Abstract
All cases of childhood cancer diagnosed before the 15th birthday in the years 1968-1982 and resident in the Northern Health Authority region have been registered. There were 1171 registrations and only two have been completely lost to follow up. The overall annual incidence of cancer was 107.1 per million children, similar to previously reported figures. There was no significant change in the rate over the 15 year period either for all cancers or individual cancer types. Eighty six percent of registrations had central review of pathological material. There has been a significant move towards centralisation of care over the 15 years and a significant improvement in survival over the three quinquennia for all cases and for most individual types. High white blood cell count at presentation was confirmed as a bad prognostic feature in children with acute lymphoblastic leukaemia (ALL). Children treated for ALL in a peripheral hospital had a significantly worse survival than those referred to a specialist centre. Survival rates were calculated for all of the major types of malignancy. The registry includes four sibling pairs with cancer and one family with three siblings affected. Ten children developed secondary primary tumours.
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- Birch J. M., Marsden H. B., Swindell R. Acute lymphoid leukaemia of childhood in North-West England. Lancet. 1979 Oct 20;2(8147):854–855. doi: 10.1016/s0140-6736(79)92208-6. [DOI] [PubMed] [Google Scholar]
- Birch J. M., Marsden H. B., Swindell R. Incidence of malignant disease in childhood: a 24-year review of the Manchester Children's Tumour Registry data. Br J Cancer. 1980 Aug;42(2):215–223. doi: 10.1038/bjc.1980.221. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Birch J. M., Swindell R., Marsden H. B., Morris Jones P. H. Childhood leukaemia in North West England 1954-1977: epidemiology, incidence and survival. Br J Cancer. 1981 Mar;43(3):324–329. doi: 10.1038/bjc.1981.51. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Craft A. W., Openshaw S., Birch J. M. Childhood cancer in the Northern Region, 1968-82: incidence in small geographical areas. J Epidemiol Community Health. 1985 Mar;39(1):53–57. doi: 10.1136/jech.39.1.53. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans A. E., D'Angio G. J., Randolph J. A proposed staging for children with neuroblastoma. Children's cancer study group A. Cancer. 1971 Feb;27(2):374–378. doi: 10.1002/1097-0142(197102)27:2<374::aid-cncr2820270221>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Kramer S., Meadows A. T., Jarrett P., Evans A. E. Incidence of childhood cancer: experience of a decade in a population-based registry. J Natl Cancer Inst. 1983 Jan;70(1):49–55. [PubMed] [Google Scholar]
- Kramer S., Meadows A. T., Pastore G., Jarrett P., Bruce D. Influence of place of treatment on diagnosis, treatment, and survival in three pediatric solid tumors. J Clin Oncol. 1984 Aug;2(8):917–923. doi: 10.1200/JCO.1984.2.8.917. [DOI] [PubMed] [Google Scholar]
- Leck I., Birch J. M., Marsden H. B., Steward J. K. Methods of classifying and ascertaining children's tumours. Br J Cancer. 1976 Jul;34(1):69–82. doi: 10.1038/bjc.1976.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marsden H. B., Lawler W. Bone metastasizing renal tumour of childhood. Histopathological and clinical review of 38 cases. Virchows Arch A Pathol Anat Histol. 1980;387(3):341–351. doi: 10.1007/BF00454837. [DOI] [PubMed] [Google Scholar]
- Pearson A. D., Craft A. W., Perry R. H., Kalbag R. M., Evans R. G. Four primary tumors in one child. Cancer. 1983 Dec 15;52(12):2363–2368. doi: 10.1002/1097-0142(19831215)52:12<2363::aid-cncr2820521234>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
- Stiller C. A., Draper G. J. Trends in childhood leukaemia in Britain 1968-1978. Br J Cancer. 1982 Apr;45(4):543–551. doi: 10.1038/bjc.1982.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van Steensel-Moll H. A., Valkenburg H. A., van Zanen G. E. Incidence of childhood leukaemia in The Netherlands (1973-1980). Br J Cancer. 1983 Apr;47(4):471–475. doi: 10.1038/bjc.1983.76. [DOI] [PMC free article] [PubMed] [Google Scholar]