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Cancer Control and Society

Frontiers in Cancer Control and Society ·

Volume 3 - 2025 | https://doi.org/10.3389/fcacs.2025.1572317

Global population-based childhood cancer survival in the 21st century: a scoping review

  • Charles A. Stiller*corresponding author
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Abstract

The development of effective treatment for many childhood cancers has led to dramatic increases in survival rates at the population level, at least in affluent industrialized countries. Studies of survival in numerous populations have been published, but population-based survival estimates that are essential for monitoring and planning are still lacking in many countries. There is no comprehensive account of the type and extent of available information on this topic. A scoping review of population-based studies of childhood cancer in the 21st century was carried out with the aim of repairing this omission. The electronic databases PubMed and Web of Science were searched, supplemented by the author's bibliographic files. The searches produced 5,490 references, of which 303 reported population-based studies containing at least one estimate of 5-year survival for children with cancer diagnosed during a period whose central year was 2001 or later. Overall, 75% of high-income countries with a child population ≥50,000 were represented in these studies, compared with 47% of upper middle income countries, 16% of lower middle income countries and 8% of low income countries. Among countries that were represented in population-based studies, 29% of high income countries were only represented in studies involving multiple countries compared with 75% of those in lower income categories. Similar contrasts were found between countries with very high Human Development Index and those in lower categories of Human Development Index. Wider availability of robust information on survival at population level will be essential for monitoring progress toward the goal set by the World Health Organization's Global Initiative for Childhood Cancer of 60% survival globally for children and adolescents with cancer by the year 2030. Increasing the coverage and quality of cancer registration and death notification in as many lower-resource countries as possible would in turn increase the volume and geographic spread of the data from which survival rates can be estimated for those countries. International collaborations whose results are underpinned by uniform procedures for data validation and analysis will continue to play a vital part in enabling comparison of childhood cancer survival between populations.

Keywords

1 Introduction

The development of effective treatments for many childhood cancers over the past 60 years is one of the great success stories of oncology (1, 2). In consequence, there have been dramatic increases in survival rates for childhood cancer at the population level, at least in affluent industrialized countries (3, 4). Some of these increases have been shown to occur concurrently with the adoption of successive trial protocols for particular types of childhood cancer (5, 6).

Impressive results have also been reported from specialist centers in many less well-resourced settings. However, population-based estimates of survival of all patients, including those not treated at specialist centers, are essential for monitoring and planning but are still lacking in many countries. This absence prompted Ward et al. (7) to carry out a simulation study to estimate survival for virtually every country in the world including those for which hard data were missing. In the same year, Girardi et al. (8) published a systematic review of worldwide trends in survival from two principal types of childhood brain tumor. Since then, studies of survival from childhood cancer in numerous populations have continued to be published, but there has apparently been no comprehensive delineation of the type and extent of the available information on this topic. The present scoping review was carried out in order to repair this omission.

2 Materials and methods

Eligible publications were defined as those that provided at least one population-based estimate of survival for children diagnosed with cancer according to the following criteria.

Data had to refer to cases arising in a defined population, usually compiled by a population-based cancer registry (PBCR) and were not restricted to patients receiving any particular treatment modality or modalities.

Following Girardi et al. (8), survival estimates had to be at 5 years after diagnosis. Eligibilty was broadened, however, to include endpoints other than death from any cause, thus papers reporting relative survival, net survival, event-free survival, cancer-specific survival or disease-specific survival could also be included.

Age range at diagnosis: lower bound ≤ 14 years and upper bound <20years.

Calendar period of diagnosis: wholly contained within a period whose central year was 2001 or later (including periods of an even number of years in length whose central years were 2000 and 2001).

Two online databases, PubMed and Web of Science, were searched for publications satisfying the above criteria. The search strategies are presented in the Appendix. The results of these searches were supplemented by review of additional publications from 2001 onwards in the author's bibliography files on descriptive epidemiology of childhood cancer. Eligible papers were restricted to those published in peer-reviewed journals. Conference abstracts were excluded. There were no language restrictions.

Throughout this review, the French West Indies have been treated as a single territory and Hong Kong and Macau have been included with China. For analyses by world region, Mexico, which is geographically in North America but more closely aligned socioeconomically and culturally with Latin America, was included in the category of America (Central and Caribbean); for similar reasons, Cyprus, which is geographically in western Asia, was included in the category of Europe.

3 Results

3.1 Literature searches

The searches of PubMed and Web of Science together yielded 5,490 references, with a further 383 from the author's bibliography files giving a grand total of 5,873 (Figure 1). After elimination of 1,010 duplicates and 574 articles published before 2001, 4,289 records remained for further assessment. On the basis of title and abstract, 3,190 references were excluded because they did not satisfy the eligibility criteria listed above. Full text was unavailable for 32 records. The remaining 1,067 were subjected to full-text review, leading to the exclusion of 764 because of failure to satisfy one or more of the eligibility criteria. There were thus a final total of 303 eligible publications, 29 of which were editions of two series of American annual reports.

PRISMA flow diagram for scoping review of global population-based childhood cancer survival.
Figure 1. PRISMA flow diagram for scoping review of global population-based childhood cancer survival.

3.2 United States annual series

The American Cancer Society “Cancer Statistics” reports for 2009 onwards have reported 5-year relative survival for childhood cancer diagnosed mainly or entirely in the 21st century, based on data from the Surveillance, Epidemiology and End Results (SEER) Program, thus the 16 reports issued in 2009–2024 were eligible for this review (9–24). The 2009–2016 editions (9–16) documented survival trends from 1975 onwards, with the most recent year of diagnosis being 5 years before the year of publication. Survival data in the editions for 2017 onwards (17–24) have covered a single 7-year period of diagnosis, the most recent year of diagnosis again being 5 years before the year of publication. Diagnoses have been classified according to the International Classification of Childhood Cancer, Third Edition (ICCC-3), in which the categories are defined by ICD-O-3 codes (25). Non-malignant central nervous system (CNS) tumors are excluded with the sole exception of pilocytic astrocytoma, which continued to be defined as malignant for the purposes of SEER when it was downgraded to uncertain behavior in ICD-O-3.

The annual statistical reports of the Central Brain Tumor Registry of the United States (CBTRUS) were initially self-published, but from 2012 they have been issued as supplements to Neuro Oncology. Each of these reports has presented 5-year relative survival for children under 15 years of age who were diagnosed during the 5-year period beginning 7 years before the year of publication, thus all 13 of the reports for 2012–2024 were eligible (26–38). Survival data were derived from the SEER-18 registries in the reports for 2012–2018 (26–32), and from NPCR registries in those for 2019 onwards (33–38). Diagnoses have been classified according to a scheme developed by CBTRUS and based on ICD-O-3 codes. Malignant and non-malignant tumors have been included throughout. Additional CBTRUS reports on childhood and adolescent patients that were published in 2022 and 2023 and are considered under “Other publications” below.

3.3 Other publications

Details of the remaining 274 eligible publications are shown in Table 1. Of these, 245 reported survival within a single country or territory, with 44 different countries represented. Data from the United States were analyzed in 93 (38%) of the 245 single-country studies. The great majority of these United States studies (75/93) were based exclusively on data from the SEER Program, though a substantial number of the analyses were conducted in other countries. Other countries represented by at least five single-country studies were the Netherlands (n = 17), Australia (n = 15), the United Kingdom (n = 11), France (Metropolitan) and Spain (n=8 each), Canada, South Korea and Germany (n = 7 each), Thailand (n = 6), Brazil and Sweden (n = 5 each).

Table 1. Studies included in the review. American Cancer Society “Cancer Statistics” annual series and CBTRUS annual statistical reports are excluded.

