National surveillance of cancer survival in Iran (IRANCANSURV): Analysis of data of 15 cancer sites from nine population-based cancer registries

Saeed Nemati, Elnaz Saeedi, Fereshte Lotfi, Azin Nahvijou, Elham Mohebbi, Zahra Ravankhah, Abbas Rezaeianzadeh, Majid Yaghoobi-Ashrafi, Habbiballah Pirnejad, Arash Golpazir, Roya Dolatkhah, Saba Alvand, Seyed Vahid Ahmadi-Tabatabaei, Maria Cheraghi, Elisabete Weiderpass, Freddie Bray, Michel P. Coleman, Arash Etemadi, Ardeshir Khosravi, Farid NajafiMohammad Ali Mohagheghi, Gholamreza Roshandel, Reza Malekzadeh, Kazem Zendehdel*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)

Abstract

Cancer survival is a key indicator for the national cancer control programs. However, survival data in the East Mediterranean region (EMR) are limited. We designed a national cancer survival study based on population-based cancer registries (PBCRs) from nine provinces in Iran. The current study reports 5-year net survival of 15 cancers in Iranian adults (15-99 years) during 2014 to 2015 in nine provinces of Iran. We used data linkages between the cancer registries and the causes of death registry and vital statistics and active follow-up approaches to ascertain the vital status of the patients. Five-year net survival was estimated through the relative survival analysis. We applied the international cancer survival standard weights for age standardization. Five-year survival was highest for prostate cancer (74.9%, 95% CI 73.0, 76.8), followed by breast (74.4%, 95% CI 72.50, 76.3), bladder (70.4%, 95% CI 69.0, 71.8) and cervix (65.2%, 95% CI 60.5, 69.6). Survival was below 25% for cancers of the pancreas, lung, liver, stomach and esophagus. Iranian cancer patients experience a relatively poor prognosis as compared to those in high-income countries. Implementation of early detection programs and improving the quality of care are required to improve the cancer survival among Iranian patients. Further studies are needed to monitor the outcomes of cancer patients in Iran and other EMR countries.
Original languageEnglish
Pages (from-to)2128-2135
Number of pages8
JournalInternational Journal of Cancer
Volume151
Issue number12
Early online dateAug 2022
DOIs
Publication statusPublished - 15 Dec 2022
Externally publishedYes

Bibliographical note

Funding information:
Tehran University of Medical Sciences and
Health Services, Grant/Award Number: IR.
TUMS.VCR.REC.1397.612

Publisher Copyright:
© 2022 UICC.

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