Disparities in conditional net survival among non-Hodgkin lymphoma survivors: a population-based analysis

Leuk Lymphoma. 2016;57(3):676-84. doi: 10.3109/10428194.2015.1102246. Epub 2015 Dec 23.

Abstract

We evaluated the association of baseline prognostic factors with conditional net survival among survivors of six subtypes non-Hodgkin lymphoma using the SEER program data from 2000-2012. Among 2-year survivors, further prognosis markedly improved in Burkitt's (BL) and diffuse large B-cell lymphoma (DLBCL), and became the same as for follicular lymphoma (5-year net survival ≥ 85%). Mantle cell lymphoma (MCL) demonstrated the worst prognosis of all studied histologies up to 5 years of survivorship. Age and stage lost prognostic significance in BL within 2 years from diagnosis. Racial disparities in net survival disappeared within 2 years for all subtypes, except in chronic lymphocytic leukemia, where black patients had persistently worse prognosis, and in MCL, where they had unexpectedly better prognosis than other races after 2 years. Many baseline factors may lose their initial prognostic value for lymphoma survivors, which should be considered when counseling patients about their prognosis and long-term surveillance.

Keywords: Burkitt lymphoma; conditional survival; diffuse large B-cell lymphoma; epidemiology; non-Hodgkin lymphoma; relative survival.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Lymphoma, Non-Hodgkin / diagnosis
  • Lymphoma, Non-Hodgkin / epidemiology
  • Lymphoma, Non-Hodgkin / mortality*
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Population Surveillance*
  • Prognosis
  • SEER Program
  • Survivors*
  • Young Adult