1st Author, year (reference)CountriesPopulation coverageDiagnosis yearsLatest follow-upAge at diagnosisSub-populationsDiagnostic classificationNon-mal. CNS includedSkin carcinoma/ NMSC excludedOutcome measuresDiagnostic groups
Arnett, 2024 (75)United StatesNPCR2001–2019Unspec.0–19Non-Hispanic White, non-Hispanic Black, non-Hispanic API, HispanicICD-O-3NANARSHepatocellular carcinoma
Businge, 2024 (76)RwandaNational2013–201720210–14ICCC-3NANAOS, RSICCC-3 Ia, IIa, IIb, IIc, V, VIa, VIIIa, IXa
Campbell, 2024 (77)United StatesNPCR2001–201820180–19Non-Hispanic White, non-Hispanic Black, non-Hispanic American Indian/Alaska Native, non-Hispanic API, HispanicICCC-3NANAOS, RSICCC-3 IVa
de Sousa, 2024 (78)BrazilMato Grosso2001–201720220–19ICCC-3NANAOS, RSICCC-3 I, II, and subgroups
Elgenidy, 2024 (79)United StatesSEER-172000–2019Unspec.0–14White, Black, American Indian/Alaska Native, APIICD-O-3NANARSWilms tumor
Felix, 2024 (80)French West IndiesNational2011–2021Unspec.0–17Unspec.NANAOSNeuroblastoma
Godoy-Casabuenas, 2024 (81)ColombiaBucaramanga, Manizales, Pasto1998–2018Unspec.0–18ICD-O-3NANAOS, RSLeukemia
Hoang, 2024 (82)United StatesTexas1995–2017Unspec.0–19Residence < 1 km or >1 km from oil or gas wellICCC-3NKNAOS21 ICCC-3 subgroups
Hoffman, 2024 (83)United StatesSEER-182004–2019Unspec.0–19Non-Hispanic White, non-Hispanic Black, non-Hispanic American Indian/Alaska Native, non-Hispanic Asian, HispanicICD-O-3NANAOS, CSSEwing sarcoma of axial skeleton
Hou, 2024 (84)United StatesSEER-182000–2018Unspec.0–19White, BlackICD-O-3NANAOSParotid tumors
Kristiansen, 2024 (69)Faroe IslandsNational1960–2019Unspec.0–19ICCC-3NKNkOSAll cancers
Liao, 2024 (85)TaiwanNational2006–2019Unspec.All agesICD-O-3NANAOSRetinoblastoma
Lin, 2024 (86)United StatesSEER-182000–2019Unspec.0–19White, OtherICD-O-3NANAOSNeuroendocrine tumors of digestive tract
Mashtoub, 2024 (87)AustraliaNorthern Territory and South Australia1990–201720170–19Indigenous, non-Indigenous (Northern Territory only)ICD-10, ICD-O-3NKNKOSLymphoid leukemia, Medulloblastoma, Neuroblastoma, Retinoblastoma, Wilms tumor, Hepatoblastoma, Osteosarcoma, Ewing sarcoma, Rhabdomyosarcoma
Mishra, 2024 (88)United StatesSEER (by race and ethnicity)2000–2020Unspec.0–19White, Black, American Indian/Alaska Native, API, HispanicICD-O-3NANADSSBurkitt lymphoma
Papakonstantinou, 2024 (89)GreeceNational2010–2021Unspec.0–14ICD-O-3NANAOS, EFSOsteosarcoma
Peirelinck, 2024 (60)Belgium, NetherlandsNational2004–201520210–17ICCC-3YesBCC excludedOSAll cancers, ICCC-3 groups and selected subgroups
Pinsuwan, 2024 (90)ThailandKhon Kaen2000–201920210–14ICCC-3NKNARSICCC-3 I, II, III, IV, X
Qi, 2024 (91)United StatesSEER2000–2018Unspec.0–19White, BlackICD-O-3NANAOSParatesticular rhabdomyosarcoma
Schulpen, 2024 (92)NetherlandsNational1990–201820230–17ICD-O-3NANARSEwing sarcoma
Schulpen, 2024 (93)NetherlandsNational1990–201520210–17ICD-O-3NANARSNHL
Turanzas, 2024 (94)DenmarkNational2007–2017Unspec.< 1Unspec.YesNAOSBrain tumors
Wang, 2024 (95)ChinaTianjin2010–201620210–14ICD-O-3NKNKOS, RSAll cancers
Wang, 2024 (96)United StatesSEER-172001–202020200–19ICD-O-3Yes (pilocytic astrocytoma only)NAOSCNS tumors
Wellbrock, 2024 (97)GermanyNational2000–201620210–14ICCC-3YesNAOSCNS tumors and subgroups
Youlden, 2024 (98)AustraliaNational2006–201520200–14ICCC-3YesNKOS, EFSAll cancers, ICCC-3 Ia, Ib, IIa, IIb, IIc, IIIa1, IIIb, IIIc1, IIId, IVa, V, VIa1, VIIa, VIIIa, VIIIc, IXa, IXb-e, Xc-e, XId
Youlden, 2024 (99)AustraliaNational2010–201820200–14ICCC-3YesNARSICCC-3 Ia, Ib, IIb-c, IIIb, IIIc1, IVa, VIa1, IXa
Abdelazeem, 2023 (100)United StatesSEER-182000–2018Unspec.All agesICCC-3NANARSRetinoblastoma
Bednarek, 2023 (101)CanadaNational2001–2018Unspec.0–14Unspec.NANAOS, EFSBilateral Wilms tumor
Castellanos, 2023 (102)United StatesTexas1995–201720180–19Residence in border or non-border census tractsICD-O-3NANAOSALL, AML
Chiriaque, 2023 (103)Spain11 PBCRs1991–200520100–19ICCC-3YesNAOSICCC-3 III and subgroups
Cromie, 2023 (104)United KingdomEngland: Yorkshire and Humber Region1997–201620200–14South Asian, non-south AsianICCC-3YesNKOSAll cancers, ICCC-3 I, II, III, IV-XII
Gera, 2023 (105)United StatesSEER-172000–2019Unspec.0–17Non-Hispanic White, non-Hispanic Black, non-Hispanic API, HispanicICD-O-3NANAOSErythroleukemia
Girardi, 2023 (47)61 countries (CONCORD-3)Various2000–201420140–14ICD-O-3YesNANSSubgroups and selected other categories within ICCC-3 group III
Goulding, 2023 (106)United StatesSEER-182004–2015Unspec.0–19White, non-White; Hispanic, non-Hispanic; county-level indicators of socioeconomic statusICD-O-3NANARSOsteosarcoma, Ewing sarcoma
Henau, 2023 (107)BelgiumNational2004–201820200–14ICD-O-3NANARSHematological malignancies
Hoogendijk, 2023 (108)NetherlandsNational2003–201720210–17ICD-O-3NoNAOSHigh-grade glioma
Kameda-Smith, 2023 (109)CanadaOntario1996–201720170–17WHO-2016YesNAOSAll CNS tumors and selected subgroups
Karalexi, 2023 (53)Greece, SloveniaNational2009–2018Unspec.0–14ICCC-3NANAOS, EFSNeuroblastoma
Karimi, 2023 (110)IranNational2008–2014Unspec.0–19ICD-O-3NANAOSOsteosarcoma
Li, 2023 (111)AustraliaNew South Wales2003–2015Unspec.0–14ICD-O-3NANADSSALL, AML
Liu, 2023 (112)United StatesSEER-182010–2018Unspec.0–18ICD-O-3NANAOSNeuroblastoma
Liu, 2023 (113)United StatesSEER-182000–2018Unspec.0–19ICD-O-3NANAOSYolk sac tumor
McEvoy, 2023 (114)United StatesNPCR2001–2016Unspec.0–19ICCC-3NANARSICCC-3 IXa
Montes-Rodríguez, 2023 (115)Puerto RicoNational2008–201220170–19HispanicICD-O-3NANARSALL
Nissen, 2023 (116)DenmarkNational1985–2020Unspec.0–14ICD-10NANAOS, EFSLiver tumors
Ohlsen, 2023 (117)United StatesWashington State1992–201320130–19Area-level categories of rurality and socioeconomic statusICD-O-3NoYesOSAll cancers
Price, 2023 (118)United StatesNPCR2008–2018Unspec.0–14ICD-O-3YesNARS12 categories of less common malignant CNS tumor
Pugh, 2023 (119)New ZealandNational2010–201920210–14Māori, Pacific Peoples, Non-MāoriICCC-3YesNKOSAll cancers, ICCC-3 main groups
Wang, 2023 (120)United StatesSEER-121995–201920190–19Non-Hispanic White, non-Hispanic Black, non-Hispanic American Indian/Alaska Native, non-Hispanic API, HispanicICCC-3NoNKCSSAll cancers, ICCC-3 selected groups and subgroups
Wellbrock, 2023 (121)GermanyNational1991–201620220–14ICCC-3YesNKOSAll cancers, ICCC-3 groups and selected subgroups
Wu, 2023 (122)United StatesSouth Texas1995–201720180–19Non-Hispanic White, Black, HispanicICCC-3NoNoRSAll cancers, ALL, CNS tumors, bone tumors
Wu, 2023 (123)United StatesSEER-182000–2018Unspec.0–19White, Black, APIICD-O-3NANAOSMalignant mediastinal germ cell tumors
Wu, 2023 (124)United StatesSEER-182000–2019Unspec.0–19White, Black, OtherICD-O-3NANAOSGastrointestinal NHL
Youlden, 2023 (125)AustraliaNational2007–201620170–14ICCC-3YesNKRSAll cancers, ICCC-3 groups and selected subgroups
Youlden, 2023 (126)AustraliaNational2000–201720200–14ICCC-3YesNAOS (stage specific)ICCC-3 Ia, IIb-c, IIIa1, IIIb, IIIc1, IVa, VIa, VIIa, VIII, IXa, IXb-e
Zhao, 2023 (127)United StatesSEER-182000–2018Unspec.0–19ICD-O-3NANAOSRenal cell carcinoma
Botta, 2022 (39)31 European countries (EUROCARE-6)Various2000–201320140–14ICCC-3NoYesOSAll cancers, selected ICCC-3 groups and subgroups
Caetano dos Santos, 2022 (128)PolandNational1999–201720200–15ICD-O-3NANAOSBurkitt lymphoma/leukemia
Cañete, 2022 (129)SpainSelected PBCRs1999–201120160–14ICD-O-3NANAOSNeuroblastoma
Castro-Ríos, 2022 (130)MexicoCentral-South Region2006–201220170–17ICCC-3YesNKOSAll cancers, ICCC-3 groups and subgroups
Cioffi, 2022 (131)United StatesNPCR2004–2017Unspec.0–14WHO 2016YesNAOSCNS tumors
Cole, 2022 (132)United StatesSEER-182000–2017Unspec.0–9White, Black, American Indian/Alaska Native, API, HispanicICD-O-3NANARSOsteosarcoma
Hart, 2022 (133)United StatesSEER-181990–2015Unspec.0–19ICCC-3Yes (pilocytic astrocytoma only)NAOSICCC-3 III, Xa
Helligsoe, 2022 (134)DenmarkNational1997–201920190–14ICCC-3YesNAOSICCC-3 III, Xa and subgroups
Kahla, 2022 (135)United StatesNPCR2001–201620160–19Non-Hispanic White, non-Hispanic Black, non-Hispanic American Indian/Alaska Native, non-Hispanic API, HispanicICCC-3NANAOS, RSICCC-3 VIIa
Klangjorhor, 2022 (136)Thailand5 PBCRs2001–201520190–19ICD-O-3NANAOSBone sarcomas
Lee, 2022 (137)South KoreaNational1999–2017Unspec.0–14ICD-O-3NANAOSEwing sarcoma
Liu, 2022 (138)United KingdomEngland2013–201920210–14ICD-O-3NANAOSLangerhans cell histiocytosis
Liu, 2022 (139)TaiwanNational1999–2014Unspec.0–2ICD-O-3NANAOSAtypical teratoid/rhabdoid tumor
Loap, 2022 (140)United StatesSEER-182000–2018Unspec.0–19ICD-O-3NANAOSPlasma cell neoplasms
Lv, 2022 (141)United StatesSEER-182000–2019Unspec.0–19ICD-O-3NANAOSAdrenal cancers: Neuroblastoma, Adrenocortical carcinoma, Other
Nakata, 2022 (142)JapanOsaka2002–2011Unspec.2014Unspec.NoNKOSAll cancers
Ravaioli, 2022 (143)Italy12 PBCRs2010–201420180–14ICCC-3YesNKOSAll cancers, ICCC-3 I, Ia, Ib, IIa, IIb, III, VI, VII, VIII, IX, XIb, XId
Reedijk, 2022 (144)NetherlandsNational1990–201520190–17ICCC-3NANAOSNHL
Schulpen, 2022 (145)NetherlandsNational1990–201420210–18ICCC-3NANAOSICCC-3 VI and subgroups
Schulpen, 2022 (146)NetherlandsNational1990–201520210–17ICCC-3NANARSICCC-3 Ib
Ssenyonga, 2022 (48)61 countries (CONCORD-3)Various2000–201420140–19ICCC-3NANANSICCC-3 I and subgroups
van de Bergh, 2022 (147)NetherlandsNational2000–2016202110–17ICD-O-3NANAOSPapillary and follicular thyroid carcinoma
van der Linde, 2022 (148)NetherlandsNational2004–2013202010–17ICD-O-3NANAOSALL
Wellbrock, 2022 (149)GermanyNational1991–20150210–14Former West Germany, Former East GermanyICCC-3NANAOSALL, AML
Xing, 2022 (150)United StatesSEER-182000–2018Unspec.0–18Unspec.NANAOSHepatoblastoma, hepatocellular carcinoma
Youlden, 2022 (151)AustraliaNational1997–201620170–14Aboriginal and Torres Strait Islander, OtherICCC-3YesNKCSSICCC-3 I-II, III-XII
Zbitou, 2022 (152)FranceNational (metropolitan)2000–201820210–17ICD-O-3NANAOSThyroid carcinoma
Curry, 2021 (153)United StatesSEER-182004–2013Unspec.0–19ICD-O-3NANAOSRhabdomyosarcoma of head and neck
Di Giuseppe, 2021 (61)Australia; Canada; United StatesNational; Ontario; SEER-92005–201320150–14ICCC-3NANARSICCC-3 VII
Ellison, 2021 (154)CanadaAll except Quebec province2003–201720170–14ICCC-3NoNKOSAll cancers, ICCC-3 main groups and selected subgroups
Hoogendijk, 2021 (155)NetherlandsNational1990–201720190–17ICCC-3YesNAICCC-3 III and subgroups, Xa
Karalexi, 2021 (156)GreeceNational2001–201920190–14ICD-O-3NANAOSHepatic tumors
Karalexi, 2021 (157)GreeceNational1996–201920190–14ICCC-3NANAOS, EFSICCC-3 IIa, IIb-c
Kelm, 2021 (158)United StatesSEER-182000–2015Unspec.0–19ICCC-3NANACSSICCC-3 XId
Loizou, 2021 (159)CyprusSouth1998–201720180–19ICCC-3NANAOSThyroid carcinoma
Miller, 2021 (160)United StatesNPCR2009–201520160–19CBTRUSYesNARSAll CNS tumors and selected subgroups
