Recent trends in incidence of five common cancers in 26 European countries since 1988: Analysis of the European Cancer Observatory
Recent trends in incidence of five common cancers in 26 European countries since 1988: Analysis of the European Cancer Observatory
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DOI：
10.1016/j.ejca.2013.09.002
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发表时间：
2015-06-01
影响因子：
8.4
通讯作者：
Soerjomataram, Isabelle
中科院分区：
文献类型：
--
作者：
Arnold, Melina;Karim-Kos, Henrike E.;Soerjomataram, Isabelle
背景资料：个别国家和癌症部位特异性研究表明，在过去二十年中，欧洲人群中许多常见癌症的年龄调整发病率有所增加。为了量化这些趋势的程度和最近的癌症负担，在这里，我们从欧洲癌症登记处的一个新的基于网络的门户网站上，全面概述了欧洲五种常见癌症的人群发病率趋势。方法：结肠癌和直肠癌、前列腺癌、乳腺癌、1988年至2008年诊断的子宫体和胃从欧洲癌症观察站获得，用于来自26个国家的癌症登记。年年龄标准化的发病率和平均每年的百分比changes.Results：在东欧和中欧国家（前列腺，绝经后乳腺癌，子宫体和结直肠）的发病率开始接近水平，在北方和西欧，在过去的利率已经很高，但近年来在一些国家趋于平稳。所有国家的胃癌发病率都有所下降。讨论：除胃癌外，最常见的癌症的发病率呈上升趋势，这对公众健康来说是个坏消息，但这在很大程度上可以用过去几十年中社会的众所周知的变化来解释。因此，当前和未来的初级癌症预防工作不仅应集中于进一步减少吸烟，还应长期努力保持健康的生活方式，特别是通过均衡饮食和定期体育锻炼来避免超重。(C)2013爱思唯尔有限公司保留所有权利。
Background: Individual country-and cancer site-specific studies suggest that the age-adjusted incidence of many common cancers has increased in European populations over the past two decades. To quantify the extent of these trends and the recent burden of cancer, here we present a comprehensive overview of trends in population-based incidence of the five common cancers across Europe derived from a new web-based portal of the European cancer registries.Methods: Data on incidence for cancers of the colon and rectum, prostate, breast, corpus uteri and stomach diagnosed from 1988 to 2008 were obtained from the European Cancer Observatory for cancer registries from 26 countries. Annual age-standardised incidence rates and average annual percentage changes were calculated.Results: Incidence of four common cancers in eastern and central European countries (prostate, postmenopausal breast, corpus uteri and colorectum) started to approach levels in northern and western Europe, where rates were already high in the past but levelled off in some countries in recent years. Decreases in stomach cancer incidence were seen in all countries.Discussion: Increasing trends in incidence of the most common cancers, except stomach cancer, are bad news to public health but can largely be explained by well-known changes in society in the past decades. Thus, current and future efforts in primary cancer prevention should not only remain focussed on the further reduction of smoking but engage in the long-term efforts to retain healthy lifestyles, especially avoiding excess weight through balanced diets and regular physical exercise. (C) 2013 Elsevier Ltd. All rights reserved.