Overall survival, often shortened to OS, is the length of time from a chosen starting point, usually diagnosis or the start of treatment, until death from any cause. It is one of the main ways doctors and researchers measure how serious a cancer is and how well a treatment works. Overall survival is often reported as a median, the point at which half of patients in a group are still alive, or as a percentage alive at a set time, such as two-year survival.
Origin
The term comes from clinical trial and epidemiology practice, where "survival" has long been the clearest measure of a treatment's benefit. Overall survival is contrasted with progression-free survival, which measures time until the cancer grows rather than time until death.
Significance in Asbestos Context
For someone with mesothelioma or another asbestos-related cancer, overall survival numbers describe averages across many patients, not a prediction for any one person. These figures often come from studies done before newer treatments like immunotherapy, so published survival statistics can lag behind current options. When you read that a treatment "improved overall survival," it means patients in that group lived longer on average, which is generally considered the most meaningful benefit. Survival data can also matter in a claim, because a shortened life expectancy affects how certain damages are evaluated.
Example Sentence
The oncologist explained that the clinical trial reported a modest gain in overall survival for patients who added immunotherapy to chemotherapy.
Related Terms
Progression-Free Survival, Prognosis, Median Survival, Mesothelioma, Life Expectancy, Palliative Care
Notes
- Ask whether a quoted survival figure comes from patients like you, matched for cell type, stage, and treatment era.
- Ask your oncologist how newer treatments may change the older survival numbers you find online.
- If you're pursuing a claim, tell your attorney about your prognosis, since reduced life expectancy can factor into damages.
In the research library
901 studies in our medical research library mention Overall Survival in the title or abstract. Among the most cited:
- Genetic alterations of malignant pleural mesothelioma: association with tumor heterogeneity and overall survivalL. Quetel, C. Meiller, J.B. Assié, et al, 2020 · Molecular Oncology · cited 93 times
- Mesothelioma in the United States: a Surveillance, Epidemiology, and End Results (SEER)-Medicare investigation of treatment patterns and overall survivalJ.L. Beebe-Dimmer, J.P. Fryzek, C.L. Yee, et al, 2016 · Clinical Epidemiology · cited 92 times
- Survival by Histologic Subtype of Malignant Pleural Mesothelioma and the Impact of Surgical Resection on Overall SurvivalV. Verma, C.A. Ahern, C.G. Berlind, et al, 2018 · Clinical Lung Cancer · cited 48 times
- Pre-treatment soluble PD-L1 as a predictor of overall survival for immune checkpoint inhibitor therapy: a systematic review and meta-analysisÁ. Széles, T. Fazekas, S. Váncsa, et al, 2023 · Cancer Immunology, Immunotherapy · cited 29 times
- Response to chemotherapy is predictive in relation to longer overall survival in an individual patient combined-analysis with pleural mesotheliomaJ.K. Blayney, G.L. Ceresoli, B. Castagneto, et al, 2012 · European Journal of Cancer · cited 26 times
The journals that publish most on it: Cancers (51), Journal of Thoracic Oncology (46), Annals of Surgical Oncology (37).
Category: Genetics & Oncology · All Lexicon terms A–Z
This page is provided for general informational purposes and does not constitute legal advice. Every asbestos case turns on its own facts, exposure history, diagnosis, deadlines, available evidence, and applicable law. Reviewing this page does not create an attorney-client relationship. For advice about your specific situation, call 833-4-ASBESTOS for a free case review.