Topic: VA, Vets & CC Statistics

I recently came across an abstract from the 2008 Gastrointestinal Cancers Symposium. The abstract, "Intrahepatic versus extrahepatic cholangiocarcinoma: Is there a difference in survival?", speaks to survival stats of cc patients from Veterans Affairs (VA) Medical centers.  The study queried the VACCR database for all diagnosed bile duct cancer cases between 1995 and 2005 & determined that a total of 825 cases of cholangiocarcinoma (including EHCC & IHCC) were identified.  The analysis appears to speak to an exclusive VA patient base.

The same author was part of another presentation at the symposium which indicated that between 1973 and 2004 (~30 yrs) there were 13,676 cases of CC included in the NCI SEER database. Per the SEER population, there were 8,057 cases of cc diagnosed between 1995 & 2004. Moreover, an astounding ~40% of all diagnosed cases from 1973-2004 occured between 2000-2004... Suggesting that either the cancer or the diagnosis of it is on the rise perhaps.

It's not clear if the SEER stats are mutually exclusive of the VA stats. 


Abstract links:

Title: "Has the outcome of cholangiocarcinoma in the United States improved? A review of SEER data."

http://www.asconews.org/ASCO/Abstracts+ … ctID=36064


"Intrahepatic versus extrahepatic cholangiocarcinoma: Is there a difference in survival?"

http://www.asco.org/ASCO/Abstracts+& … ctID=10446

-Tess

Re: VA, Vets & CC Statistics

WOW!  That is interesting. Could the increase  be from the Viet Nam and Korean wars??????  Mmmmmmm

Teddy ~In our hearts forever~ATTITUDE is EVERYTHING
Any suggestion I offer is intended as friendly advice based solely on my own experience. Please consult your doctor for professional guidance.

Re: VA, Vets & CC Statistics

Thanks for posting this Tess.  That is very interesting. Lainy I think you are right. The increase could definately be due to our vets. I think we are on tto something here! smile

Darla

"One Day At A Time"

All of my comments and suggestions are just my opinions and are not a substitute for professional medical advice.   You should always seek the advice of your physician or other qualified health care providers.

Re: VA, Vets & CC Statistics

Good work, Tess - and very interesting. I used to do an amazing amount of research on CC - it was like an addiction for me - I just couldn't stay away from it - but I haven't done much in recent months. I am pretty sure that it DOES have to do with the wars in Korea and Vietnam, and I personally believe that the VA affairs office knows this, too.

Joyce

Re: VA, Vets & CC Statistics

Tess - thanks so much for the info and the research.  My dad was in the Korean Conflict and developed CC 8/07 and passed away January 14 of this year.  Very, very interesting........
And Joyce - I was like you before Daddy passed away, I was obsessed with reading/researching about CC - it was my way of contributing to help find a cure or REASON why my Daddy had this dreadful cancer.

Smiles through tears,
Patsy

Re: VA, Vets & CC Statistics

Patsy, Teddy was also in the Korean war. He got his CC August 2005. Starting to be too many VETS to be ignored.

Teddy ~In our hearts forever~ATTITUDE is EVERYTHING
Any suggestion I offer is intended as friendly advice based solely on my own experience. Please consult your doctor for professional guidance.

Re: VA, Vets & CC Statistics

I agree Lainy - we live in Florida and the VA that my daddy went to was in Gainesville which is affiliated with Shands at the University of Florida.  Daddy's oncologist worked at the VA and Shands - I was always certain that whatever treatment Daddy received was on the "cutting edge" because of the affiliation with Shands.  BUT this is very interesting with the number to VETS and CC........I am going to contact my Daddy's oncologist and be nosy to see how many cases he has seen.

Re: VA, Vets & CC Statistics

Hi I am convinced that my husbands diagnosis resulte d from extensive travel in Southeast Asia as a young man.Ihave seen an Australian mortality report on Korean veterans which suggests a link with cholangiocarcinoma but is not conclusive it is dated 2003,I dont know if there is anything more recent.I personally feel sad that there was no public awareness that I picked up on so that we may have caught the disease early
                      Janet