Survival trends for patients with retinoblastoma between 2000 and 2018: What has changed?

Basel Abdelazeem, Kirellos Said Abbas, Joseph Shehata, Nahla Ahmed El-Shahat, Mennatullah Mohamed Eltaras, Ibrahim Qaddoumi, Ahmad Samir Alfaar

Journal: Cancer medicine 2023;12(5):6318-6324

PMID: 36479934

Abstract

INTRODUCTION

Retinoblastoma (RB) is the most common primary intraocular cancer of childhood. Over the last few decades, a variety of techniques and treatment modalities emerged that improved the survival and ocular salvage rate of patients with RB. We investigated the relative survival trends of patients with RB from 2000 to 2018 by using the Surveillance, Epidemiology, and End Results (SEER) database.

DESIGN

Retrospective database review.

METHODS

We extracted data from SEER 18 from 2000 to 2018. All patients with clinically diagnosed RB during the study period were included. We utilized SEER*Stat 8.3.9 and JPSurv software to estimate relative 5- and 10-year survival rates and trends and generated descriptive analyses with IBM SPSS.

MAIN OUTCOME MEASURES

Patient survival rates at 5- and 10-year after RB diagnosis.

RESULTS

RB was diagnosed in 1479 patients within the SEER 18 Program during our study period. The cohort comprised 776 (52.5%) males, 615 (41.6%) non-Hispanic whites, 487(32.9%) Hispanics, 1030 (69.6%) patients with unilateral disease, and 1087 (73.5%) patients with localized disease. Relative survival trends at 5- and 10-year significantly declined over the study periods (-0.42%, and -0.50% annually, respectively) but the decline was not significant in unilateral and bilateral RB cases separately.

CONCLUSIONS

Five- and ten-year relative survival trends declined from 2000 to 2018 and were significantly decreasing. Further studies that include more patients are needed to identify the factors contributing to reduced survival of patients with RB over time.

© 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

Address: McLaren Health Care, Flint/Michigan State University, Flint, Michigan, USA.; Faculty of Medicine, Alexandria University, Alexandria, Egypt.; Faculty of Medicine, Cairo University, Cairo, Egypt.; Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.; St. Jude Children Research Hospital, Memphis, Tennessee, USA.; Ophthalmology Department, University of Um, Ulm, Germany.; Experimental Ophthalmology, Campus Virchow-Klinikum, Charite Universitätsmedizin Berlin, Berlin, Germany.
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