Multiple primary cancers and estimation of the incidence rates and trends
Multiple primary cancers and estimation of the incidence rates and trends
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DOI：
10.1016/0959-8049(95)00621-4
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发表时间：
1996-04-01
影响因子：
8.4
通讯作者：
Torhorst, J
中科院分区：
文献类型：
--
作者：
Filali, K;Hedelin, G;Torhorst, J
从一个登记处到另一个登记处使用不同的登记规则，无论是一般的还是成对的器官，导致多种原发性癌症的比例变化：在男性中，结肠癌的比例从0.4到4.9%，肺癌的比例从0.1到2.7%，口腔和咽部的比例从4.1到8.6%。主观因素，往往无法证实，促成这些变化。对口腔癌和咽喉癌以及所有癌症的发病率和趋势估计的影响是不可忽视的。当只考虑第一种癌症（个体发病率）的发病率时，下莱茵口腔癌和咽喉癌增加的趋势消失了，卡尔瓦多斯省和下莱茵省同一地点的发病率差异也消失了。在没有统一登记规则和方法的情况下，按个人发病率是唯一能够比较各登记所之间发病率和趋势的方法。1996爱思唯尔科学有限公司
The use of different registration rules from one registry to another, both generally and also for paired organs, leads to variations in the proportion of multiple primary cancers: in men, from 0.4 to 4.9% for the colon, 0.1 to 2.7% for the lung, and 4.1 to 8.6% for the mouth and pharynx. Subjective factors, often impossible to verify, contribute to these variations. The impact on the estimation of incidence rates and trends is not negligible for cancers of the mouth and the pharynx and for all the cancers taken together. The trend towards an increase of cancers of the mouth and pharynx in the Bas-Rhin disappeared when the incidence was expressed taking only the first cancer (incidence by individual) into consideration, and the differences in incidence between the Calvados and the Bas-Rhin registries for the same site also disappeared. In the absence of harmonisation of the rules and methods followed for regisration, incidence by individual is the only approach which makes it possible to compare incidence rates and trends between registries. (C) 1996 Elsevier Science Ltd