Nakata, 2021 (161)JapanOsaka2000–2011Unspec.0–14ICD-O-3NANAOSAll leukemia, ALL, AML, CML
Park, 2021 (162)South KoreaNational1999–201720180–19ICD-O-3NANARSOvarian germ cell tumors and subtypes
Person, 2021 (163)FranceNational (metropolitan)2000–201520180–14ICCC-3NANAOSHead and neck cancers
Poulalhon, 2021 (164)FranceNational (metropolitan)2000–201520180–14ICCC-3YesNKOSAll cancers, ICCC-3 main groups and selected subgroups
Reedijk, 2021 (165)NetherlandsNational1990–201520190–17ICD-O-3NANAOSALL
Sasaki, 2021 (166)United StatesSEER-182000–2017Unspec.0–19ICD-O-3NANAOSALL
Schraw, 2021 (167)United StatesTexas1995–201120120–19Hispanic enclave statusICCC-3NANAOSPrecursor B-cell ALL
Schulpen, 2021 (168)NetherlandsNational1990–201520200–17ICCC-3NANAOSAll cancers, ICCC-3 main groups and selected subgroups
Soon, 2021 (169)United StatesSEER-182000–2011Unspec.0–19ICD-O-3Yes (pilocytic astrocytoma only)NAOSEpendymoma, pilocytic astrocytoma, anaplastic astrocytoma, glioblastoma, medulloblastoma, supratentorial embryonal tumor, CNS germinoma
Wang, 2021 (170)United StatesSEER-92005–20142014< 1ICCC-3NKNKOS, RSAll cancers, ICCC-3 I, II, III, IV, V, VII
Youlden, 2021 (171)AustraliaNational2006–201620170–14ICCC-3YesNARSICCC-3 III and subgroups
Chen, 2020 (172)United StatesSEER-182004–2013Unspec.0–16ICD-O-3NANAOSNeuroblastoma
de Oliveira, 2020 (173)BrazilGoiania1996–201220170–19ICCC-3NKYesRSAll cancers, selected ICCC-3 main groups
Desandes, 2020 (174)FranceNational (metropolitan)2000–20142018< 1ICCC-3YesNAOSAll cancers, ICCC-3 main groups and selected subgroups
Fineberg, 2020 (175)United StatesSEER-182000–2015Unspec.0–19ICCC-3NoNAOSMalignant CNS tumors
Ji, 2020 (176)ChinaPudong2002–2015Unspec.0–14ICCC-3NKYesOSAll cancers
Jones, 2020 (177)AustraliaNational2004–201320150–14ICCC-3NANACSS, EFSRenal tumors
Krejci, 2020 (178)Czech RepublicNational1995–201220170–14ICCC-3YesNKOSAll cancers, selected ICCC-3 groups and subgroups
Leong, 2020 (179)Brunei DarussalamNational2002–2017Unspec.0–19ICCC-3NKNKOSAll cancers, ICCC-3 main groups
Liu, 2020 (180)ChinaHong Kong1999–2018Unspec.0–17Unspec.YesNAOS, PFSCraniopharyngioma
Liu, 2020 (62)China; United StatesHong Kong; SEER-181999–201620160–17SEER: APIICD-O-3YesNAOSAll CNS tumors, ependymoma, choroid plexus tumors, glial, and neuronal tumors (incl. astrocytoma, and glioma), medulloblastoma, other embryonal tumors, germinoma, teratoma, other germ cell tumors
Martin, 2020 (181)NetherlandsNational1989–2017Unspec.0–17ICD-O-3NANAOSMalignant peripheral nerve sheath tumor
Mitchell, 2020 (182)United StatesSEER-182000–201520150–19Non-Hispanic White, non-Hispanic Black, HispanicICD-O-3NoNAOSAll cancers, ICCC-3 main groups and subgroups
Moreno, 2020 (183)ArgentinaNational2000–2015Unspec.0–14ICCC-3NANAOSICCC-3 VIIa, VIIb
Paapsi, 2020 (184)EstoniaNational2000–201620160–14ICCC-3NoNKOSAll cancers, selected ICCC-3 groups and subgroups
Siegel, 2020 (185)United StatesNPCR2001–201520150–19Non-Hispanic White, non-Hispanic Black, non-Hispanic American Indian/Alaska Native, non-Hispanic API, Hispanic; County-level economic status; US Census RegionICCC-3NKNKRSAll cancers, selected ICCC-3 groups and subgroups
Silva, 2020 (186)BrazilSão Paulo1997–2013Unspec.0–14ICD-O-3NANAOSALL
Tas, 2020 (187)NetherlandsNational1990–201420180–17ICD-O-3NANAOSNeuroblastoma
Wang, 2020 (188)United StatesSEER-181988–201620160–19ICD-O-3NANAOSEmbryonal rhabdomyosarcoma
Williams, 2020 (189)United StatesSEER-182000–2015Unspec.0–19Non-Hispanic White, Black, API, HispanicICCC-3NoNAOSXa, Xb, Xc, all excluding teratomas
Youlden, 2020 (190)AustraliaNational2004–201320150–14ICCC-3NANACSS, EFSNeuroblastoma
Abrahão, 2019 (191)United StatesCalifornia - Greater Bay Area2001–201420140–19Non-Hispanic White, non-Hispanic Black, Hispanic, API, Other/UnknownICD-O-3NANAOSDiffuse large B-cell lymphoma
Bidwell, 2019 (192)Thailand5 PBCRs1990–2011Unspec.0–19ICCC-3NKNKRSAll cancers, ICCC-3 I, Ia, Ib, Ie, II, IIa, IIb, IIc, IIe, III, IIIb, IIIc1–2, IV, V, VI, VII, VIII, IX, IXa, IXb-d, X, XI, XII
Chen, 2019 (193)United StatesSEER-92005–2014Unspec.0–14White, Black, OtherICD-O-3NANARSAML
Doganis, 2019 (54)Belarus, Greece, Slovenia; PolandNational; Greater Poland region1999–2017Unspec.0–14ICD-O-3NANAOS, EFSWilms tumor
Drevinskaite, 2019 (194)LithuaniaNational2004–201320130–14ICD-O-3NANARSTesticular tumors
Faltermeier, 2019 (195)United StatesSEER-182000–2009Unspec.0–1WHO 2016Yes (pilocytic astrocytoma only)NAOSDiffuse astrocytic and oligodendroglial tumors, pilocytic astrocytoma, ependymal tumors, embryonal CNS tumors, medulloblastoma, choroid plexus carcinoma
Feng, 2019 (196)United StatesSEER-182004–2015Unspec.0–18White, Black, OtherICD-O-3NANAOSHepatoblastoma
Janz, 2019 (197)United StatesSEER-182004–201420140–18ICD-O-3NANADSSTonsillar cancers
Kang, 2019 (198)South KoreaNational2005–2014Unspec.0–19CBTRUSYesNARSAll CNS tumors and CBTRUS subgroups
Ostrom, 2019 (199)United StatesNPCR2001–2014Unspec.0–14Appalachian counties, non-Appalachian USICD-O-3YesNARSMalignant CNS tumors; non-malignant CNS tumors
Quinlan, 2019 (200)IrelandNational1994–2015Unspec.0–16Unspec.NANAOSMelanoma
Reedijk, 2019 (201)NetherlandsNational1990–201520180–17ICD-O-3NANAOSAML
Rivas-Vilela, 2019 (202)SpainGirona1990–201320150–19ICCC-3YesNAOSICCC-3 III
Rostgaard, 2019 (63)Denmark, Finland, Norway, SwedenNational2000–201320150–14ICCC-3YesNARSICCC-3 Ia, Ib, IIb, IIIb, IIIc, IIId, IIIe, VIIb-c, VIIIa, VIIIc, IXa, IXb-e
Siegel, 2019 (203)United StatesNPCR2001–200820130–19Non-Hispanic White, non-Hispanic Black, non-Hispanic Other, HispanicICD-O-3Yes (pilocytic astrocytoma only)NARSBrain tumors
Tabash, 2019 (204)United StatesSEER-182000–201520150–19ICD-O-3YesNAOSPilocytic astrocytoma
Truitt, 2019 (205)United StatesSEER-182000–2014Unspec.0–14ICD-O-3NoNARS12 categories of less common malignant CNS tumor
Allemani, 2018 (49)63 countries (CONCORD-3)Various2000–201420140–19ICCC-3, ICD-O-3YesNANSICCC-3 lymphoid leukemia (61 countries), lymphoma (62 countries), brain tumors (60 countries)
Cooney, 2018 (206)United StatesCalifornia1988–201220120–19Non-Hispanic White, Black, API, HispanicICD-O-3NoNARSHigh-grade glioma, Medulloblastoma
Deng, 2018 (207)United StatesSEER-181990–2013Unspec.0–17ICD-O-3NANAOSPineoblastoma
Doganis, 2018 (55)Belarus, Bulgaria, Croatia, Cyprus, Greece, Malta, Slovenia, Ukraine; Poland, Portugal, Romania, Turkey; United StatesNational; Regional; SEER-181990–2016Unspec.0–14ICD-O-3NANAOSWilms tumor
Eggen, 2018 (208)NetherlandsNational1989–201320140–19ICD-O-3NANARSMalignant melanoma
González García, 2018 (209)SpainCastilla y Leon2003–2014Unspec.0–14ICCC-3YesNKOSAll cancers, ICCC-3 I, II, III, IV-XII
Joko-Fru, 2018 (64)Kenya; Uganda; ZimbabweNairobi; Kampala; Harare1998–200920110–14ICCC-3NANAOS, RSICCC-3 Ia, IIb, IIc, V, VIa, IXc
Khalid, 2018 (210)United StatesSEER-182004–2014Unspec.0–17ICD-O-3YesNAOSSpinal cord ependymoma
Marcos-Gragera, 2018 (211)Spain10 PBCRs2001–200520100–19ICCC-3NANAOSICCC-3 IIa-c+IIe, IIa, IIb, IIc
Mazzucco, 2018 (212)ItalyPalermo Province2003–201220170–19ICCC-3YesNKOSAll cancers
Nakata, 2018 (65)Japan; United Kingdom6 PBCRs; England1993–200820130–14ICCC-3NoYesOSICCC-3 main groups and selected subgroups
Panagopoulou, 2018 (56)Belarus, Croatia, Cyprus, Greece, Malta, Slovenia, Ukraine; Poland, Portugal, Romania, Turkey; United StatesNational; Regional; SEER-181990–2016Unspec.0–14ICCC-3NANAOSNeuroblastoma
Parikh, 2018 (213)United StatesSEER-182000–2010Unspec.0–19White, Black, OtherICD-O-3NANADSSMelanoma of extremities
Ramirez, 2018 (214)ColombiaCali2009–201320150–18ICCC-3NKNKOSAll cancers, ICCC-3 main groups
Smith, 2018 (215)United KingdomEngland: Yorkshire1990–201120161–17ICCC-3NANARSICCC-3 Ia
Strahlendorf, 2018 (216)CanadaNational2001–2012Unspec.1–14ICD-O-3NANAOS, EFSALL
Wu, 2018 (217)United StatesSEER-182004–2013Unspec.0–19White, Black, OtherICD-O-3NANARSOsteosarcoma
Zhao, 2018 (218)United StatesSEER-181992–200620110–14Non-Hispanic White, Hispanic White, Black, APIICD-O-3NANARSLeukemia
Bergqvist, 2017 (219)SwedenStockholm-Gotland Region2001–201320150–17ICD-10, SNOMEDNoNAOSIntracranial tumors: all, high-grade, low-grade
Bonaventure, 2017 (50)53 countries (CONCORD-2)Various1995–200920090–14ICCC-3NANANSICCC-3 Ia, Ia1, Ia2, Ib, Ie
El-Fattah, 2017 (220)United StatesSEER-182003–2012Unspec.0–19White, Black, OtherUnspec.NANARSCML
Fuentes-Raspall, 2017 (221)SpainGirona1994–201320140–14ICD-O-3YesNAOS, RSAll CNS tumors, WHO 2017 categories
Gatta, 2017 (40)27 European countries (EUROCARE-5)Various2000–200720080–14ICCC-3YesNAOSCNS tumors, ICCC-3 III, subgroups, all malignant tumors, all non-malignant tumors
Georgakis, 2017 (57)Belarus, Croatia, Greece, Malta, Slovenia, Ukraine; Poland, Portugal, Romania, Turkey; United StatesNational; Regional; SEER-181990–2012Unspec.0–14ICD-O-3YesNAOSPilocytic astrocytoma
Jakab, 2017 (222)HungaryNational2001–201020150–14ICCC-3NANAOSLeukemia
Jemal, 2017 (4)United StatesSEER-92006–201220130–14ICD-O-3NoNKRSAll cancers, leukemia, lymphomas, CNS tumors, neuroblastoma, Wilms tumor, bone tumors, soft-tissue sarcomas
Kairiene, 2017 (223)LithuaniaNational2000–2013Unspec.0–17Unspec.NANAOS, EFSAML
Karalexi, 2017 (58)Belarus, Bulgaria, Croatia, Cyprus, Greece, Malta, Serbia, Slovenia, Ukraine; Portugal, Romania, Turkey; United StatesNational; Regional; SEER-181990–2014Unspec.0–14ICCC-3NANAOSLymphomas
Khanna, 2017 (224)United StatesSEER-182001–2013Unspec.0–19White, Black, APIICD-O-3NoNARSMedulloblastoma
Lee, 2017 (225)South KoreaNational2005–201020130–14ICD-O-3NoNAOSCNS germ cell tumors
Lins, 2017 (226)BrazilRecife1998–200720120–19ICCC-3NANARSICCC-3 I, Ia, Ib
Marcos-Gragera, 2017 (227)Spain10 PBCRs2001–200520100–19ICCC-3NANAOSICCC-3 I and subgroups
Moreno, 2017 (228)ArgentinaNational2000–2013Unspec.0–14ICCC-3NANAOSICCC-3 VIIIa
Mukhtar, 2017 (229)United StatesSEER-182000–201320130–14ICD-O-3NANAOS, RSBurkitt lymphoma
Nasioudis, 2017 (230)United StatesSEER-181988–201320130–19ICD-O-3NANAOSOvarian epithelial tumors
Offor, 2017 (231)United KingdomEngland: Northern Region1998–201220150–14ICD-O-3NANAOSAll renal tumors, Wilms tumor
Paapsi, 2017 (232)EstoniaNational2005–201220140–17ICC-3YesNKOSAll cancers, ICCC-3 main groups, ICCC-3 Ia, Ib
Ramiandrisoa, 2017 (233)FranceRéunion and Mayotte (Indian Ocean Territories)2005–201120130–14ICCC-3YesNKOSAll cancers, selected ICCC-3 categories
Schindler, 2017 (234)SwitzerlandNational2004–201320130–14ICCC-3YesNKOSICCC-3 groups I-X and selected subgroups
Tai, 2017 (52)United States37 states (CONCORD-2)2001–200920090–14White, BlackICD-O-3NANANSPrecursor-cell ALL and NHL
Weil, 2017 (235)United StatesSEER-181990–2011Unspec.0–19ICD-O-3NoNAOSMedulloblastoma
Ye, 2017 (236)CanadaManitoba2004–2013Unspec.0–19ICCC-3NANARSLymphoid leukemia, Hodgkin lymphoma, NHL including Burkitt lymphoma
