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Aim: The increase in incidence of thyroid cancer during the last decades (about 2% of new cancer cases in Austria) without concomitant rise in mortality may reflect the growing detection of indolent forms of thyroid cancer.
First, reductions in amenable mortality may reflect a combination of three factors.
Reductions in in-hospital mortality may reflect patients dying outside hospital after rapid discharge.
1 Mortality is an important outcome in emergency care but differences in crude mortality may reflect differences in case mix rather than quality of care.
However, it did not predict progression, and its effect on prostate cancer mortality may reflect misclassification of cause of death in these elderly men.
31– 33 This lower mortality may reflect the implementation of the National Cancer Plan, specifically strengthening and centralization of surgery, and a more multidisciplinary approach to cancer treatment.
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Mortality is a function of incidence and survival, and mortality differences may reflect differences in either or both of these factors.
The increased cardiovascular mortality risk may reflect an effect on sub-clinical risk factors for disease.
Finally, the disparate mortality rates may reflect a difference in the rates of Immune reconstitution inflammatory syndrome (IRIS) between the two settings.
3, 10, 11 Any temporal changes in testicular cancer mortality rates may reflect the quality of health care provided across different geographical regions, in particular the introduction of multidisciplinary specialist care.
Group differences in the rate of age-related mortality increase may reflect differences in accumulated risk over the life course or in the timing of the onset of specific diseases (Carey and Liedo 1995; Horiuchi and Wilmoth 1997; Luder 1993).
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