Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012

Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012
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DOI:
10.1016/j.ejca.2012.12.027
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发表时间:
2013-04-01
影响因子:
8.4
通讯作者:
Bray, F.
Bray, F.
中科院分区:
医学1区
文献类型:
--
作者:
Ferlay, J.;Steliarova-Foucher, E.;Bray, F.

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简介:提供了联合国定义的欧洲四个地区的 40 个国家和欧盟 (EU-27) 2012 年 25 种癌症的发病率和死亡率估计值。 方法:我们使用统计模型根据最近发布的数据估计 2012 年国家发病率和死亡率,尽可能根据最新趋势预测 2012 年的发病率和死亡率。将2012年的估计比率应用于相应的人口估计,以获得2012年欧洲新发癌症病例和死亡人数的估计。结果:2012年欧洲估计有345万新发癌症病例(不包括非黑色素瘤皮肤癌)和175万癌症死亡病例。最常见的癌症部位是女性乳腺癌(464,000例),其次是结直肠癌(447,000)、前列腺(417,000)和肺(410,000)。这四种癌症占欧洲癌症总负担的一半。最常见的癌症死亡原因是肺癌(353,000 例死亡)、结直肠癌(215,000 例)、乳腺癌(131,000 例)和胃癌(107,000 例)。在欧盟,估计男性新发癌症病例数约为 140 万,女性为 120 万,同一年约有 707,000 名男性和 555,000 名女性死于癌症。 结论:这些对欧洲癌症负担的最新估计以及对区域和国家层面常见癌症不同分布的描述,为确定欧洲癌症控制行动的优先事项提供了基础。癌症登记在疾病监测以及规划和评估国家癌症计划中的重要作用日益得到认可,但需要进一步倡导。用于进一步分析的估计值和软件工具 (EUCAN 2012) 可作为欧洲癌症观测站 (ECO) (http://eco.iarc.fr) 的一部分在线获取。 (C) 2013 Elsevier Ltd. 保留所有权利。
Introduction: Cancer incidence and mortality estimates for 25 cancers are presented for the 40 countries in the four United Nations-defined areas of Europe and for the European Union (EU-27) for 2012.Methods: We used statistical models to estimate national incidence and mortality rates in 2012 from recently-published data, predicting incidence and mortality rates for the year 2012 from recent trends, wherever possible. The estimated rates in 2012 were applied to the corresponding population estimates to obtain the estimated numbers of new cancer cases and deaths in Europe in 2012.Results: There were an estimated 3.45 million new cases of cancer (excluding non-melanoma skin cancer) and 1.75 million deaths from cancer in Europe in 2012. The most common cancer sites were cancers of the female breast (464,000 cases), followed by colorectal (447,000), prostate (417,000) and lung (410,000). These four cancers represent half of the overall burden of cancer in Europe. The most common causes of death from cancer were cancers of the lung (353,000 deaths), colorectal (215,000), breast (131,000) and stomach (107,000). In the European Union, the estimated numbers of new cases of cancer were approximately 1.4 million in males and 1.2 million in females, and around 707,000 men and 555,000 women died from cancer in the same year.Conclusion: These up-to-date estimates of the cancer burden in Europe alongside the description of the varying distribution of common cancers at both the regional and country level provide a basis for establishing priorities to cancer control actions in Europe. The important role of cancer registries in disease surveillance and in planning and evaluating national cancer plans is becoming increasingly recognised, but needs to be further advocated. The estimates and software tools for further analysis (EUCAN 2012) are available online as part of the European Cancer Observatory (ECO) (http://eco.iarc.fr). (C) 2013 Elsevier Ltd. All rights reserved.