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Cancer is diagnosed in about 140 per million children in Britain
each year. There is a 1 in 500 chance that a child will be affected
in the first 15 years of life, the most frequently occurring types
of cancer being leukaemia and brain tumours. This book covers the
descriptive epidemiology of childhood cancer in Britain, based on
the unique work of the National Registry of Childhood Tumours, the
largest population-based specialist childhood cancer registry in
the world. The book provides a detailed account of national
incidence and survival rates for childhood cancer in Britain during
1991-2000, and trends during 1966-2000. There is also an account of
childhood mortality for the period 1965-2004. The diagnoses are
classified throughout according to the International Classification
of Childhood Cancer, the first time the third edition of this
standard classification has been used for prevalence of incidence,
survival and mortality data. The chapter on incidence rates is
relevant to planning of health service provision and design of
research studies on aetiology, whilst the chapter on trends in
incidence is relevant to the possible effects of changes in
environmental and other risk factors. In addition to comprehensive
tables of rates, age-incidence graphs are provided for all the
major types of childhood cancer, and possible artefacts are also
discussed. The survival data demonstrates how clinical progress
over the past 40 years has led to a major increase in the number of
cancer survivors. The role of the Registry, covering history,
methodology, current and future uses, is also discussed. This
definitive work is the culmination of decades of epidemiological
research and is essential reading for anyone involved in paediatric
oncology or cancer epidemiology.
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