Recent trends in incidence of five common cancers in 26 European countries since 1988: Analysis of the European Cancer Observatory

Melina Arnold, Henrike E. Karim-Kos, Jan Willem Coebergh, Graham Byrnes, Ahti Antilla, Jacques Ferlay, Andrew G. Renehan, David Forman, Isabelle Soerjomataram

Research output: Contribution to journalArticlepeer-review

392 Citations (Scopus)

Abstract

Abstract 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.

Original languageEnglish
Article number8948
Pages (from-to)1164-1187
Number of pages24
JournalEuropean Journal of Cancer
Volume51
Issue number9
DOIs
Publication statusPublished - 27 May 2015
Externally publishedYes

Keywords

  • Cancer registry
  • Europe/epidemiology
  • Neoplasms
  • Public health surveillance
  • Trends

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