Acharya, 2016 (237)United StatesFlorida, Texas1995–2008Unspec.1–18Non-Hispanic-White, non-Hispanic Black, HispanicICD-O-3NANAOSALL
Batista, 2016 (238)PortugalNorth2005–201320140–18ICD-O-3YesNAOSCNS tumors
Brennan, 2016 (239)United KingdomEngland2004–200820130–19ICD-O-3NANARSSynovial sarcoma
Desandes, 2016 (240)FranceNational (metropolitan)2000–200920130–28 dICCC-3YesNAOSICCC-3 III-XII, III, IV, V, VI, VII, IX, X and subgroups
Donnelly, 2016 (241)United KingdomNorthern Ireland1993–200820130–14Unspec.YesNKOSAll cancers, leukemia, lymphomas, tumors of brain/eye/CNS
Fairley, 2016 (242)United KingdomEngland: Northern and Yorkshire Regions1990–201320140–14ICCC-3NANAOSMedulloblastoma, Embryonal CNS tumor NOS
Janitz, 2016 (243)United StatesOklahoma1997–200820140–19ICCC-3Yes (pilocytic astrocytoma only)NKOSAll cancers, ICCC-3 main groups and subgroups
Kaatsch, 2016 (244)GermanyNational2002–200620110–14ICCC-3NANAOSICCC-3 VIII, VIIIa, VIIIc
Kahn, 2016 (245)United StatesSEER-132003–200720120–14White, Black, non-Hispanic White, HispanicICD-O-3NANARSALL, AML, Hodgkin lymphoma
Karim-Kos, 2016 (246)AustriaNational1994–200820130–19ICCC-3YesNKOSAll cancers, ICCC-3 main groups and selected subgroups
Lychou, 2016 (247)SwedenNational2000–201020130–14ICCC-3NANAOS, EFSRhabdomyosarcoma
Mogensen, 2016 (248)SwedenNational1991–201020111–14Parental education levelsICD-7, ICD-8YesNKOSAll cancers, leukemia, nervous system tumors, other solid tumors
Moreno, 2016 (249)ArgentinaNational2000–2012Unspec.0–14ICCC-3NANAOSICCC-3 IVa
Park, 2016 (250)South KoreaNational1993–201120120–14ICCC-3NoNoRSAll cancers, ICCC-3 main groups and subgroups
Rigaud, 2016 (251)FranceNational (metropolitan)1998–201220150–17Unspec.NANAOSLangerhans cell histiocytosis
Schrøder, 2016 (252)DenmarkNational2003–2014Unspec.0–14ICCCYesNoRFSAll cancers
Wang, 2016 (253)United StatesSEER-171988–2013Unspec.0–17White, Black, OtherICD-O-3NANAOSALL, AML, CML
Abrahão, 2015 (254)United StatesCalifornia2004–201120120–19ICD-O-3NANAOSALL
Allemani, 2015 (51)53 countries (CONCORD-2)Various1995–200920090–14ICD-O-3NANANSALL
Demanelis, 2015 (66)Thailand; United StatesSonkhla Province; SEER-191990–2011Unspec.0–19ICCC-3NANARSICCC-3 I, Ia, Ib
Dolecek, 2015 (255)United StatesSEER-182004–201020110–19ICD-O-3YesNARSMeningioma
Dudley, 2015 (256)United StatesSEER-182004–2010Unspec.0–19ICD-O-3YesNARSLow-grade ganglioglioma and gangliocytoma
Foresto, 2015 (257)AustraliaNational1997–200820110–14ICCC-3NANARSICCC-3 Ib
Kaatsch, 2015 (258)GermanyNational2002–200620140–14ICCC-3YesNAOSICCC-3 Xa-c and subgroups
Karalexi, 2015 (59)Belarus, Bulgaria, Croatia, Cyprus, Greece, Malta, Slovenia, Ukraine; Portugal, Romania, TurkeyNational; Regional1995–201420140–14ICCC-3YesNAOSICCC-3 III and subgroups
Katz, 2015 (259)United StatesSEER-182003–201020110–19ICD-O-3NANARSALL
Liu, 2015 (260)ChinaHong Kong1999–2011Unspec.0–2ICCC-3YesNAOS, EFSCNS tumors: ICCC-3 groups III+Xa and selected subgroups
Olsson, 2015 (261)SwedenNational1997–201120110–18ICD-10YesNAOSCraniopharyngioma
Ostrom, 2015 (262)United StatesSEER-182002–201120130–14CBTRUSYes (pilocytic astrocytoma only)NARSAll CNS tumors and subgroups
Truong, 2015 (263)United StatesSEER-182000–2010Unspec.0–9Non-Hispanic White, Hispanic White, Black, OtherUnspec.NANARSRetinoblastoma
Tulla, 2015 (264)GermanyNational1991–201020100–14ICCC-3NANAOSEmbryonal tumors, ICCC-3 IIIc1, IIIc2, IIIc4, IVa, V, VIa1, VIIa
Vlenterie, 2015 (265)NetherlandsNational1989–2013Unspec.0–17Unspec.NANAOS, RSLocalized synovial sarcoma
Wang, 2015 (266)United StatesSEER-92000–2010Unspec.0–19Non-Hispanic White, non-Hispanic Black, Hispanic, American Indian/Alaska Native, APIUnspec.NANAOS, DSSALL
Waxweiler, 2015 (267)United StatesSEER-181998–200720100–18ICD-O-3NANAOSNon-rhabdomyosarcoma soft tissue sarcoma
Wongmas, 2015 (268)ThailandChiang Mai, Khon Kaen, Songkhla1990–200920090–15ICD-O-3NANAOSRetinoblastoma
Youlden, 2015 (269)AustraliaNational2002–201120110–14ICCC-3YesNKOSAll cancers, ICCC-3 main groups
Zheng, 2015 (270)China17 PBCRs2003–200520100–14ICD-10NKNKRSAll cancers, leukemia, lymphomas, brain tumors, hepatic tumors, bone tumors
Desandes, 2014 (271)FranceNational (metropolitan)2000–20082011 20130–14ICCC-3YesNAOSICCC-3 III, Xa, IX and XId (intracranial and intraspinal sites)
Gatta, 2014 (41)29 European countries (EUROCARE-5)Various1995–200720080–14ICCC-3NoYesOSAll cancers, selected ICCC-3 groups and subgroups
Gerth, 2014 (272)United StatesSEER-181998–2010Unspec.0–19ICD-O-3NANARSSinonasal tumors
Golpanian, 2014 (273)United StatesSEER-181998–2010Unspec.0–19Unspec.NANAOSLangerhans cell histiocytosis, malignant histiocytosiss
Hassan, 2014 (274)United StatesSEER-181996–2005Unspec.0–19ICD-O-3NANAOS, RSOrbital rhabdomyosarcoma
Ito, 2014 (275)Japan6 PBCRs2002–200620060–14ICD-10, ICD-O-3NoNKOSAll cancers, leukemia, ALL, lymphomas, CNS tumors
Kerkhofs, 2014 (276)NetherlandsNational1989–201020120–19ICD-O-3NANAOSAdrenocortical carcinoma
Lacour, 2014 (277)FranceNational (metropolitan)2000–2008Unspec.0–14ICCC-3YesNKOSAll cancers, ICCC-3 main groups and subgroups
Ma, 2014 (278)United StatesSEER-182001–201020100–14Unspec.NANARSALL
Madanat-Harjuoja, 2014 (3)FinlandNational2001–201020100–14ICCC-3YesNKOSAll cancers, ICCC-3 groups I-VI, VIII, IX, and selected subgroups
Ostrom, 2014 (279)United StatesSEER-182001–201020100–19ICD-O-3NoNARSAtypical teratoid/rhabdoid tumor
Park, 2014 (280)South KoreaNational1993–20102011All agesUnspec.NANAOSRetinoblastoma
Vaitkevičiene, 2014 (281)LithuaniaNational1992–200820130–15 (2003–2008: 0–17)Unspec.NANAOS. EFSALL
Ward, 2014 (282)United StatesSEER-92003–200920100–19ICCC-3Yes (pilocytic astrocytoma only)YesOSAll cancers, selected ICCC-3 subgroups
Wiangnon, 2014 (283)ThailandKhon Kaen1996–200920120–14ICCCNKNKOSALL, AML
Yang, 2014 (284)United StatesSEER-181990–2010Unspec.0–19ICCC-3NANAOSICCC-3 IXa
AIRTUM Working Group, 2013 (285)Italy31 PBCRs2003–200820080–14ICCC-3N0YesOSAll cancers, ICCC-3 main groups and selected subgroups
Bravo, 2013 (286)ColombiaCali1992–201120120–14ICCC-3YesNKOSICCC-3 main groups
Njoku, 2013 (287)United KingdomEngland: Northern Region1997–201020100–14Unspec.NANAOSALL, AML
Pole, 2013 (67)Canada; United StatesOntario; SEER-181998–20092010; 20091–19ICD-O-3, ICCC-3NANAOSALL
Rabinowicz, 2013 (288)IsraelNational1998–20072010< 1Jewish, ArabicICCC-3YesNKOSAll cancers, ICCC-3 main groups
Valery, 2013 (289)AustraliaNational1997–200720080–14Indigenous, non-Indigenous, UnknownICCC-3YesNACSSAll cancers
Villano, 2013 (290)United StatesSEER-131992–2009Unspec.0–19White, Black, American Indian/Alaska Native, APIICD-O-3NoNARSEpendymoma
Bao, 2012 (291)ChinaShanghai2002–200520100–14ICCCNKNKOSAll cancers, ICCC main groups
Crocetti, 2012 (42)21 European countries (RARECARE)Various2000–200220020–19ICD-O-3NoNARSMalignant brain tumors
Dores, 2012 (292)United StatesSEER-172001–200620070–19ICD-O-3NANARSAML and subtypes
Goggins, 2012 (293)United StatesSEER-172002–2008Unspec.0–19Non-Hispanic White, Black, East Asian, Hispanic, American Indian/Alaska NativeICD-O-3NANAOSALL
Jung, 2012 (294)South KoreaNational1999–200420090–19ICD-O-3NoNAOSMalignant brain tumors
Kachanov, 2012 (295)RussiaMoscow Region2000–2009Unspec.0–14ICCC-3NANAOSICCC-3 IX, IXa, IXb-e
Pui, 2012 (296)United StatesSEER-172001–2007Unspec.0–19White, BlackICD-O-3Yes (pilocytic astrocytoma only)NAOSALL, AML, Hodgkin lymphoma, NHL, ependymoma, astrocytoma, medulloblastoma, high-grade glioma, other CNS tumors (incl. germ-cell), neuroblastoma, retinoblastoma, Wilms tumor, hepatoblastoma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, other soft-tissue sarcoma, non-CNS germ cell tumors, melanoma
Rabinowicz, 2012 (297)IsraelNational1998–200320080–19Jewish, ArabicICCC-3YesNKOSAll cancers, ICCC-3 main groups
Stiller, 2012 (6)United KingdomGreat Britain (England, Scotland and Wales)1997–200520100–14ICCC-3NoNAOSICCC-3 Ia1, Ib, IIa, Ia2+IIb-c, IIIc1, IVa, VIa1, VII, VIIIa, VIIIc, IXa, Xa, Xb, Xc
Visser, 2012 (44)21 European countries (RARECARE)Various2000–200220020–14ICD-O-3NANARSMyeloid malignancies
Wiromrat, 2012 (298)ThailandKhon Kaen2000–201020120–19ICD-O-3NANAOSOsteosarcoma
AIRTUM Working Group, 2011 (299)Italy28 PBCRs2000–2004Unspec.0–14ICCC-3NoYesOSAll cancers, ICCC-3 main groups and selected subgroups
Gatta, 2012 (43)21 European countries (RARECARE)Various2000–200220020–14ICD-O-3NANARSEmbryonal tumors: neuroblastoma, retinoblastoma, wilms tumor, hepatoblastoma, pancreatoblastoma, pulmonary blastoma, pleuropulmonary blastoma
Feltbower, 2011 (300)United KingdomEngland: Yorkshire Region2000–2004200913–16Birch TYANoNAOSGerm cell tumors
Kohler, 2011 (301)United StatesSEER-92000–200620070–19CBTRUSYes (pilocytic astrocytoma only)NARSAll neuroepithelial tumors and selected subgroups
Ljungman, 2011 (302)SwedenNational1995–200720090–14ICCC-3NAYesOSNon-CNS solid cancers
Marcos-Gragera, 2011 (45)20 European countries (HAEMACARE)Various2000–200220030–14ICD-O-3NANARSLymphoid neoplasms and subgroups
Perez, 2011 (303)United StatesSEER-171998–2005Unspec.0–19ICD-O-3NANAOSRhabdomyosarcoma
Walsh, 2011 (304)IrelandNational2000–200520060–14ICCC-3YesNKOSAll cancers, leukemia, lymphomas, CNS tumors and selected subgroups
Youlden, 2011 (305)AustraliaNational1996–200620060–14Area-level categories of remoteness and socioeconomic statusICCC-3YesNKRSAll cancers, ICCC-3 I, Ia, II, III, IV-XII
Baade, 2010 (306)AustraliaNational1997–200620060–14ICCC-3YesNKRSAll cancers, ICCC-3 groups and selected subgroups
Peris-Bonet, 2010 (307)Spain10 PBCRs1999–200220070–14ICCC-3YesNKOS, RSAll cancers, hematological cancers, CNS tumors, all other solid tumors
Redaniel, 2010 (68)Philippines; United StatesManila and Rizal; SEER-17 (White and Asian American only)2001–2005Unspec.0–14White, AsianICCC-3NANARSLeukemia, lymphomas, ALL, AML, NHL
Smith, 2010 (308)United StatesSEER-91999–2002Unspec.0–19ICCC-3Yes (pilocytic astrocytoma only)NKOSIa, Ib, IIa, IIb-e, III, IIIc1, III except IIIc1, IVa, VIa1, VIIIa, VIIIc, IXa, Xb-c
Sultan, 2010 (309)United StatesSEER-172000–2005Unspec.0–18ICD-O-3NANAOSRhabdoid tumors (all sites)
Ellison, 2009 (310)CanadaAll except Quebec province2000–2004Unspec.0–14ICCC-3NKNKOSAll cancers, ICCC-3 I, Ia, Ib, II, IIa, IIb, III, IIIb, IIIc, IV, V
Gatta, 2009 (46)23 European countries (EUROCARE-4)Various2000–200220030–14ICCC-3Yes (pilocytic astrocytoma only)YesOSAll cancers, ICCC-3 groups and subgroups
Juárez-Ocaña, 2009 (311)MexicoIMSS1996–2005Unspec.0–14ICD-O-3NANAOSNeuroblastoma
Pulte, 2008 (312)United StatesSEER-92000–200420040–14Unspec.NANARSAll leukemias, ALL, AML, all lymphomas, Hodgkin lymphoma, NHL
Spix, 2008 (313)GermanyNational1996–200520060–14Turkish descent, non-Turkish descentICCC-3YesNKOSAll cancers, selected ICCC-3 groups and subgroups
Ellison, 2007 (314)CanadaAll except Quebec province1999–200320030–19ICCC-3YesNKOSAll cancers, ICCC-3 groups and selected subgroups

