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. 1994 Mar;70(3):219–223. doi: 10.1136/adc.70.3.219

Survival from acute non-lymphocytic leukaemia, 1971-88: a population based study.

C A Stiller 1, E M Eatock 1
PMCID: PMC1029747  PMID: 8135567

Abstract

Survival rates were studied among 1258 children with acute non-lymphocytic leukaemia diagnosed in 1971-88 and included in the population based National Registry of Childhood Tumours. Of the total, 147 (12%) died without receiving treatment. Among the remaining treated children, actuarial five year survival rates were 6% in 1971-4, 15% in 1975-9, 23% in 1980-3, and 40% in 1984-8. Infants aged less than 1 year had a significantly worse prognosis and there was a significant trend towards lower survival rates with increasing white cell count. No independent significant effects on survival were found with sex, French-American-British (FAB) subtype, or the presence or absence of Down's syndrome. Children entered in national trials had a higher survival rate than those who were not entered, and children treated at teaching hospitals had a higher survival rate than those who were treated elsewhere. Among the 535 (43%) children who survived at least one year from diagnosis no factor studied had a significant effect on survival, emphasising the importance of achieving first remission as a determinant of long term survival.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Argyle J. C., Benjamin D. R., Lampkin B., Hammond D. Acute nonlymphocytic leukemias of childhood. Inter-observer variability and problems in the use of the FAB classification. Cancer. 1989 Jan 15;63(2):295–301. doi: 10.1002/1097-0142(19890115)63:2<295::aid-cncr2820630215>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  2. Bennett J. M., Catovsky D., Daniel M. T., Flandrin G., Galton D. A., Gralnick H. R., Sultan C. Proposals for the classification of the acute leukaemias. French-American-British (FAB) co-operative group. Br J Haematol. 1976 Aug;33(4):451–458. doi: 10.1111/j.1365-2141.1976.tb03563.x. [DOI] [PubMed] [Google Scholar]
  3. Buckley J. D., Chard R. L., Baehner R. L., Nesbit M. E., Lampkin B. C., Woods W. G., Hammond G. D. Improvement in outcome for children with acute nonlymphocytic leukemia. A report from the Childrens Cancer Study Group. Cancer. 1989 Apr 15;63(8):1457–1465. doi: 10.1002/1097-0142(19890415)63:8<1457::aid-cncr2820630802>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
  4. Chessells J. M., O'Callaghan U., Hardisty R. M. Acute myeloid leukaemia in childhood: clinical features and prognosis. Br J Haematol. 1986 Jul;63(3):555–564. doi: 10.1111/j.1365-2141.1986.tb07533.x. [DOI] [PubMed] [Google Scholar]
  5. Chessells J. M., Sieff C. A., Rankin A. Acute myeloid leukaemia in childhood: treatment in the United Kingdom. Haematol Blood Transfus. 1983;28:51–55. doi: 10.1007/978-3-642-68761-7_10. [DOI] [PubMed] [Google Scholar]
  6. Creutzig U., Ritter J., Riehm H., Langermann H. J., Henze G., Kabisch H., Niethammer D., Jürgens H., Stollmann B., Lasson U. Improved treatment results in childhood acute myelogenous leukemia: a report of the German cooperative study AML-BFM-78. Blood. 1985 Feb;65(2):298–304. [PubMed] [Google Scholar]
  7. Creutzig U., Ritter J., Schellong G. Identification of two risk groups in childhood acute myelogenous leukemia after therapy intensification in study AML-BFM-83 as compared with study AML-BFM-78. AML-BFM Study Group. Blood. 1990 May 15;75(10):1932–1940. [PubMed] [Google Scholar]
  8. Darbyshire P. J., Smith J. H., Oakhill A., Mott M. G. Monocytic leukemia in infancy. A review of eight children. Cancer. 1985 Oct 1;56(7):1584–1589. doi: 10.1002/1097-0142(19851001)56:7<1584::aid-cncr2820560720>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  9. Levitt G. A., Stiller C. A., Chessells J. M. Prognosis of Down's syndrome with acute leukaemia. Arch Dis Child. 1990 Feb;65(2):212–216. doi: 10.1136/adc.65.2.212. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Marcus R. E., Catovsky D., Prentice H. G., Newland A. C., Chessells J. M., Stevens R. F., Hann I. M., Goldman J. M., Hoffbrand A. V., Galton D. A. Intensive induction and consolidation chemotherapy for adults and children with acute myeloid leukaemia (AML) joint AML trial 1982-1985. Haematol Blood Transfus. 1987;30:346–351. doi: 10.1007/978-3-642-71213-5_56. [DOI] [PubMed] [Google Scholar]
  11. Phillips M., Richards S., Chessells J. Acute myeloid leukaemia in childhood: the costs and benefits of intensive treatment. Br J Haematol. 1991 Apr;77(4):473–477. doi: 10.1111/j.1365-2141.1991.tb08612.x. [DOI] [PubMed] [Google Scholar]
  12. Rees J. K., Gray R. G., Swirsky D., Hayhoe F. G. Principal results of the Medical Research Council's 8th acute myeloid leukaemia trial. Lancet. 1986 Nov 29;2(8518):1236–1241. doi: 10.1016/s0140-6736(86)92674-7. [DOI] [PubMed] [Google Scholar]
  13. Sartori P. C., Taylor M. H., Stevens M. C., Darbyshire P. J., Mann J. R. Treatment of childhood acute myeloid leukaemia using the BFM-83 protocol. Med Pediatr Oncol. 1993;21(1):8–13. doi: 10.1002/mpo.2950210103. [DOI] [PubMed] [Google Scholar]
  14. Stiller C. A., Bunch K. J. Trends in survival for childhood cancer in Britain diagnosed 1971-85. Br J Cancer. 1990 Nov;62(5):806–815. doi: 10.1038/bjc.1990.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Stiller C. A. Centralisation of treatment and survival rates for cancer. Arch Dis Child. 1988 Jan;63(1):23–30. doi: 10.1136/adc.63.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Stiller C. A., Draper G. J. Treatment centre size, entry to trials, and survival in acute lymphoblastic leukaemia. Arch Dis Child. 1989 May;64(5):657–661. doi: 10.1136/adc.64.5.657. [DOI] [PMC free article] [PubMed] [Google Scholar]

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