An updated report on the trends in cancer incidence and mortality in Japan, 1958-2013
An updated report on the trends in cancer incidence and mortality in Japan, 1958-2013
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DOI：
10.1093/jjco/hyv002
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发表时间：
2015-04-01
影响因子：
2.4
通讯作者：
Nishimoto, Hiroshi
中科院分区：
文献类型：
--
作者：
Katanoda, Kota;Hori, Megumi;Nishimoto, Hiroshi
日本的癌症趋势分析需要定期更新。在此，我们使用最近的人口数据对日本癌症发病率和死亡率的趋势进行了全面的报告。1958年至2013年的全国癌症死亡率数据来自已公布的生命统计数据。1985年至2010年期间的癌症发病率数据来自三个县（山形、福井和长崎）的高质量基于人群的癌症登记处。联合点回归分析，以检查年龄标准化的癌症发病率和死亡率的趋势。所有癌症死亡率从20世纪90年代中期开始下降，年百分比变化为-1.3%（95%置信区间[CI]：-1.4，-1.3）。在最近10年中，癌症死亡率下降的60%以上是由于胃癌和肝癌的下降（男性为63%，女性为66%）。女性乳腺癌死亡率从1960年代开始长期上升，到2008年趋于稳定。所有癌症发病率持续增加，1985年至2005年的年百分比变化为0.6%（95%CI：0.5，0.8），2005年至2010年为1.8%（95%CI：0.6，2.9）。在最近10年中，癌症发病率增加的近一半是由于男性前列腺癌（60%）和女性乳腺癌（46%）的增加。与2005年相比，癌症登记质量指数也开始增加。胃癌和肝癌发病率和死亡率的下降反映了感染相关因素（即幽门螺杆菌和肝炎病毒）的减少。但是，应该指出，宫颈癌的发病率和死亡率从1990年开始类似地增加。
The analysis of cancer trends in Japan requires periodic updating. Herein, we present a comprehensive report on the trends in cancer incidence and mortality in Japan using recent population-based data. National cancer mortality data between 1958 and 2013 were obtained from published vital statistics. Cancer incidence data between 1985 and 2010 were obtained from high-quality population-based cancer registries of three prefectures (Yamagata, Fukui and Nagasaki). Joinpoint regression analysis was performed to examine the trends in age-standardized rates of cancer incidence and mortality. All-cancer mortality decreased from the mid-1990s, with an annual percent change of -1.3% (95% confidence interval [CI]: -1.4, -1.3). During the most recent 10 years, over 60% of the decrease in cancer mortality was accounted for by a decrease in stomach and liver cancers (63% for males and 66% for females). The long-term increase in female breast cancer mortality, beginning in the 1960s, plateaued in 2008. All-cancer incidence continuously increased, with annual percent changes of 0.6% (95% CI: 0.5, 0.8) between 1985 and 2005, and 1.8% (95% CI: 0.6, 2.9) between 2005 and 2010. During the most recent 10 years, almost half of the increase in cancer incidence was accounted for by an increase in prostate cancer (60%) in males and breast cancer (46%) in females. The cancer registry quality indices also began to increase from similar to 2005. Decreases in stomach and liver cancers observed for incidence and mortality reflect the reduced attribution of infection-related factors (i.e. Helicobacter pylori and hepatitis virus). However, it should be noted that cervical cancer incidence and mortality rates began to increase from similar to 1990.