IMSS, Instituto Mexicano de Seguro Social (Mexican Social Security Institute); NPCR, National Program of Cancer Registries; PBCR, population-based cancer registry; SEER, Surveillance, Epidemiology and End Results; CSS, cancer-specific survival; DSS, disease-specific survival; EFS, event-free survival; NS, net survival; OS, overall survival; RS, relative survival; ALL, Acute lymphoblastic leukemia; AML, Acute myeloid leukemia; CBTRUS, Central Brain Tumor Registry of the United States; CML, Chronic myeloid leukemia; CNS, Central nervous system; ICCC-3, International Classification of Childhood Cancer, Third Edition; NHL, Non-Hodgkin lymphoma.

The other 29 publications were based on data from more than one country and were mostly products of established international collaborations. Eight papers from successive iterations of EUROCARE and its associated studies RARECARE and HAEMACARE have between them covered all types of childhood cancer in a large number of European countries (39–46). Five papers have presented international results from the CONCORD collaboration on population-based cancer survival worldwide (47–51) and a further paper reported detailed analyses of CONCORD data from 37 states in the United States (52). Leukemia was the only childhood cancer included in CONCORD-2 (50–52). CONCORD-3 expanded its coverage of childhood cancers to leukemia, lymphomas and CNS tumors (47–49). A collaboration between varying numbers of population-based cancer registries in Southern and Eastern Europe reported on survival from various childhood cancers in their respective countries in a series of seven papers, four of which also included United States data from the SEER Program (53–59). Finally, nine papers were from one-off studies that compared results between two, three, or four countries (60–68).

