Pancreatic cancer: Overview of descriptive epidemiology

Pancreatic cancer: Overview of descriptive epidemiology
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DOI:
10.1002/mc.20785
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发表时间:
2012-01-01
影响因子:
4.6
通讯作者:
Boffetta, Paolo
Boffetta, Paolo
中科院分区:
医学2区
文献类型:
--
作者:
Bosetti, Cristina;Bertuccio, Paola;Boffetta, Paolo

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20世纪50年代至80年代期间,高收入国家的胰腺癌死亡率一直在上升,此后趋于平稳或下降,特别是在男性中。为了提供近期胰腺癌死亡率的全球概况,我们分析了1980-2007年期间35个欧洲国家和19个其他国家的世界卫生组织世界认证官方死亡数据。2007年,胰腺癌死亡率最高的是波罗的海国家以及一些中欧/东欧和北欧国家(超过9.5/100万男性和6/100?而最低的是拉丁美洲和香港(低于5/10万男性和3/10万女性)。日本、美国、俄罗斯和欧盟(EU),以及欧盟最大的国家,男性的发病率约为79/10万,女性为56/10万。在21世纪初,在许多欧洲国家,如美国、日本和澳大利亚,发病率基本保持稳定。在北欧国家和英国,1980年代至1990年代期间发病率有所下降,但胰腺癌的死亡率在最近历年呈上升趋势。在南欧和中欧/东欧的一些国家(过去的发病率很低),以及整个欧盟的男性,以及欧洲和亚洲国家的女性中,仍然发现了一些持续的上升。最近的趋势在年轻人(3049岁)中普遍更有利,这表明在不久的将来,总体趋势可能会改善。(C) 2011 Wiley期刊公司
Pancreatic cancer mortality rates have been increasing in high-income countries between the 1950s and the 1980s, and have leveled off or declined thereafter, particularly in men. To provide a global overview of recent pancreatic cancer mortality, we analyzed official death of the world certification data derived from the World Health Organization for 35 European countries and 19 other countries over the period 1980-2007. In 2007, the highest mortality rates from pancreatic cancer were in the Baltic countries, and some central/eastern and northern European countries (over 9.5/100 000 men and 6/100?000 women), whereas the lowest ones were in Latin America and Hong Kong (below 5/100 000 men and 3/100 000 women). Japan, the USA, Russia and the European Union (EU), as well as the largest countries in the EU, had rates around 79/100 000 men and 56/100 000 women. In the early 2000s, rates have been approximately stable in many European countries, as in the USA, Japan, and Australia. In Nordic countries and the UK, where declines in rates have been observed between the 1980s and the 1990s, mortality from pancreatic cancer has tended to rise over most recent calendar years. Some persisting rises were still found in men from a few countries of southern and central/eastern Europe (with low rates in the past), as well as in the EU overall, and in women from European and Asian countries. Recent trends were generally more favorable in young adults (3049 yr), suggesting that overall trends are likely to improve in the near future. (C) 2011 Wiley Periodicals, Inc.