953-1957 and 2013-2017, the proportion of incident cancers in those aged ≥85 years increased from 1.5% to 9.6% (597 to 15,360 new cases), and in 2013-2017, more new cancers were diagnosed at age ≥85 years than age <50 years. Cancer incidence and excess mortality attributable to cancer peaked at age 85-94 years and declined subsequently, whereas cancer-specific mortality continued to increase or plateaued. Due to demographic changes, the number of new cancers in the oldest old has increased substantially in Finland, and currently, nearly one in 10 cancers are diagnosed in this age group. The increasing cancer burden in the oldest old poses a major challenge for healthcare and needs to be addressed in designing clinical research and reporting of cancer registries. In old populations with competing risks of death, we propose excess cancer mortality as a measure of cancer-related mortality. en
dc.language.iso eng
dc.relation.ispartof American Journal of Epidemiology
dc.rights cc_by_nc
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Cancer Incidence and Mortality in the Oldest Old: a Nationwide Study in Finland en
dc.type Article
dc.contributor.organization HUSLAB
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1093/aje/kwaa236
dc.relation.issn 0002-9262
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion
dc.type.version publishedVersion

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