The 29 multinational papers included data not only from many countries that were represented by single-country studies, but also from a further 37 countries that did not have any eligible single-country publications in this review. Thus, a total of 80 countries and territories worldwide had their survival data included in at least one eligible paper, but for 37/80 (46%) this only occurred in the context of multinational studies. The proportion of countries that were only represented in multinational papers varied by continent, from zero in North America and Oceania to 12/35 (34%) in Europe, 5/11 (45%) in the Caribbean, Central and South America, 10/18 (56%) in Asia and 10/12 (83%) in Africa. Transferring Mexico and Cyprus to the groups of North American and Asian countries respectively would make little difference to this pattern.

3.4 Disease classifications and outcome measures

Definition and classification of diagnostic categories included in studies was nearly always by ICCC-3, by the CBTRUS classification of CNS tumors, or by ICD-O-3. Studies covering CNS tumors usually stated whether non-malignant CNS tumors were included in the analyses. Inclusion or exclusion of skin carcinomas or non-melanoma skin cancer was less frequently specified. A considerable variety of outcome measures were used. The most frequent were observed survival and relative or net survival, but some studies reported event-free, cancer-specific or disease-specific survival.

3.5 Characteristics of countries and territories represented in included publications

The only territory with an estimated child population below 50,000 to be represented among the eligible studies was the Faroe Islands (69). Table 2 shows, for all countries and territories with a child population of at least 50,000, their representation in studies covered by this review and in major international cancer survival studies, together with information on World Bank Income Group, Human Development Index, the presence of population-based cancer registration, and completeness of death registration.

