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Cancer Research in Switzerland - Krebsliga Schweiz

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204<br />

Patient benefit<br />

Knowledge about specific risk factors allows earlier diagnosis<br />

and treatment of cancer.<br />

Project coord<strong>in</strong>ator<br />

Dr. Olivia Keiser<br />

Institut für Sozial- und Präventivmediz<strong>in</strong><br />

Universität Bern<br />

F<strong>in</strong>kenhubelweg 11<br />

CH-3012 Bern<br />

Phone +41 (0)31 631 35 15<br />

okeiser@ispm.unibe.ch<br />

Levi Fabio | Modell<strong>in</strong>g, <strong>in</strong>terpretation and forecast<strong>in</strong>g<br />

of cancer mortality <strong>in</strong> Europe (KFS 02347-08-2009)<br />

Duration 01.10.2009 – 01.10.2012<br />

The ma<strong>in</strong> objective of this project, which started <strong>in</strong> 1993,<br />

is to ma<strong>in</strong>ta<strong>in</strong> and improve the <strong>in</strong>tegrated system for analyz<strong>in</strong>g,<br />

modell<strong>in</strong>g and <strong>in</strong>terpret<strong>in</strong>g mortality statistics <strong>in</strong><br />

Europe created by our <strong>in</strong>ternational collaborative group<br />

from the WHO raw mortality database.<br />

Over the last two decades, total cancer mortality trends<br />

were favourable, although to a variable degree, <strong>in</strong> all major<br />

European countries, <strong>in</strong>clud<strong>in</strong>g <strong>Switzerland</strong>.<br />

The major determ<strong>in</strong>ants of these favourable trends were<br />

the decl<strong>in</strong>e of lung and other tobacco-related cancers <strong>in</strong><br />

men, together with the persistent falls <strong>in</strong> gastric cancer<br />

and the recent appreciable falls <strong>in</strong> colorectal cancer. In<br />

women, relevant contributions came from the persistent<br />

decl<strong>in</strong>e <strong>in</strong> cervical cancer and the recent falls <strong>in</strong> breast<br />

cancer mortality, particularly <strong>in</strong> Northern and Western<br />

Europe. Detailed analyses were conducted and published<br />

on trends for oral and pharyngeal, stomach, biliary tract,<br />

testis, Hodgk<strong>in</strong>’s lymphoma and childhood cancer.<br />

There is ample need to monitor cancer mortality <strong>in</strong> Europe<br />

cont<strong>in</strong>uously, and the wide diffusion of these statistics<br />

can have a substantial impact on prevention and public<br />

health.<br />

Project coord<strong>in</strong>ator<br />

Prof. Dr Fabio Levi<br />

Unité d’épidémiologie du cancer et Registres<br />

vaudois et neuchâtelois des tumeurs<br />

Institut universitaire de médec<strong>in</strong>e sociale et<br />

préventive<br />

Centre hospitalier universitaire vaudois (CHUV)<br />

Chem<strong>in</strong> des Falaises 1<br />

CH-1011 Lausanne<br />

Phone +41 (0)21 314 73 11<br />

fabio.levi@chuv.ch<br />

Michel Gisela | Effectiveness of transition to adult<br />

care after childhood cancer (KLS 02631-08-2010)<br />

Duration: 01.04.2011– 01.04.2014<br />

Despite improv<strong>in</strong>g cure rates, two-thirds of childhood<br />

cancer survivors experience late effects. Follow-up is thus<br />

very important. Whereas follow-up is usually well-organized<br />

<strong>in</strong> paediatric care, transition to adult care has often<br />

been lack<strong>in</strong>g <strong>in</strong> <strong>Switzerland</strong>.<br />

We will study cl<strong>in</strong>ic documents and medical records to describe<br />

the organization of follow-up for childhood cancer<br />

survivors <strong>in</strong> paediatric care, transition to adult care and<br />

the <strong>in</strong>formation provided to future carers, parents and patients.<br />

Together with <strong>in</strong>formation from two questionnaire<br />

surveys, organization of follow-up and transition to adult<br />

care will be described.<br />

This study will help to develop well-organized transition<br />

from paediatric to adult care such that long-term followup<br />

for childhood cancer survivors can be improved.<br />

Project coord<strong>in</strong>ator<br />

Dr. Gisela Michel<br />

Institut für Sozial- und Präventivmediz<strong>in</strong><br />

Universität Bern<br />

F<strong>in</strong>kenhubelweg 11<br />

CH-3012 Bern<br />

Phone +41 (0)31 631 33 47<br />

michel@ispm.unibe.ch<br />

Mullis Primus-Eugen | Risk of cancer and long-term<br />

mortality <strong>in</strong> children treated with growth hormone:<br />

Swiss participation <strong>in</strong> the EU FP7 project “Safety and<br />

Appropriateness of Growth Hormone Treatment <strong>in</strong><br />

Europe (SAGhE)” (KLS 02586-02-2010)<br />

Duration: 01.07.2010 – 01.01.2013<br />

Growth hormone (GH) is crucial for height ga<strong>in</strong>. Diseases<br />

associated with lack of GH can be treated by GH replacement.<br />

For example, this GH replacement therapy can be<br />

applied to children that cannot produce their own GH after<br />

radiotherapy. Data on the long-term safety of this<br />

therapy are lack<strong>in</strong>g. A European study, <strong>in</strong> which <strong>Switzerland</strong><br />

is also contribut<strong>in</strong>g, will now <strong>in</strong>vestigate these open<br />

questions.<br />

This study aims to identify the long-term impact of GH<br />

therapy on adult height, quality of life, cancer <strong>in</strong>cidence<br />

and mortality.<br />

Medical data will be collected from patient files <strong>in</strong> the<br />

hospitals. Information about quality of life and current<br />

health status will be assessed by questionnaires sent to<br />

the patients. Insights <strong>in</strong> cancer <strong>in</strong>cidence and mortality<br />

can be obta<strong>in</strong>ed by compar<strong>in</strong>g these data with the mortality<br />

statistics of the Swiss Federal Statistical Office and<br />

the national cancer data bases.<br />

The patients may benefit through an optimization of therapy<br />

guidel<strong>in</strong>es based on the f<strong>in</strong>d<strong>in</strong>gs of this study.<br />

Project coord<strong>in</strong>ator<br />

Prof. Dr. Primus-Eugen Mullis<br />

Abteilung pädiatrische Endokr<strong>in</strong>ologie,<br />

Diabetologie und Stoffwechsel<br />

Universitätskl<strong>in</strong>ik für K<strong>in</strong>derheilkunde<br />

Inselspital<br />

CH-3010 Bern<br />

Phone +41 (0)31 632 9552<br />

primus.mullis@<strong>in</strong>sel.ch

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