Summary: Samenvatting Oncology

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  • 1 Cancer epidemiology

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  • To grade the evidence convincing, one should?

    Strong and unlikely to change in the future
    No unexplained heterogeneity
    At least 2 independent cohort studies
    Good quality studies that account for error
    Dose-response 
    Robust evidence from laboratory studies
  • Why is epidemiology important in cancer?

    To gain knowledge about trends in incidence, survival and mortality in cancer
  • To grade the evidence probable, one should?

    No unexplained heterogeneity
    At least 2 independent cohort or 5 case-control studies
    Good quality studies that account for error
    Dose-response
    Plausible evidence from laboratory studies
  • What are the key concepts in epidemiology?

    Prevalence, incidence, mortality and relative survival
  • What are the main problems with randomized Randomized controlled trials?

    Ethical
    Lack of compliance
    Short duration
    Intermediate endpoints
    Timing of exposure
    Costly
  • Explain the term 'grey pressure'

    They pressure is a number calculated by dividing the #people of 65+ by the #people aged 20 - 64. This double ageing phenomenon van lead to an enormous public health problem --> more and more people get cancer.
  • Why is the most important risk factor of cancer age?

    Due to the accumulation of damage or mutations in regulatory genes, age plays a role in this since time is needed for this accumulation of damage to daughter cells. Also, there is more damage to repair tools and less control by the micro-environment.
  • What are the different ways to identify the causes of cancer?

    Accidental finding, systematic counting and focused research (case control and prospective cohort studies).
  • What can be calculated using PAF (population attributable fraction)?

    The proportion of incidents in the population that are attributable to the risk factor. So looking of a cancer can be prevented by for example not smoking, avoiding overweight and eating healthy.
  • 2 The role of pathology in diagnosis and treatment of cancer

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  • What are the 10 hallmarks of cancer

    Sustaining proliferative signaling
    Evading growth suppressors 
    Avoiding immune destruction
    Enable replicative immortality
    Tumor-promoting inflammation
    Activating invasion & metastasis
    Inducing angiogenesis
    Genome instability & mutation
    Resisting cell death
    Deregulating cellular energetics

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