Table 2. Countries and territories with child population of at least 50,000. Size of child population (315), World Bank per capita income category (316), Human Development Index (HDI) (317), presence of population-based cancer registration for age 0–14 during the study period (PBCR) (72, 318, 319), completeness of death registration (320), inclusion of published results in this review, and participation in CONCORD, EUROCARE, HAEMACARE, and RARECARE.

Population aged < 15 years (10<sup>6</sup>)World Bank Income Group (Fiscal Year 2025)HDI 2022PBCR aged < 15*Completeness of death registration (%)<sup></sup>**Publication of survival results included in this reviewChildhood data contributed to CONCORD<sup></sup>**Childhood data contributed to EUROCARE, HAEMACARE, and RARECARE
Africa
Algeria14.474UMIC0.745Regional85–89Yes2, 3
Angola17.454LMIC0.591Regional0
Benin6.654LMIC0.504Regional0
Botswana0.704UMIC0.708National60–64
Burkina Faso9.596LIC0.438Regional0
Burundi5.744LIC0.4200
Cameroon12.842LMIC0.587Regional0
Cape Verde0.161LMIC0.661National95–100
Central African Republic2.178LIC0.3870
Chad8.752LIC0.394Regional0
Comoros0.293LMIC0.5860
Democratic Republic of Congo52.793LIC0.4810
Congo2.306LMIC0.593Regional(40–44); CISSA3
Côte d'Ivoire10.828LMIC0.534Regional15–19
Djibouti0.283LMIC0.515(10–14)
Egypt37.593LMIC0.728Regional95–100
Equatorial Guinea0.640UMIC0.6500
Eritrea2.262LIC0.4930
Eswatini0.360LMIC0.610National65–69
Ethiopia45.858LIC0.492Regional15–19
Gabon0.850UMIC0.693Regional0
Gambia0.964LIC0.495NationalCISSA3
Ghana12.928LMIC0.602Regional30–34
Guinea5.720LMIC0.471Regional1–4
Guinea-Bissau0.902LIC0.4830
Kenya20.831LMIC0.601Regional65–69Yes
Lesotho0.712LMIC0.521National45–49Yes2
Liberia2.117LIC0.4870
Libya2.377UMIC0.746Regional90–94Yes2
Madagascar10.908LIC0.4870
Malawi8.213LIC0.508Regional0
Mali10.290LIC0.410RegionalCISSA3
Mauritania1.546LMIC0.5400
Mauritius0.198UMIC0.796National95–100Yes(3)
Morocco9.600LMIC0.698Regional30–34
Mozambique14.898LIC0.461RegionalCISSA3
Namibia0.956UMIC0.610National95–100
Niger13.031LIC0.394Regional0
Nigeria95.627LMIC0.548Regional0Yes3
Réunion and MayotteNationalWHODBYes
Rwanda5.070LIC0.548National30–34Yes
São Tomé and Principe0.081LMIC0.61390–94
Senegal7.669LMIC0.5170
Sierra Leone3.656LIC0.4580
Somalia5.383LIC0.3800
South Africa16.422UMIC0.717Regional80–84Yes3
South Sudan5.345LIC0.3810
Sudan20.228LIC0.516Regional0
Tanzania27.780LMIC0.532Regional15–19
Togo3.449LIC0.5470
Tunisia2.943LMIC0.732Regional95–100Yes2
Uganda23.176LIC0.550Regional10–14Yes
Zambia8.756LMIC0.569Regional35–39
Zimbabwe6.570LMIC0.550Regional30–34Yes
America (Central and Caribbean)
Bahamas0.088HIC0.820(90–94)
Barbados0.051HIC0.809(95–99)
Belize0.115UMIC0.70095–100
Costa Rica0.989UMIC0.806National95–100Yes3
Cuba1.785UMIC0.764National95–100Yes3
Dominican Republic2.762UMIC0.76665–69
El Salvador1.674UMIC0.67490–94
French West IndiesNationalWHODBYes3
Guatemala5.745UMIC0.62990–94
Haiti3.584LMIC0.5520
Honduras2.731LMIC0.624Regional(25–29)
Jamaica0.672UMIC0.706Regional90–94
Mexico30.402UMIC0.781Regional95–100Yes3
Netherlands Antilles0.059HICWHODB
Nicaragua1.674LMIC0.66985–89
Panama1.119HIC0.82090–94
Puerto Rico0.376HICNationalWHODBYes2, 3
Trinidad and Tobago0.264HIC0.81490–94
America (North)
Canada6.028HIC0.935National95–100Yes2, 3
United States61.873HIC0.927National95–100Yes2, 3
America (South)
Argentina10.935UMIC0.849National95–100Yes2, 3
Bolivia3.511LMIC0.69875–79
Brazil43.114UMIC0.760Regional95–100Yes2, 3
Chile3.574HIC0.860National95–100Yes2, 3
Colombia11.038UMIC0.758Regional85–89Yes2, 3
Ecuador4.901UMIC0.765Regional85–89Yes2, 3
French GuianaNationalWHODB
Guyana0.186HIC0.74285–89
Paraguay1.671UMIC0.73180–84
Peru8.412UMIC0.762Regional75–79Yes3
Suriname0.145UMIC0.69090–94
Uruguay0.647HIC0.830National95–100
Venezuela7.799HIC0.69995–100
Asia
Afghanistan15.881LIC0.46210–14
Armenia0.526UMIC0.78695–100
Azerbaijan2.374UMIC0.76085–89
Bahrain0.183HIC0.888National75–79
Bangladesh42.341LMIC0.67025–29
Bhutan0.205LMIC0.68180–84
Brunei0.107HIC0.823National90–94Yes
Cambodia4.934LMIC0.60040–44
China231.629UMIC0.788Regional75–79Yes2, 3
India344.762LMIC0.644Regional80–84Yes2, 3
Indonesia66.949UMIC0.713Regional25–29Yes2
Iran20.553UMIC0.780Regional90–94Yes
Iraq14.578UMIC0.673Regional70–74
Israel2.582HIC0.915National95–100Yes2, 3
Japan14.941HIC0.920Regional95–100Yes2, 3
Jordan3.450LMIC0.736National75–79Yes2, 3
Kazakhstan5.596UMIC0.802National95–100
North Korea5.213LIC0
South Korea5.898HIC0.929National95–100Yes2, 3
Kuwait0.723HIC0.847National95–100Yes3
Kyrgyzstan1.795LMIC0.70190–94
Laos2.396LMIC0.62045–49
Lebanon1.015LMIC0.723National90–94
Malaysia7.678UMIC0.807Regional95–100Yes2, 3
Maldives0.087UMIC0.76295–100
Mongolia0.843UMIC0.741National90–94Yes2
Myanmar14.041LMIC0.60850–54
Nepal8.034LMIC0.60170–74
Oman1.162HIC0.819National70–74
Pakistan86.860LMIC0.540Regional40–44
Philippines35.697LMIC0.710Regional85–89Yes
Qatar0.335HIC0.875National75–79Yes3
Saudi Arabia8.364HIC0.875Regional75–79
Singapore0.881HIC0.949National95–100Yes3
Sri Lanka5.962LMIC0.780Regional95–100
Syria7.866LIC0.5570
Taiwan2.863HICNationalYes2, 3
Tajikistan3.831LMIC0.67965–69
Thailand11.064UMIC0.803Regional95–100Yes2, 3
Timor-Leste0.583LMIC0.5660
Turkey18.292UMIC0.855Regional95–100Yes2, 3
Turkmenistan1.405UMIC0.74495–100
United Arab Emirates1.645HIC0.937National75–79
Uzbekistan10.811LMIC0.72790–94
Vietnam24.533LMIC0.726Regional90–94
West Bank and Gaza2.020LMIC0.716WHODB
Yemen11.053LIC0.424Regional15–19
Europe
Albania0.559UMIC0.789National95–100
Austria1.265HIC0.926National95–100Yes2, 3E4, E5, E6, H, R
Belarus1.529UMIC0.801National95–100Yes2, 3
Belgium2.029HIC0.942National95–100Yes2, 3E4, E5, E6, R
Bosnia and Herzegovina0.498UMIC0.779Regional95–100
Bulgaria0.933HIC0.799National95–100Yes2, 3E5, E6
Croatia0.575HIC0.878National95–100Yes2, 3E5, E6
Cyprus0.206HIC0.907Regional95–100Yes2, 3E6
Czech Republic1.698HIC0.895National95–100Yes3E4, E6, H
Denmark0.968HIC0.950National95–100Yes2, 3E4, E5, E6
Estonia0.182HIC0.899National95–100Yes2, 3E5, E6
Finland0.910HIC0.942National95–100Yes2, 3E4, E5, E6
France11.853HIC0.910National95–100Yes2, 3E4, E5, E6, H, R
Georgia1.010UMIC0.81495–100
Germany11.614HIC0.950National95–100Yes2, 3E4, E5, E6, H, R
Greece1.441HIC0.893National95–100Yes3E6
Hungary1.438HIC0.851National95–100YesE5, E6
Iceland0.072HIC0.959National95–100Yes2, 3E4, E5, E6, H, R
Ireland0.976HIC0.950National95–100Yes2, 3E4, E5, E6, H, R
Italy7.231HIC0.906Regional95–100Yes2, 3E4, E5, E6, H, R
Kosovo0.449UMIC
Latvia0.265HIC0.879National95–100Yes2, 3E5, E6
Lithuania0.400HIC0.879National95–100Yes2, 3E5, E6
Luxembourg0.112HIC0.927National95–100
Malta0.068HIC0.915National90–94Yes2, 3E4, E5, E6, H, R
Moldova0.533UMIC0.76385–89
Montenegro0.106UMIC0.844National95–100
Netherlands2.697HIC0.946National95–100Yes2, 3E4, E5, E6, H, R
North Macedonia0.341UMIC0.76595–100
Norway0.900HIC0.966National95–100Yes2, 3E4, E5, E6, H, R
Poland5.506HIC0.881National95–100Yes2, 3E4, E5, E6, H, R
Portugal1.294HIC0.874National95–100Yes2, 3E4, E5, E6, H, R
Romania2.804HIC0.827Regional95–100Yes(2), 3
Russia23.270HIC0.821Regional95–100Yes2, 3
Serbia0.957UMIC0.805Regional95–100Yes
Slovakia0.853HIC0.855National95–100Yes2, 3E5, E6, R
Slovenia0.301HIC0.926National95–100Yes2, 3E4, E5, E6, H, R
Spain6.160HIC0.911Regional95–100Yes2, 3E4, E5, E6, H, R
Sweden1.815HIC0.952National95–100Yes2, 3E4, E5, H, R
Switzerland1.336HIC0.967National95–100Yes2, 3E4, E5, E6, H, R
Ukraine4.401UMIC0.734National95–100Yes
United Kingdom11.466HIC0.940National95–100Yes2, 3E4, E5, E6, H, R
Oceania
Australia4.896HIC0.946National95–100Yes2, 3
Fiji0.235UMIC0.72990–94
French Polynesia0.062HICNational
New Caledonia0.063HICNational
New Zealand0.979HIC0.939National95–100Yes2, 3
Papua New Guinea3.728LMIC0.56810–14
Samoa0.056LMIC0.70285–89
Solomon Islands0.222LMIC0.56240–44
Vanuatu0.099LMIC0.61410–14

