Trends in oral cancer mortality in Europe
Trends in oral cancer mortality in Europe
复制标题
DOI：
10.1016/j.oraloncology.2003.09.013
复制
发表时间：
2004-04-01
期刊：
影响因子：
4.8
通讯作者：
Levi, F
中科院分区：
文献类型：
--
作者：
La Vecchia, C;Lucchini, F;Levi, F
直到1980年代末，在大多数欧洲国家，口腔癌的死亡率一直在明显上升，主要是男性。为了更新口腔癌的趋势，从1980- 1999年期间WHO死亡率数据库中提取并分析了27个欧洲国家口腔癌和咽癌的死亡证明数据。自20世纪80年代末以来，在大多数西方国家，男性口腔癌死亡率开始下降，尽管比利时、丹麦、希腊、葡萄牙或苏格兰有持续上升的趋势。大多数中欧和东欧国家的死亡率持续上升，直至1990年代中期，在匈牙利（所有年龄段的死亡率为20.2/100 000，35-64岁年龄段为51.4）、斯洛伐克、斯洛文尼亚和俄罗斯联邦达到极高的比率。最近几个日历年，波兰或捷克共和国等国的费率有所调平。口腔癌在欧洲妇女中的发病率很低，但在欧洲妇女中的发病率中等偏高，主要来自中欧和东欧。这些趋势应主要从接触酒精和烟草的模式和变化方面来解释，并呼吁紧急控制这些因素，以及改善中欧和东欧口腔癌的诊断和管理。(C)2003爱思唯尔有限公司。保留所有权利。
Mortatity from oral cancer has been rising appreciably in most European countries up to the late 1980s, essentially for men. To update trends in oral cancer, death certification data from oral and pharyngeal cancer for 27 European countries were abstracted and analysed from the WHO mortality database over the period 1980-99. Oral cancer mortality in men has started to decline since the late 1980s in most western countries, although some persisting upward trends were registered for Belgium, Denmark, Greece, Portugal, or Scotland. Persisting rises were observed for most central and eastern Europe up to the mid 1990s, reaching exceedingly high rates in Hungary (20.2/100,000 at all ages, 51.4 at age 35-64), Slovakia, Slovenia, and the Russian Federation. Some levelling of rates in some countries, such as Poland or the Czech Republic, was observed over more recent calendar years. Oral cancer was tow, but moderately upwards in European women, mainly from central and eastern Europe. These trends should be essentially interpreted in terms of patterns and changes in exposure to alcohol and tobacco, and call for urgent control of these factors, as well as for improved diagnosis and management of oral cancer in central and eastern Europe. (C) 2003 Elsevier Ltd. All rights reserved.