Variation in survival of patients with lung cancer in Europe, 1985-1989

M. L G Janssen-Heijnen, G. Gatta, D. Forman, R. Capocaccia, J. W W Coebergh

Research output: Contribution to journalArticlepeer-review


In this study, we report on the variation in the prognosis for adult patients with lung cancer within Europe, by age, histology and country from 1985-1989. We considered trends in survival since 1978 for most countries. Survival analysis was carried out on 173448 lung cancer eases diagnosed between 1985 and 1989 in 44 population-based cancer registries, participating in the EUROCARE study. Relative 1-year survival rates for patients with lung cancer varied from 24 to 40%, being highest in Finland, France, The Netherlands and Switzerland and lowest in Denmark, England, Poland and Scotland. Half of all patients under the age of 45 years died within 1 year of diagnosis, increasing to almost 80% for those aged 75 years or older. Whilst the prognosis for patients with non-small cell carcinoma remained more or less constant between 1978 and 1989 (25% in Denmark and 44% in Finland), that for patients with small cell careinoma improved slightly, especially in The Netherlands (Eindhoven from 17 to 24%) and Switzerland (Geneva from 24 to 32%). In conclusion, a fairly large variation in lung cancer relative survival rates existed between European countries. The most likely explanation for the differences is the variation in access to specialized care. Except for a slight improvement in short-term survival for patients with small cell lung cancer, survival has remained poor since 1978.

Original languageEnglish
Pages (from-to)2191-2196
Number of pages6
JournalEuropean Journal of Cancer
Issue number14
Publication statusPublished - Dec 1998


  • Europe
  • Histology
  • Lung cancer
  • Survival
  • Trends

ASJC Scopus subject areas

  • Cancer Research
  • Hematology
  • Oncology


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