HIC, High-income country; UMIC, Upper-middle-income country; LMIC, Lower-middle-income country; LIC, Low-income country; En, EUROCARE-n; H, HAEMACARE; R, RARECARE.

*Entries in parentheses for countries where latest data are pre 2015.

CISSA3, existence of death certificates mentioned in Cancer in Sub-Saharan Africa, Vol. III (319), but not always used by the cancer registry.

WHODB, no estimate given by Adair et al. (320), but data included in WHO Mortality Databank.

**Entries in parentheses where registration data were contributed but survival results for the country were not published for age 0–14.

Countries were more likely to be represented in population-based studies of childhood cancer included in this review if they were in higher categories of World Bank income classification and Human Development Index (HDI; Table 3). Overall, 75% of high-income countries (HIC) were represented, compared with 47% of upper-middle-income countries (UMIC), 16% of lower-middle-income countries (LMIC) and 8% of low-income countries (LIC). Similarly, 79% of countries with Very High HDI were represented, compared with 45% of those with High HDI, 11% of those with Medium HDI and 9% of those with Low HDI. This pattern was repeated across all continents except the Caribbean, Central and South America, where there was a marked preponderance of very small countries among those in the highest categories of each of the two indices.

Table 3. Publication of survival results included in this review for countries in each continent with child population of at least 50,000 by World Bank per capita income category and Human Development Index (HDI).

AfricaAmerica (Central and Caribbean)America (North)AsiaEuropeOceaniaTotal
World Bank Income Group (Fiscal Year 2025)
High-income countries–2/102/28/1231/322/445/60
Upper-middle-income countries4/88/15–7/133/100/122/47
Lower-middle-income countries5/230/4–3/18–0/48/49
Low-income countries2/22––0/4––2/26
HDI 2022
Very high (0.800+)–3/82/210/1532/352/249/62
High (0.700–0.799)5/76/11–6/162/60/219/42
Medium (0.550–0.699)3/160/8–1/11–0/34/38
Low (< 0.550)3/30––0/3––3/33

Among countries that were represented in population-based studies, 29% of HICs and 35% of countries with Very High HDI were only represented in multinational papers compared with 75% of those in lower World Bank income categories and 77% of those in the three lower ranges of HDI.

3.6 Coverage of cancer types in included publications

Among all 303 included publications, 84 (28%) covered all cancer types, 60 (20%) were devoted to leukemia and lymphomas, 63 (21%) were devoted to CNS tumors, 74 (24%) were restricted to all or part of a single ICCC-3 main group of non-CNS solid tumors, and 22 (7%) covered a wide range of combinations of cancers, sometimes defined by primary site rather than morphology.

4 Discussion

This review confirms that population-based survival estimates of childhood cancer in the 21st century are available for many affluent countries, although quite often not for all of the principal diagnostic groups. Information is relatively scarce for less well-resourced countries. In many countries it has only been possible to estimate survival for some regions, which may not be representative of the whole country.

The first requisite for calculating cancer survival at the population level is population-based case ascertainment, virtually always by a PBCR. Institutional (including multi-institutional) series often contain richer clinical information than is found in most PBCRs and can yield much valuable information about cancer within a defined population, especially when they contain large numbers of cases (70). However, they necessarily exclude patients from that population who are diagnosed and treated (or remain untreated) outside the participating institutions, and survival estimated from their data will likely be biased upwards compared with the true result in the entire target population.

The second requisite is knowledge of the vital status of individual patients at given time intervals since diagnosis. A large number of countries, predominantly those in the lower categories of per capita income and HDI, are without population-based cancer registration even at sub-national level (Table 2). But even when there is population-based registration of incident cases, follow-up for vital status is not always straightforward. The most efficient method of obtaining this information is passive follow-up by linkage to death registrations, but an acceptable level of accuracy is only achievable if there is a high percentage completeness of death registration in the population. Moreover, for follow-up by a sub-national cancer registry, death registration should ideally be complete not merely within the registry's own territory but nationally, to allow for internal migration. The absence of complete death registration is also more often a feature of less well-resourced countries (Table 2), and follow- up by active tracing of patients becomes necessary. In a recent study of cancer in adults, for example, passive follow-up by linkage with national death registration was possible in only one out of 13 participating PBCRs from Sub-Saharan Africa (71). Active follow-up not only has varying degrees of success, it is also labor intensive, straining already scarce resources. Presumably for this reason, in a study of childhood cancer survival from three PBCRs in Sub-Saharan Africa, active follow-up was carried out by one of the participating registries only for a random sample of patients rather than for the entire patient population (64).

The numerous single-country studies included in this review have made substantial contributions to knowledge concerning population-level survival of children with cancer within their own countries. Multinational studies, however, whether the product of ad hoc collaborations involving a few countries or established consortia of much larger numbers of countries, have several important advantages. They pool data processing and analytical resources which may be scarce in some participating countries. The use of common definitions, data validation standards and procedures, outcome measures, and analytical methods enhances comparability between results for individual countries or for larger groups of countries based on factors including geography, socioeconomic indicators and characteristics of healthcare systems. The contrasts in the proportions of countries represented only in multinational studies between HICs and those in lower income categories and between countries with Very High HDI and those with a lower HDI show that multinational studies present especially valuable opportunities to less well-resourced countries for their results to be made visible and available for comparison.

There should generally be a high degree of comparability of ostensibly similar diagnostic categories between studies because of the widespread use of ICCC-3, other systems defined in terms of ICD-O-3, and ICD-O-3 itself. There are, however, two points on which there may be systematic differences between datasets. The first is uncertainty in most instances as to whether the overall category of all cancers includes skin carcinomas or non-melanoma skin cancer, but this is unlikely to have a substantial influence on survival rates for all cancers combined because these tumors are rare among children (72). More problematic is the continuing exclusion of CNS tumors with non-malignant behavior codes by some PBCRs, although increasing numbers of registries do include non-malignant intracranial and intraspinal tumors. The effect of excluding non-malignant tumors of these sites became more severe when pilocytic astrocytoma, the most frequent of childhood CNS tumors, was downgraded to uncertain behavior in ICD-O-3, having been regarded as malignant in earlier editions of ICD-O. Survival rates could in principle be compared between registries that include non-malignant CNS tumors and those that exclude them by restricting the comparison to malignant tumors, but such comparisons could still be unreliable because astrocytoma, not otherwise specified, is still assigned a malignant behavior code and it is impossible to know how many astrocytomas of unspecified subtype are in fact pilocytic (40, 73). International comparison of survival rates for CNS tumors, whose overall frequency is second only to that of leukemias, would be greatly simplified if non-malignant tumors of intracranial and intraspinal sites were routinely ascertained and followed up by all PBCRs.

The World Health Organization's Global Initiative for Childhood Cancer has the target of achieving 60% survival globally for children and adolescents with cancer by the year 2030, and wider availability of robust information on survival at population level will be essential for monitoring progress toward this goal (74). Reliable population-based information is available and extensively published from a large proportion of the most affluent countries, where 5-year survival is already well above 60%. Increasing the coverage and quality of cancer registration and death notification in as many lower-resource countries as possible would in turn increase the volume and geographic spread of the raw data from which survival rates can be estimated for those countries. International collaborations will continue to play a vital part in enabling comparison of childhood cancer survival between populations with confidence that the results are underpinned by uniform procedures for data validation and analysis.

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Conflict of interest

The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Funding

The author(s) declare that no financial support was received for the research and/or publication of this article.

Author contributions

CS: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Writing – original draft, Writing – review & editing.

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Stiller, C. A. (2025). Global population-based childhood cancer survival in the 21st century: a scoping review. Frontiers in Cancer Control and Society, Volume 3. https://doi.org/
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Copyright © 2025 Stiller.

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*Correspondence: Charles A. Stiller

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