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. Author manuscript; available in PMC: 2017 Jul 17.
Published in final edited form as: Ann Intern Med. 2016 Nov 8;166(2):89–98. doi: 10.7326/M16-0742

Table 2.

Cancer diagnosis and treatment changes by decade

1970-1979 (N=4618) 1980-1989 (N=4669) 1990-1999 (N=5279)
Parameter % %* %*
Leukemia 32.5 36.8 41.9
Central Nervous System 11.5 14.2 17.8
Hodgkin Lymphoma 17.8 15.6 11.3
Non-Hodgkin Lymphoma 7.5 9.8 8.3
Wilms Tumor 8.6 4.9 6.2
Neuroblastoma 6.3 3.3 3.6
Rhabdomyosarcoma 6.2 4.4 3.4
Bone tumor 9.5 10.9 7.5
Cranial radiation 37.5 29.3 20.4
 Mean (SD) dose (cGy) 3053 (1332) 3083 (1871) 3310 (2164)
Chest radiation 31.6 24.2 18.7
 Mean (SD) dose (cGy) 3156 (1087) 2872 (1216) 2403 (1150)
Abdominal radiation 31.7 19.2 15.6
 Mean (SD) dose (cGy) 3017 (988) 2689 (1185) 2169 (1194)
Pelvic radiation 25.2 15.6 13.2
 Mean (SD) dose (cGy) 3057 (1111) 2838 (1340) 2297 (1364)
Alkylating agent 47.9 59.6 58.1
 Mean (SD) (mg/m2) 10491 (10257) 8301 (8265) 8418 (9323)
Anthracycline 31.0 55.9 66.1
 Mean (SD) (mg/m2) 335 (290) 248 (163) 193 (139)
High dose methotrexate§ 5.1 13.8 21.3
Prednisone 47.4 49.4 48.1
Dexamethasone 3.1 13.0 25.5
Vincristine 72.3 71.3 72.0
Bleomycin 2.3 10.7 7.6
Cisplatin 0.9 9.0 8.9
Amputation 35.3 26.7 12.0
Splenectomy 74.7 57.9 9.3
Hematopoietic stem cell transplant 0.2 1.9 2.9
Grade 3-4 chronic condition with onset prior to baseline 33.4 25.8 21.0

N=Number, %=Percent, mg=milligrams, m2=square meter, cGy=centigray, SD=standard deviation

*

% adjusted for sampling weights;

alkylating agent dose in cyclophosphamide equivalents (27)

anthracycline dose in doxorubicin equivalents (17);

§

high dose methotrexate defined as intravenous ≥ 4300 mg/m2