Cancer incidence and mortality in Europe, 2004

Cancer incidence and mortality in Europe, 2004
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DOI:
10.1093/annonc/mdi098
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发表时间:
2005-03-01
期刊:
影响因子:
50.5
通讯作者:
Ferlay, J
Ferlay, J
中科院分区:
医学1区
文献类型:
--
作者:
Boyle, P;Ferlay, J

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背景:最近没有关于欧洲水平的癌症发病率和死亡率的估计。这些可获得的数据通常指的是20世纪90年代中期的数据,对癌症控制规划的使用有限。我们提供了对2004年欧洲癌症负担的估计,包括欧盟(25个成员国)的数据。方法:将国际癌症研究中心描述流行病学小组提供的最新发病率和死亡率来源数据应用于人口预测,以得出对2004年欧洲癌症负担的最佳估计。结果:2004年,欧洲估计有2886800例癌症确诊病例和1711000例癌症死亡。最常见的癌症发病形式是肺癌(占所有发病病例的13.3%),其次是结直肠癌(13.2%)和乳腺癌(13%)。肺癌也是最常见的癌症死亡原因(341800例死亡),其次是结直肠癌(203700例)、胃癌(13.79万例)和乳腺癌(12.29万例)。结论:估计每年有290万新病例(54%发生在男性,46%发生在女性)和170万死亡(56%发生在男性,44%在女性),癌症在欧洲仍然是一个重要的公共卫生问题,即使年龄比率保持不变,欧洲人口老龄化也将导致这些数字继续增加。为了在欧洲抗击癌症方面迅速取得重大进展,显然需要协同打击肺癌、结直肠癌、乳腺癌和胃癌这四大杀手。欧洲各地的胃癌发病率都在下降,公共卫生措施可以降低肺癌、结直肠癌和乳腺癌的发病率和死亡率。
Background: There are no recent estimates of the incidence and mortality from cancer at a European level. Those data that are available generally refer to the mid-1990s and are of limited use for cancer control planning. We present estimates of the cancer burden in Europe in 2004, including data for the (25 Member States) European Union.Methods: The most recent sources of incidence and mortality data available in the Descriptive Epidemiology Group at IARC were applied to population projections to derive the best estimates of the burden of cancer, in terms of incidence and mortality, for Europe in 2004.Results: In 2004 in Europe, there were an estimated 2886800 incident cases of cancer diagnosed and 1711000 cancer deaths. The most common incident form of cancer was lung cancer (13.3% of all incident cases), followed by colorectal cancer (13.2%) and breast cancer (13%). Lung cancer was also the most common cause of cancer death (341800 deaths), followed by colorectal (203700), stomach (137 900) and breast (129 900).Conclusions: With an estimated 2.9 million new cases (54% occurring in men, 46% in women) and 1.7 million deaths (56% in men, 44% in women) each year, cancer remains an important public health problem in Europe, and the ageing of the European population will cause these numbers to continue to increase even if age-specific rates remain constant. To make great progress quickly against cancer in Europe, the need is evident to make a concerted attack on the big killers: lung, colorectal, breast and stomach cancer. Stomach cancer rates are falling everywhere in Europe and public health measures are available to reduce the incidence and mortality of lung cancer, colorectal cancer and breast cancer.